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