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