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