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