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