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