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