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