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