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