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