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