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