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