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