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