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