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