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