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