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