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