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