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