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