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