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