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