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