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