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