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