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