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