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