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