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