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