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