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