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