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