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