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