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