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