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