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