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