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