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