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