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