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