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