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