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@@ -1135,1183 +1135,7 @@ use App\Models\Handout;
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</div>
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@endif
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- {{-- companyPro, payer and location --}}
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- @if($note->method === 'IN_CLINIC' || $pro->pro_type === 'ADMIN')
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- <div class="p-3 border-bottom screen-only" data-non-segment-section="Pro/Payer Settings">
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- <div class="ml-auto d-flex align-items-center">
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-
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- <div class="d-inline-flex align-items-center">
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- <span class="text-secondary font-weight-bold">Company Pro: </span>
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- <b>{{$note->hcpCompanyPro && $note->hcpCompanyPro->company ? $note->hcpCompanyPro->pro->displayName() . ' / ' . $note->hcpCompanyPro->company->name : '-'}}</b>
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- @if($note->hcpCompanyPro && $note->hcpCompanyPro->company)
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- <div moe class="ml-1">
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- <a class="text-danger" href="" show start><i class="fa fa-trash-alt"></i></a>
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- <form url="/api/note/wipeHcpCompanyPro">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <p>Wipe company pro from this note?</p>
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- <div class="mb-0">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- @else
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- <div moe class="ml-1">
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- <a class="text-primary" href="" show start><i class="fa fa-edit"></i></a>
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- <form url="/api/note/putHcpCompanyPro">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="mb-2">
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- <select name="hcpCompanyProUid" class="form-control form-control-sm">
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- <option value="">-- select --</option>
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- @foreach($note->hcpPro->companyPros as $companyPro)
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- <option value="{{$companyPro->uid}}">{{$companyPro->pro->displayName() . ' / ' . $companyPro->company->name}}</option>
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- @endforeach
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- </select>
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- </div>
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- <div class="mb-0">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- @endif
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- </div>
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-
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- @if($note->hcpCompanyPro && $note->hcpCompanyPro->company)
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- <span class="mx-2 text-secondary">|</span>
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- <div class="d-inline-flex align-items-center">
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- <span class="text-secondary font-weight-bold">Payer 1°: </span>
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- <b>
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- {{$note->hcpCompanyProPayer && $note->hcpCompanyProPayer->payer ? $note->hcpCompanyProPayer->payer->name : '-'}}
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- </b>
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- @if($note->hcpCompanyProPayer && $note->hcpCompanyProPayer->payer)
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- <div moe class="ml-1">
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- <a class="text-danger" href="" show start><i class="fa fa-trash-alt"></i></a>
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- <form url="/api/note/wipeHcpCompanyProPayer">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <p>Wipe payer from this note?</p>
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- <div class="mb-0">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- @else
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- <div moe class="ml-1">
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- <a class="text-primary" href="" show start><i class="fa fa-edit"></i></a>
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- <form url="/api/note/putHcpCompanyProPayer">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="mb-2">
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- <select name="hcpCompanyProPayerUid" class="form-control form-control-sm">
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- <option value="">-- select --</option>
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- @foreach($note->hcpCompanyPro->companyProPayers as $companyProPayer)
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- <option value="{{$companyProPayer->uid}}">{{$companyProPayer->payer->name}}</option>
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- @endforeach
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- </select>
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- </div>
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- <div class="mb-0">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- @endif
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- </div>
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-
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- <span class="mx-2 text-secondary">|</span>
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- <span>
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- <span class="text-secondary font-weight-bold">Payer 2°: </span>
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- </span>
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-
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- <span class="mx-2 text-secondary">|</span>
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- <div class="d-inline-flex align-items-center">
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- <span class="text-secondary font-weight-bold">Location: </span><b>{{$note->hcpCompanyLocation ? $note->hcpCompanyLocation->line1 . ', ' . $note->hcpCompanyLocation->city : '-'}}</b>
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- @if($note->hcpCompanyLocation)
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- <div moe class="ml-1">
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- <a class="text-danger" href="" show start><i class="fa fa-trash-alt"></i></a>
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- <form url="/api/note/wipeHcpCompanyLocation">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <p>Wipe location from this note?</p>
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- <div class="mb-0">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- @else
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- <div moe class="ml-1">
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- <a class="text-primary" href="" show start><i class="fa fa-edit"></i></a>
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- <form url="/api/note/putHcpCompanyLocation">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="mb-2">
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- <select name="hcpCompanyLocationUid" class="form-control form-control-sm">
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- <option value="">-- select --</option>
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- @if($note->hcpCompany && $note->hcpCompany->locations)
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- @foreach($note->hcpCompany->locations as $location)
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- <option value="{{$location->uid}}">{{$location->line1 . ', ' . $location->city}}</option>
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- @endforeach
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- @endif
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- </select>
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- </div>
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- <div class="mb-0">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- @endif
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- </div>
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- @endif
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- <span class="mx-2 text-secondary">|</span>
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- <div class="d-inline-flex align-items-center">
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- <span class="text-secondary font-weight-bold">Primary Coverage: </span>
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- <b>@include('app.patient.coverage_column_renderer', ['patient'=>$patient, 'truncateName' => true])</b>
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- </div>
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- </div>
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- </div>
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- @endif
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-
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- {{-- bills --}}
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- @if($pro->pro_type === 'ADMIN' || ($note->hcpPro && $pro->id === $note->hcpPro->id))
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- <div class="screen-only" data-non-segment-section="HCP Bills">
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- @if($note->bills->count())
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- <div class="p-3 border-bottom">
