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