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