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