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- <div class="d-flex align-items-center mb-2">
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- <p class="font-weight-bold text-secondary font-size-13 m-0">Bills</p>
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- @if($pro->pro_type === 'ADMIN' || ($note->hcpPro && $pro->id === $note->hcpPro->id))
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- @include('app/patient/note/_create-bill')
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- @endif
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- </div>
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-
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- @if($pro->pro_type === 'ADMIN')
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- <table class="table table-sm tabe-striped mb-0 table-bordered">
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- <thead class="bg-light">
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- <tr class="text-secondary">
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- <?php /* <th class="border-bottom-0"></th> */ ?>
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- <th class="border-bottom-0">Date</th>
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- <th class="border-bottom-0">Service</th>
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- <th class="border-bottom-0">Billable</th>
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- <th class="border-bottom-0">HCP</th>
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- <th class="border-bottom-0 screen-only">Total</th>
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- <th class="border-bottom-0">Sign</th>
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- <th class="border-bottom-0 screen-only">Bal Post Date</th>
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- <th class="border-bottom-0">Verification</th>
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- <th class="border-bottom-0">Cancellation</th>
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- <th class="border-bottom-0 screen-only">Payment</th>
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- </tr>
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- </thead>
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- <tbody>
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- @foreach ($note->bills as $bill)
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- <tr class="{{$bill->is_cancelled ? 'bg-light text-secondary' : ''}}">
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- <?php /* <td class="p-0">
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- <table class="table-striped table-sm table-condensed border border-left-0 border-top-0 border-bottom-0">
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- <tbody>
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- <tr><td>collected_amount</td><td>{{$bill->collected_amount}}</td></tr>
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- <tr><td>effective_date</td><td>{{$bill->effective_date}}</td></tr>
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- <tr><td>has_hcp_been_paid</td><td>{{$bill->has_hcp_been_paid}}</td></tr>
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- <tr><td>hcp_expected_payment_amount</td><td>{{$bill->hcp_expected_payment_amount}}</td></tr>
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- <tr><td>hcp_payment_amount</td><td>{{$bill->hcp_payment_amount}}</td></tr>
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- <tr><td>is_cancelled</td><td>{{$bill->is_cancelled}}</td></tr>
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- <tr><td>hcp_payment_pro_transaction_id</td><td>{{$bill->hcp_payment_pro_transaction_id}}</td></tr>
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- <tr><td>balance_post_date</td><td>{{$bill->balance_post_date}}</td></tr>
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- <tr><td>is_verified</td><td>{{$bill->is_verified}}</td></tr>
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- <tr><td>is_cancellation_acknowledged</td><td>{{$bill->is_cancellation_acknowledged}}</td></tr>
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- <tr><td>is_cancelled_by_administrator</td><td>{{$bill->is_cancelled_by_administrator}}</td></tr>
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- <tr><td>total_expected</td><td>{{$bill->total_expected}}</td></tr>
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- <tr><td>total_paid</td><td>{{$bill->total_paid}}</td></tr>
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- </tbody>
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- </table>
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- </td> */ ?>
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- <td class="text-nowrap">{{friendlier_date_time($bill->effective_date, false)}}</td>
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- <td>{{$bill->code}}</td>
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- <td class="">
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- @if(strpos(strtolower($bill->code), 'treatment services') !== FALSE)
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- <?php
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- $totalSeconds = $bill->number_of_units * 3600;
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- $remainder = $totalSeconds % 60;
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- if ($remainder !== 0) {
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- if ($remainder < 30) {
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- $totalSeconds = $totalSeconds - $remainder;
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- } else {
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- $totalSeconds = $totalSeconds + (60 - $remainder);
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- }
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- }
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- ?>
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- {{ time_in_hrminsec($totalSeconds) }}
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- @else
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- @if(!!$bill->number_of_units)
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- {{ $bill->number_of_units }} unit(s)
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- @else
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- -
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- @endif
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- @endif
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- </td>
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- <td class="">
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- <div class="text-nowrap font-weight-bold text-secondary">{{ $bill->hcp->displayName() }} (HCP)</div>
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- <div class="text-nowrap mt-1 screen-only">
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- <span class="text-secondary">Paid: </span>
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- <span>{{ $bill->has_hcp_been_paid ? 'Yes' : 'No' }}</span>
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- </div>
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- @if(!$bill->has_hcp_been_paid)
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- <div class="text-nowrap mt-1 screen-only">
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- <span class="text-secondary">Expected: </span>
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- <span class="font-weight-bold">${{ $bill->hcp_expected_payment_amount }}</span>
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- </div>
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- @else
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- <div class="text-nowrap mt-1 screen-only">
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- <span class="text-secondary">Amount: </span>
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- <span class="font-weight-bold">${{ $bill->hcp_payment_amount }}</span>
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- </div>
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- @endif
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- @if($bill->ally && !!floatval($bill->na_expected_payment_amount))
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- <hr>
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- <div class="text-nowrap font-weight-bold text-secondary">{{ $bill->ally->displayName() }} (NA)</div>
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- <div class="text-nowrap mt-1 screen-only">
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- <span class="text-secondary">Paid: </span>
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- <span>{{ $bill->has_na_been_paid ? 'Yes' : 'No' }}</span>
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- </div>
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- @if(!$bill->has_na_been_paid)
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- <div class="text-nowrap mt-1 screen-only">
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- <span class="text-secondary">Expected: </span>
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- <span class="font-weight-bold">${{ $bill->na_expected_payment_amount }}</span>
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- </div>
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- @else
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- <div class="text-nowrap mt-1 screen-only">
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- <span class="text-secondary">Amount: </span>
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- <span class="font-weight-bold">${{ $bill->na_payment_amount }}</span>
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- </div>
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- @endif
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- @endif
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-
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- @if($pro->pro_type === 'ADMIN')
