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