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