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