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