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