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