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