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