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