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