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