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