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