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