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