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