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