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