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