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