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