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