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