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