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