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