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