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