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