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- <b>{{$bill->hcpCompanyPro && $bill->hcpCompanyPro->company ? $bill->hcpCompanyPro->pro->displayName() . ' / ' . $bill->hcpCompanyPro->company->name : '-'}}</b>
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- <div moe class="ml-1">
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- <a class="text-primary" href="" show start>Swap HCP Company Pro</a>
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- <form url="/api/bill/swapHcpCompanyPro">
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- <input type="hidden" name="uid" value="{{$bill->uid}}">
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- <div class="mb-2">
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- <select name="hcpCompanyProUid" class="form-control form-control-sm">
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- <option value="">-- select --</option>
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- @foreach($bill->hcp->companyPros as $companyPro)
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- <option value="{{$companyPro->uid}}">{{$companyPro->pro->displayName() . ' / ' . $companyPro->company->name}}</option>
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- @endforeach
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- </select>
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- </div>
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- <div class="mb-0">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- @endif
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- <div>
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- @include('app.patient.note.flag-bill')
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- </div>
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-
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- </td>
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- <td class="pr-3 screen-only">
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- @if($bill->has_hcp_been_paid)
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- <span class="text-secondary">Paid. </span>
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- <span class="font-weight-bold">${{ friendly_money($bill->total_paid) }}</span>
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- @else
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- <span class="text-secondary">Exp. </span>
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- <span class="font-weight-bold">{{ $bill->total_expected ? '$' . friendly_money($bill->total_expected) : '-' }}</span>
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- @endif
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- </td>
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- <td>
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- @if(!$bill->is_cancelled)
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- @if($bill->is_signed_by_hcp)
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- <span class="d-block text-secondary text-nowrap">
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- <i class="fa fa-check"></i>
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- HCP Signed
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- </span>
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- @else
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- <span moe
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- class="d-block {{ $bill->hcp_pro_id !== $pro->id ? 'moe-disabled' : '' }}"
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- title="{{ $bill->hcp_pro_id !== $pro->id ? 'Only the bill\'s HCP can sign' : '' }}">
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- <a class="" href="" show start>Sign As HCP</a>
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- <form url="/api/bill/signAsHcp">
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- <input type="hidden" name="uid" value="{{$bill->uid}}">
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- <p>Sign this bill as HCP?</p>
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- <div class="mb-0">
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- <button class="btn btn-success btn-sm" submit>Sign</button>
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- <button class="btn btn-default border btn-sm"
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- cancel>Cancel</button>
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- </div>
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- </form>
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- </span>
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- @endif
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-
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- @if($bill->is_signed_by_na)
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- <span class="d-block text-secondary text-nowrap">
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- <i class="fa fa-check"></i>
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- NA Signed
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- </span>
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- @else
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- <span moe
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- class="d-block {{ $bill->na_pro_id !== $pro->id ? 'moe-disabled' : '' }}"
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- title="{{ $bill->na_pro_id !== $pro->id ? 'Only the bill\'s NA can sign' : '' }}">
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- <a class="" href="" show start>Sign As NA</a>
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- <form url="/api/bill/signAsNa">
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- <input type="hidden" name="uid" value="{{$bill->uid}}">
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- <p>Sign this bill as NA?</p>
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- <div class="mb-0">
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- <button class="btn btn-success btn-sm" submit>Sign</button>
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- <button class="btn btn-default border btn-sm"
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- cancel>Cancel</button>
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- </div>
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- </form>
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- </span>
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- @endif
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- @endif
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- </td>
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|
- <td class="screen-only">
|
|
|
- @if(!$bill->is_cancelled)
|
|
|
- <span class="d-block" moe>
|
|
|
- <a class="" href="" show start>
|
|
|
- {{$bill->balance_post_date ? friendlier_date_time($bill->balance_post_date, false) : '(not set)' }}
|
|
|
- </a>
|
|
|
- <form url="/api/bill/updateBalancePostDate">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Update Balance Post Date</p>
|
|
|
- <div class="mb-0">
|
|
|
- <input type="date" class="text form-control form-control-sm"
|
|
|
- name="balancePostDate"
|
|
|
- value="{{$bill->balance_post_date}}"
|
|
|
- placeholder="balance post date"><br>
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td> <!-- verification -->
|
|
|
- @if($pro->pro_type === 'ADMIN' && !$bill->is_cancelled)
|
|
|
- @if(!$bill->is_verified)
|
|
|
- <div class="text-warning-mellow font-weight-bold">Not Verified</div>
|
|
|
- <span class="d-block mt-1" moe>
|
|
|
- <a href="" show start>Mark Verified</a>
|
|
|
- <form url="/api/bill/markAsVerified">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Mark As Verfified?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @else
|
|
|
- <div class="text-success font-weight-bold"><i class="fa fa-check"></i> Verified</div>
|
|
|
- <span class="d-block mt-1" moe>
|
|
|
- <a class="" href="" show start>Undo</a>
|
|
|
- <form url="/api/bill/undoMarkAsVerified">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Undo Mark As Verfified?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td> <!-- cancellation -->
|
|
|
- @if($bill->is_cancelled)
|
|
|
- <div class="text-warning-mellow font-weight-bold">Cancelled</div>
|
|
|
- @if($bill->cancellation_memo)
|
|
|
- <div class="text-dark text-sm font-italic my-1">{{$bill->cancellation_memo}}</div>
|
|
|
- @endif
|
|
|
- @if($bill->is_cancelled_by_administrator)
|
|
|
- <div class="text-secondary text-sm">(by Administrator)</div>
|
|
|
- @endif
|
|
|
- <div moe class="mt-1">
|
|
|
- <a class="" href="" show start>Update Memo</a>
|
|
|
- <form url="/api/bill/updateCancellationMemo">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Update Cancellation Memo</p>
|
|
|
- <div class="mb-2">
|
|
|
- <textarea class="text form-control form-control-sm"
|
|
|
- name="cancellationMemo"
|
|
|
- placeholder="">{{$bill->cancellation_memo ? $bill->cancellation_memo : 'Please contact billing.'}}</textarea>
|
|
|
- </div>
|
|
|
- <div>
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </div>
|
|
|
- @else
|
|
|
- <span class="d-block" moe relative="">
|
|
|
- <a class="text-danger" href="" show start>Cancel</a>
|
|
|
- <form url="/api/bill/markCancelled" right="">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p class="mb-2">Cancel this bill?</p>
|
|
|
- <div class="mb-2">
|
|
|
- <label class="mb-1 text-secondary">Cancellation Memo</label>
|
|
|
- <textarea type="text" name="memo" placeholder="Memo"
|
|
|
- class="form-control form-control-sm">Please contact billing.</textarea>
|
|
|
- </div>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-danger btn-sm" submit>Yes</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>No</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
-
|
|
|
- @if($bill->is_cancelled && !$bill->is_cancellation_acknowledged)
|
|
|
- <div class="mt-2 text-secondary">
|
|
|
- <i class="fa fa-exclamation-triangle"></i>
|
|
|
- Not Ack.
