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