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