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