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