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