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