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