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