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