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