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