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