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