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