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