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