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