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