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