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