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