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