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