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