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