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