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