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