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