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