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