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