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