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