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