|
|
|
- </div>
|
|
|
- <div class="d-block mt-1" moe>
|
|
|
- <a class="" href="" show start>Ack. Cancellation</a>
|
|
|
- <form url="/api/bill/acknowledgeCancellation">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Acknowledge Cancellation?</p>
|
|
|
- <div class="mb-0">
|
|
|
- {{--<input type="text" class="text form-control form-control-sm" name="cancellationMemo" value="{{$bill->cancellation_memo}}" placeholder=""><br>--}}
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </div>
|
|
|
- @endif
|
|
|
-
|
|
|
- @if($bill->is_cancellation_acknowledged && !$note->is_billing_marked_done)
|
|
|
- <div class="mt-2 text-secondary">
|
|
|
- <i class="fa fa-check"></i>
|
|
|
- Ack.
|
|
|
- </div>
|
|
|
- <div class="d-block mt-1" moe>
|
|
|
- <a class="" href="" show start>Undo Cancellation Ack.</a>
|
|
|
- <form url="/api/bill/undoAcknowledgeCancellation">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Undo Acknowledge Cancellation?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </div>
|
|
|
- @endif
|
|
|
-
|
|
|
- </td>
|
|
|
- <td class="screen-only"> <!-- submit payment -->
|
|
|
- <div class="my-1">
|
|
|
- @if(!$bill->is_cancelled && !$bill->has_hcp_been_paid )
|
|
|
- @if(+$bill->hcp_expected_payment_amount && $bill->is_signed_by_hcp)
|
|
|
- <span class="d-block" moe relative="">
|
|
|
- <a class="font-weight-bold" href="" show start>Submit Payment For HCP</a>
|
|
|
- <form url="/api/bill/payHcpAmount" right>
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Submit Payment</p>
|
|
|
- <div class="mb-0">
|
|
|
- <input type="text"
|
|
|
- class="text form-control form-control-sm"
|
|
|
- name="hcpPaymentAmount"
|
|
|
- value="{{$bill->hcp_expected_payment_amount}}"
|
|
|
- placeholder="amount"><br>
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @else
|
|
|
- @if(!+$bill->hcp_expected_payment_amount)
|
|
|
- <div class="mb-1 text-danger">
|
|
|
- <i class="fa fa-exclamation-triangle"></i>
|
|
|
- HCP expected amount is invalid
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- @if(!$bill->is_signed_by_hcp)
|
|
|
- <div class="mb-1 text-danger">
|
|
|
- <i class="fa fa-exclamation-triangle"></i>
|
|
|
- HCP has not signed the bill
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- <div class="my-1">
|
|
|
- @if(!$bill->is_cancelled && !$bill->has_na_been_paid && $bill->ally)
|
|
|
- @if(+$bill->na_expected_payment_amount && $bill->is_signed_by_na)
|
|
|
- <span class="d-block" moe relative="">
|
|
|
- <a class="font-weight-bold" href="" show start>Submit Payment For NA</a>
|
|
|
- <form url="/api/bill/payNaAmount" right>
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Submit Payment For NA</p>
|
|
|
- <div class="mb-0">
|
|
|
- <input type="text"
|
|
|
- class="text form-control form-control-sm"
|
|
|
- name="naPaymentAmount"
|
|
|
- value="{{$bill->na_expected_payment_amount}}"
|
|
|
- placeholder="amount"><br>
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @else
|
|
|
- @if(!+$bill->na_expected_payment_amount)
|
|
|
- <div class="mb-1 text-danger">
|
|
|
- <i class="fa fa-exclamation-triangle"></i>
|
|
|
- NA expected amount is invalid
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- @if(!$bill->is_signed_by_na)
|
|
|
- <div class="mb-1 text-danger">
|
|
|
- <i class="fa fa-exclamation-triangle"></i>
|
|
|
- NA has not signed the bill
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- </td>
|
|
|
- </tr>
|
|
|
- @endforeach
|
|
|
- </tbody>
|
|
|
- </table>
|
|
|
- @elseif($note->hcpPro && $pro->id === $note->hcpPro->id)
|
|
|
- <table class="table table-sm tabe-striped mb-3 border-left border-right border-bottom">
|
|
|
- <thead class="bg-light">
|
|
|
- <tr>
|
|
|
- <th class="border-bottom-0 pl-3">HCP</th>
|
|
|
- @if($note->ally_pro_id === $pro->id)
|
|
|
- <th class="border-bottom-0 pl-3">NA</th>
|
|
|
- @endif
|
|
|
- <th class="border-bottom-0 w-25 pl-3">Service</th>
|
|
|
- {{--<th class="border-bottom-0 w-25 pl-2">Reason</th>--}}
|
|
|
- <th class="border-bottom-0 pl-3">Billable</th>
|
|
|
- <th class="border-bottom-0 pl-2">Amount</th>
|
|
|
- <th class="border-bottom-0 pl-2">Verification</th>
|
|
|
- <th class="border-bottom-0"></th>
|
|
|
- </tr>
|
|
|
- </thead>
|
|
|
- <tbody>
|
|
|
- @foreach ($note->bills as $bill)
|
|
|
- <tr>
|
|
|
- <td class="pl-3">{{ $bill->hcp->displayName() }}</td>
|
|
|
- @if($note->ally_pro_id === $pro->id)
|
|
|
- <td class="pl-3">{{ $note->allyPro->displayName() }}</td>
|
|
|
- @endif
|
|
|
- <td class="pl-3 {{ $bill->is_cancelled ? 'text-secondary' : '' }}">{{$bill->code}}</td>
|
|
|
- {{--<td class="pl-2">
|
|
|
- {{ $bill->reason1 }}
|
|
|
- <div class="text-secondary small">{{ $bill->reason2 }}</div>
|
|
|
- </td>--}}
|
|
|
- <td class="pl-3">
|
|
|
- @if(strpos(strtolower($bill->code), 'treatment services') !== FALSE)
|
|
|
- <?php
|
|
|
