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