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