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