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