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