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