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