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