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