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