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