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