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