- $totalSeconds = $bill->number_of_units * 3600;
|
|
|
- $remainder = $totalSeconds % 60;
|
|
|
- if ($remainder !== 0) {
|
|
|
- if ($remainder < 30) {
|
|
|
- $totalSeconds = $totalSeconds - $remainder;
|
|
|
- } else {
|
|
|
- $totalSeconds = $totalSeconds + (60 - $remainder);
|
|
|
- }
|
|
|
- }
|
|
|
- ?>
|
|
|
- {{ time_in_hrminsec($totalSeconds) }}
|
|
|
- @else
|
|
|
- @if(!!$bill->number_of_units)
|
|
|
- {{ $bill->number_of_units }} unit(s)
|
|
|
- @else
|
|
|
- -
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td class="pl-2">
|
|
|
- @if($bill->hcp_pro_id === $pro->id)
|
|
|
- @if($bill->has_hcp_been_paid)
|
|
|
- <span class="text-dark">Processed:</span><span
|
|
|
- class="font-weight-bold text-success ml-2">${{ $bill->hcp_payment_amount }}</span>
|
|
|
- @else
|
|
|
- <span class="text-dark">Expected:</span><span
|
|
|
- class="font-weight-bold text-dark ml-2">{{ $bill->hcp_expected_payment_amount ? '$' . $bill->hcp_expected_payment_amount : '-' }}</span>
|
|
|
- @endif
|
|
|
- @elseif($bill->na_pro_id === $pro->id)
|
|
|
- @if($bill->has_na_been_paid)
|
|
|
- <span class="text-dark">Processed:</span><span
|
|
|
- class="font-weight-bold text-success ml-2">${{ $bill->na_payment_amount }}</span>
|
|
|
- @else
|
|
|
- <span class="text-dark">Expected:</span><span
|
|
|
- class="font-weight-bold text-dark ml-2">{{ $bill->na_expected_payment_amount ? '$' . $bill->na_expected_payment_amount : '-' }}</span>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td class="pl-2">
|
|
|
- @if(!$bill->is_cancelled)
|
|
|
- @if(!$bill->is_verified)
|
|
|
- <div class="text-warning-mellow font-weight-bold">Not Verified</div>
|
|
|
- @else
|
|
|
- <div class="text-info font-weight-bold"><i class="fa fa-check"></i> Verified</div>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td>
|
|
|
- <div class="d-flex align-items-center">
|
|
|
- @if(!$bill->is_cancelled)
|
|
|
- @if($bill->is_signed_by_hcp)
|
|
|
- <span class="d-block text-secondary">
|
|
|
- <i class="fa fa-check"></i>
|
|
|
- HCP Signed
|
|
|
- </span>
|
|
|
- @else
|
|
|
- <span moe
|
|
|
- class="d-block {{ $bill->hcp_pro_id !== $pro->id ? 'moe-disabled' : '' }}"
|
|
|
- title="{{ $bill->hcp_pro_id !== $pro->id ? 'Only the bill\'s HCP can sign' : '' }}">
|
|
|
- <a class="" href="" show start>Sign as HCP</a>
|
|
|
- <form url="/api/bill/signAsHcp">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Sign this bill as HCP?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-success btn-sm"
|
|
|
- submit>Sign</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @if($bill->na_pro_id === $pro->id)
|
|
|
- <span class="mx-2 text-secondary">|</span>
|
|
|
- @if($bill->is_signed_by_na)
|
|
|
- <span class="d-block text-secondary">
|
|
|
- <i class="fa fa-check"></i>
|
|
|
- NA Signed
|
|
|
- </span>
|
|
|
- @else
|
|
|
- <span moe
|
|
|
- class="d-block {{ $bill->na_pro_id !== $pro->id ? 'moe-disabled' : '' }}"
|
|
|
- title="{{ $bill->hcp_pro_id !== $pro->id ? 'Only the bill\'s NA can sign' : '' }}">
|
|
|
- <a class="" href="" show start>Sign as NA</a>
|
|
|
- <form url="/api/bill/signAsNa">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Sign this bill as NA?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-success btn-sm"
|
|
|
- submit>Sign</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- @if(!$bill->has_hcp_been_paid && $pro->pro_type === 'ADMIN')
|
|
|
- <span class="mx-2 text-secondary">|</span>
|
|
|
- <span class="d-block" moe>
|
|
|
- <a class="text-danger" href="" show start>Submit Payment</a>
|
|
|
- <form url="/api/bill/payHcpAmount">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Submit payment:</p>
|
|
|
- <div class="mb-0">
|
|
|
- <input type="text" class="text form-control form-control-sm"
|
|
|
- name="hcpPaymentAmount"
|
|
|
- value="{{$bill->hcp_expected_payment_amount}}"
|
|
|
- placeholder="amount"><br>
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @if(!$bill->has_na_been_paid && $bill->ally && $pro->pro_type === 'ADMIN')
|
|
|
- <span class="d-block" moe relative="">
|
|
|
- <a class="font-weight-bold" href="" show
|
|
|
- start>Submit Payment For NA</a>
|
|
|
- <form url="/api/bill/payNaAmount" right>
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Submit Payment For NA</p>
|
|
|
- <div class="mb-0">
|
|
|
- <input type="text" class="text form-control form-control-sm"
|
|
|
- name="naPaymentAmount"
|
|
|
- value="{{$bill->na_expected_payment_amount}}"
|
|
|
- placeholder="amount"><br>
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @if($bill->is_cancelled)
|
|
|
- <span class="mx-2 text-secondary">|</span>
|
|
|
- <span class="d-block text-secondary">
|
|
|
- Cancelled
|
|
|
- </span>
|
|
|
- @if($bill->is_cancelled && !$bill->is_cancellation_acknowledged)
|
|
|
- <div class="ml-2 text-secondary">
|
|
|
- <i class="fa fa-exclamation-triangle"></i>
|
|
|
- Not Ack.
