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