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