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