|
|
|
- </div>
|
|
|
- <div class="d-block ml-2" moe>
|
|
|
- <a class="" href="" show start>Ack. Cancellation</a>
|
|
|
- <form url="/api/bill/acknowledgeCancellation">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Acknowledge Cancellation?</p>
|
|
|
- <div class="mb-0">
|
|
|
- {{--<input type="text" class="text form-control form-control-sm" name="cancellationMemo" value="{{$bill->cancellation_memo}}" placeholder=""><br>--}}
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </div>
|
|
|
- @endif
|
|
|
-
|
|
|
- @if($bill->is_cancellation_acknowledged && !$note->is_billing_marked_done)
|
|
|
- <div class="ml-2 text-secondary">
|
|
|
- <i class="fa fa-check"></i>
|
|
|
- Ack.
|
|
|
- </div>
|
|
|
- <div class="d-block ml-2" moe>
|
|
|
- <a class="" href="" show start>Undo</a>
|
|
|
- <form url="/api/bill/undoAcknowledgeCancellation">
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Undo Acknowledge Cancellation?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm"
|
|
|
- submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- @else
|
|
|
- <span class="mx-2 text-secondary">|</span>
|
|
|
- <span class="d-block" moe>
|
|
|
- <a class="text-danger" href="" show start>Cancel</a>
|
|
|
- <form url="/api/bill/markCancelled" right>
|
|
|
- <input type="hidden" name="uid" value="{{$bill->uid}}">
|
|
|
- <p>Cancel this bill?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-danger btn-sm" submit>Yes</button>
|
|
|
- <button class="btn btn-default border btn-sm"
|
|
|
- cancel>No</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- @include('app.patient.note.flag-bill')
|
|
|
- </td>
|
|
|
- </tr>
|
|
|
- @endforeach
|
|
|
- </tbody>
|
|
|
- </table>
|
|
|
- @endif
|
|
|
-
|
|
|
-
|
|
|
- </div>
|
|
|
- @else
|
|
|
- <div class="p-3 d-flex border-bottom">
|
|
|
- <p class="font-weight-bold mb-0 text-secondary">No bills in this note</p>
|
|
|
- @include('app/patient/note/_create-bill')
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- @endif
|
|
|
-
|
|
|
- {{-- generic bills --}}
|
|
|
- @if($pro->pro_type === 'ADMIN' || ($note->allyPro && $pro->id === $note->allyPro->id))
|
|
|
- <div class="screen-only" data-non-segment-section="NA Bills">
|
|
|
- @include('app.generic-bills.inline', ['patient' => $patient, 'note' => $note, 'class' => 'p-3 border-bottom', 'label' => 'NA', 'entityType' => 'Note', 'entityUid' => $note->uid])
|
|
|
- </div>
|
|
|
- @endif
|
|
|
-
|
|
|
- {{-- claims --}}
|
|
|
- @if($pro->pro_type === 'ADMIN')
|
|
|
- <div class="screen-only" data-non-segment-section="Claims">
|
|
|
- @if($note->claims->count())
|
|
|
- <div class="screen-only p-3">
|
|
|
- <div class="d-flex align-items-center mb-2">
|
|
|
- <p class="font-weight-bold text-secondary m-0">Claims</p>
|
|
|
- @include('app/patient/note/_create-claim')
|
|
|
- <div class="ml-auto">
|
|
|
- <select class="form-control form-control-sm"
|
|
|
- onchange="fastLoad('{{route('patients.view.notes.view.dashboard', ['patient' => $patient, 'note' => $note])}}?claims-filter=' + this.value)">
|
|
|
- <option value="active" {{!request('claims-filter') || request('claims-filter') === 'active' ? 'selected' : ''}}>Active Claims</option>
|
|
|
- <option value="all" {{request('claims-filter') === 'all' ? 'selected' : ''}}>All Claims</option>
|
|
|
- </select>
|
|
|
- </div>
|
|
|
- </div>
|
|
|
-
|
|
|
- <table class="table table-sm tabe-striped mb-3 border-left border-right border-bottom">
|
|
|
- <thead class="bg-light">
|
|
|
- <tr>
|
|
|
- <th class="border-bottom-0 pl-2">IID</th>
|
|
|
- <th class="border-bottom-0">Details</th>
|
|
|
- <th class="border-bottom-0">Status</th>
|
|
|
- <th class="border-bottom-0">Submissions</th>
|
|
|
- </tr>
|
|
|
- </thead>
|
|
|
- <tbody>
|
|
|
- @foreach ($note->claims as $claim)
|
|
|
- @if($claim->status !== 'CANCELLED' || request('claims-filter') === 'all')
|
|
|
- <tr class="bg-secondary on-hover-opaque">
|
|
|
- <td colspan="5" class="pt-0 pb-1"></td>
|
|
|
- </tr>
|
|
|
- <tr class="{{ $claim->status === 'CANCELLED' ? 'text-secondary bg-light on-hover-opaque' : '' }}">
|
|
|
- <td class="pl-2">
|
|
|
- <div>{{ $claim->iid }}</div>
|
|
|
- <div class="text-sm text-secondary font-weight-bold mt-1">Current Version:</div>
|
|
|
- <div class="text-sm text-secondary">{{$claim->currentVersion ? friendlier_date_time($claim->currentVersion->created_at) : '-'}}</div>
|
|
|
- @if($claim->status === 'CANCELLED')
|
|
|
- <div class="text-secondary font-weight-bold text-sm mt-1">[CANCELLED]</div>
|
|
|
- @else
|
|
|
- <div moe class="text-left mt-1" title="Cancel Claim">
|
|
|
- <a class="" href="" show start>Cancel</a>
|
|
|
- <form url="/api/claim/updateStatus">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <input type="hidden" name="status" value="CANCELLED">
