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