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