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