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