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