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