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