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