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