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