Claims Detail Screen
Locate the terms found in the claims detail screen.
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BRAND-NAME
DATE-OF-SERVICE
DATE-SUBMITTED
DAW-CODE
DAY-SUPPLY
DEA-CLASS
GENERIC-INDICATOR
GENERIC-NAME
GPI
MANUFACTURER
NABP
NDC
NPI
PRESCRIBER-ID
PRESCRIBER-NAME
PROVIDER-NAME
QUANTITY-DIPENSED
REJECTION-CODE
REJECTION-MESSAGE
REMAININGTROOP
RX-NUMBER
| A | W | M | S | L | Z | L | E | R | V | X | X | Q | Y | Q | I | A | I | H | Z |
| R | E | C | I | V | R | E | S | - | F | O | - | E | T | A | D | I | P | S | U |
| M | D | G | E | N | E | R | I | C | - | N | A | M | E | B | E | B | P | E | F |
| A | C | O | E | Y | L | P | P | U | S | - | Y | A | D | Q | S | R | X | G | D |
| N | P | B | A | N | D | C | C | R | Q | E | J | H | K | I | N | A | F | A | E |
| U | N | I | P | C | E | L | I | G | Q | G | F | A | X | X | E | N | X | S | T |
| F | E | M | A | N | - | R | E | B | I | R | C | S | E | R | P | D | K | S | T |
| A | Q | P | H | D | H | E | I | I | V | M | G | X | D | V | I | - | L | E | I |
| C | D | R | M | P | D | M | R | C | C | C | J | A | O | K | D | N | M | M | M |
| T | W | E | H | O | E | A | D | Y | - | R | R | C | C | B | - | A | D | - | B |
| U | U | S | F | D | D | I | S | B | I | I | R | W | - | F | Y | M | W | N | U |
| R | P | C | L | E | O | N | A | Y | Z | G | N | P | N | G | T | E | A | O | S |
| E | L | R | D | A | C | I | C | M | H | S | P | D | O | P | I | E | X | I | - |
| R | L | I | E | - | - | N | H | M | S | J | I | Z | I | Z | T | S | Y | T | E |
| T | H | B | M | C | W | G | B | I | U | Z | A | C | T | C | N | A | G | C | T |
| E | J | E | U | L | A | T | A | Y | I | B | U | J | C | G | A | E | A | E | A |
| M | K | R | G | A | D | R | X | - | N | U | M | B | E | R | U | T | S | J | D |
| B | G | - | E | S | D | O | A | Y | V | O | R | O | J | T | Q | L | O | E | D |
| Y | L | I | G | S | M | O | W | K | C | N | Z | Z | E | S | K | Y | H | R | D |
| O | L | D | J | B | E | P | R | O | V | I | D | E | R | - | N | A | M | E | I |
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