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