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