|
|
|
- <p>Cancel this claim?</p>
|
|
|
- <div class="mb-2">
|
|
|
- <label for="" class="control-label">Cancellation Memo</label>
|
|
|
- <textarea name="memo" class="form-control"></textarea>
|
|
|
- </div>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td class="p-0 border-left border-right">
|
|
|
- @if($claim->lines->count())
|
|
|
- <table class="table table-sm table-condensed border-0 mb-0">
|
|
|
- <thead>
|
|
|
- <tr class="bg-light">
|
|
|
- <th class="border-0">CPT</th>
|
|
|
- <th class="border-0">DOS</th>
|
|
|
- <th class="border-0">ICDs</th>
|
|
|
- </tr>
|
|
|
- </thead>
|
|
|
- <tbody class="pb-3">
|
|
|
- @foreach($claim->lines as $line)
|
|
|
- <tr class="claim-line">
|
|
|
- <td>{{$line->cpt}}
|
|
|
- <div>Units: <b>{{!@$line->units ? 1 : $line->units}}</b></div>
|
|
|
- </td>
|
|
|
- <td class="text-nowrap">{{friendlier_date($line->date_of_service)}}</td>
|
|
|
- <td>
|
|
|
- @if(count($line->claimLineIcds))
|
|
|
- @foreach($line->claimLineIcds as $icd)
|
|
|
- <div>
|
|
|
- <b class="c-pointer border-secondary border-bottom" title="{{$icd->description}}">{{$icd->code}}</b>
|
|
|
- </div>
|
|
|
- @endforeach
|
|
|
- @else
|
|
|
- <p>No ICDs set</p>
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- </tr>
|
|
|
- @endforeach
|
|
|
- </tbody>
|
|
|
- </table>
|
|
|
- @else
|
|
|
- <p>No lines for this claim</p>
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td class="border-right p-0">
|
|
|
-
|
|
|
- <!-- payer, company, location -->
|
|
|
- <div class="p-1">
|
|
|
- <div class="mt-1">
|
|
|
- <div>
|
|
|
- <span class="text-secondary text-sm">Payer (1°): </span>
|
|
|
- <b>{{$claim->primaryPayer ? $claim->primaryPayer->name : '-'}}</b>
|
|
|
- @if(0 && $claim->status !== 'CANCELLED')
|
|
|
- <span moe class="ml-1">
|
|
|
- <a class="text-primary" href="" show start><i class="fa fa-edit"></i></a>
|
|
|
- <form url="/api/claim/putPrimaryPayer">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <div class="mb-2">
|
|
|
- <select name="primaryPayerUid" class="form-control form-control-sm">
|
|
|
- <option value="">-- select --</option>
|
|
|
- @foreach($note->hcpPro->companyProPayers as $companyProPayer)
|
|
|
- <option value="{{$companyProPayer->payer->uid}}"
|
|
|
- {{$claim->primaryPayer && $claim->primaryPayer->uid === $companyProPayer->payer->uid ? 'selected' : ''}}>{{$companyProPayer->payer->name}}</option>
|
|
|
- @endforeach
|
|
|
- </select>
|
|
|
- </div>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @if($claim->primaryPayer)
|
|
|
- <span moe class="ml-1">
|
|
|
- <a class="text-danger" href="" show start><i class="fa fa-trash-alt"></i></a>
|
|
|
- <form url="/api/claim/wipePrimaryPayer">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <p>Wipe payer from this claim?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- <div class="py-1 border-bottom d-flex align-items-center">
|
|
|
- <span class="text-secondary text-sm pr-1">Status: </span>
|
|
|
- <div>
|
|
|
- {{$claim->status ? $claim->status : '(not set)'}}
|
|
|
- @if($claim->status !== 'CANCELLED')
|
|
|
- <span moe class="d-inline-block text-left ml-1" title="Update Status">
|
|
|
- <a class="" href="" show start><i class="fa fa-edit"></i></a>
|
|
|
- <form url="/api/claim/updateStatus">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <div class="mb-2">
|
|
|
- <label for="" class="control-label">Status</label>
|
|
|
- <select name="status" class="form-control form-control-sm" required>
|
|
|
- <option value="">-- select --</option>
|
|
|
- <option value="NEW" {{$claim->status === 'NEW' ? 'selected' : ''}}>New</option>
|
|
|
- <option value="PICKED_UP" {{$claim->status === 'PICKED_UP' ? 'selected' : ''}}>Picked Up</option>
|
|
|
- <option value="SUBMITTED" {{$claim->status === 'SUBMITTED' ? 'selected' : ''}}>Submitted</option>
|
|
|
- <option value="IN_PROCESS" {{$claim->status === 'IN_PROCESS' ? 'selected' : ''}}>In Process</option>
|
|
|
- <option value="ACCEPTED" {{$claim->status === 'ACCEPTED' ? 'selected' : ''}}>Accepted</option>
|
|
|
- <option value="REJECTED" {{$claim->status === 'REJECTED' ? 'selected' : ''}}>Rejected</option>
|
|
|
- <option value="ABANDONED" {{$claim->status === 'ABANDONED' ? 'selected' : ''}}>Abandoned</option>
|
|
|
- </select>
|
|
|
- </div>
|
|
|
- <div class="mb-2">
|
|
|
- <label for="" class="control-label">Status Memo</label>
|
|
|
- <textarea name="memo" class="form-control"></textarea>
|
|
|
- </div>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- @if($claim->status_memo)
|
|
|
- <div class="text-secondary font-italic text-sm">{{$claim->status_memo}}</div>
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- </div>
