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