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