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