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