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