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