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