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