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