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