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