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