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