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