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