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