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