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