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