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