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