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