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