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