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