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