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