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