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