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