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