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