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