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