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