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