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