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