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