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
| H | I | J | V | O | M | D | A | T | E | - | S | U | B | M | I | T | T | E | D |
| O | R | H | M | I | Y | K | W | I | Z | I | X | R | N | E | I | P | P | S | E |
| P | P | E | H | A | C | V | X | P | R | N | A | K | L | M | I | B | R | G | C |
| I | P | G | I | N | Y | P | B | R | S | N | S | M | A | A | A | A | E | E | I |
| P | Y | A | G | W | R | Z | X | Q | D | I | F | N | G | N | M | N | S | N | V |
| R | L | S | R | K | V | R | Y | - | S | D | U | G | A | - | E | D | C | E | R |
| O | P | S | E | K | M | Y | N | E | X | F | U | R | T | R | O | C | R | R | E |
| V | P | E | B | T | L | A | D | P | A | A | I | C | I | E | X | G | I | I | S |
| I | U | M | M | J | M | B | L | C | B | J | Q | C | K | B | U | F | B | C | - |
| D | S | - | U | E | U | D | T | I | F | N | - | N | O | I | Y | S | E | - | F |
| E | - | N | N | Y | G | U | Z | Z | M | I | T | I | M | R | Z | N | R | N | O |
| R | Y | O | - | C | R | Z | I | P | N | K | H | S | K | C | O | S | - | A | - |
| - | A | I | X | E | B | R | Y | D | B | D | H | X | V | S | I | M | I | M | E |
| N | D | T | R | H | B | K | I | G | L | H | T | B | V | E | G | B | D | E | T |
| A | T | C | P | B | U | C | Z | K | K | O | G | K | S | R | O | K | R | N | A |
| M | D | E | Q | U | A | N | T | I | T | Y | - | D | I | P | E | N | S | E | D |
| E | S | J | A | T | O | X | J | I | A | B | Q | Z | B | N | X | M | H | S | H |
| H | P | E | O | E | D | O | C | - | W | A | D | E | A | - | C | L | A | S | S |
| D | N | R | E | M | A | I | N | I | N | G | T | R | O | O | P | N | F | X | Y |
| E | X | Y | A | R | E | J | E | C | T | I | O | N | - | C | O | D | E | C | H |
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