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