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