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