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