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