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