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