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