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