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