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