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