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