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