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