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