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