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