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