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