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