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