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