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