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