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