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