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