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