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