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