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