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