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