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