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