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