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