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