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