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