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