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