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