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