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