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