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