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