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