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