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