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