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