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