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