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