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