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