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