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