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