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