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