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