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