|
|
|
-
|
|
|
- <div class="mt-1">
|
|
|
- <span class="text-secondary text-sm">Payer (2°): </span>
|
|
|
- <b>-</b>
|
|
|
- </div>
|
|
|
-
|
|
|
- <div class="mt-1">
|
|
|
- <span class="text-secondary text-sm">Company: </span>
|
|
|
- <b>{{$claim->companyPro && $claim->companyPro->company ? $claim->companyPro->company->name : '-'}}</b>
|
|
|
- @if(0 && $claim->status !== 'CANCELLED')
|
|
|
- <span moe class="ml-1">
|
|
|
- <a class="text-primary" href="" show start><i class="fa fa-edit"></i></a>
|
|
|
- <form url="/api/claim/putCompanyPro">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <div class="mb-2">
|
|
|
- <select name="companyProUid" class="form-control form-control-sm">
|
|
|
- <option value="">-- select --</option>
|
|
|
- @foreach($note->hcpPro->companyProPayers as $companyProPayer)
|
|
|
- <option value="{{$companyProPayer->companyPro->uid}}"
|
|
|
- {{$claim->companyPro && $claim->companyPro->uid === $companyProPayer->companyPro->uid ? 'selected' : ''}}>{{$companyProPayer->company->name}}</option>
|
|
|
- @endforeach
|
|
|
- </select>
|
|
|
- </div>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @if($claim->companyPro && $claim->companyPro->company)
|
|
|
- <span moe class="ml-1">
|
|
|
- <a class="text-danger" href="" show start><i class="fa fa-trash-alt"></i></a>
|
|
|
- <form url="/api/claim/wipeCompanyPro">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <p>Wipe company from this claim?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </div>
|
|
|
-
|
|
|
- <div class="mt-1">
|
|
|
- <span class="text-secondary text-sm">Location: </span>
|
|
|
- <b>{{$claim->companyLocation ? $claim->companyLocation->line1 . ', ' . $claim->companyLocation->city : '-'}}</b>
|
|
|
- @if(0 && $claim->status !== 'CANCELLED')
|
|
|
- <span moe class="ml-1">
|
|
|
- <a class="text-primary" href="" show start><i class="fa fa-edit"></i></a>
|
|
|
- <form url="/api/claim/putCompanyLocation">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <div class="mb-2">
|
|
|
- <select name="companyLocationUid" class="form-control form-control-sm">
|
|
|
- <option value="">-- select --</option>
|
|
|
- @if($claim->company && $claim->company->locations)
|
|
|
- @foreach($claim->company->locations as $location)
|
|
|
- <option value="{{$location->uid}}"
|
|
|
- {{$claim->companyLocation && $claim->companyLocation->uid === $location->uid ? 'selected' : ''}}>
|
|
|
- {{$location->line1 . ', ' . $location->city}}
|
|
|
- </option>
|
|
|
- @endforeach
|
|
|
- @endif
|
|
|
- </select>
|
|
|
- </div>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @if($claim->companyLocation)
|
|
|
- <span moe class="ml-1">
|
|
|
- <a class="text-danger" href="" show start><i class="fa fa-trash-alt"></i></a>
|
|
|
- <form url="/api/claim/wipeCompanyLocation">
|
|
|
- <input type="hidden" name="uid" value="{{$claim->uid}}">
|
|
|
- <p>Wipe location from this claim?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- @endif
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- </div>
|
|
|
- </td>
|
|
|
- <td class="p-0 border-left border-right">
|
|
|
- <table class="table table-sm table-condensed border-0 mb-0">
|
|
|
- @if($claim->status !== 'CANCELLED')
|
|
|
- <thead>
|
|
|
- <tr class="">
|
|
|
- <th colspan="3" class="border-top-0 border-bottom">
|
|
|
- <div>
|
|
|
- <span moe class="d-block" title="Submit Claim">
|
|
|
- <a class="" href="" show start>Generate Submission to Payer (1°)</a>
|
|
|
- <form url="/api/mbClaim/createFromClaimForPrimaryPayer">
|
|
|
- <input type="hidden" name="claimUid" value="{{$claim->uid}}">
|
|
|
- <p>Generate Submission?</p>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- </div>
|
|
|
- </th>
|
|
|
- </tr>
|
|
|
- </thead>
|
|
|
- @endif
|
|
|
- @if(count($claim->mbClaims))
|
|
|
- <thead>
|
|
|
- <tr class="bg-light">
|
|
|
- <th class="border-0">Created</th>
|
|
|
- <th class="border-0">Status</th>
|
|
|
- <th class="border-0"> </th>
|
|
|
- </tr>
|
|
|
- </thead>
|
|
|
- <tbody class="pb-3">
|
|
|
- @foreach($claim->mbClaims as $mbClaim)
|
|
|
- <tr>
|
|
|
- <td>
|
|
|
- @if($mbClaim->claim_version_id !== $claim->current_version_id)
|
|
|
- <i class="fa fa-exclamation-triangle text-warning-mellow text-sm" title="This submission was generated using an older version of the claim"></i>
|
|
|
- @else
|
|
|
- <i class="fa fa-asterisk text-secondary text-sm" title="This submission is up to date"></i>
|
|
|
- @endif
|
|
|
- <a native target="_blank"
|
|
|
- open-in-stag-popup
|
|
|
- title="Submission Details"
|
|
|
- href="{{route('mb-claim', ['patient' => $patient, 'mbClaim' => $mbClaim])}}">
|
|
|
- {{ friendlier_date_time($mbClaim->created_at) }}
|
|
|
- </a>
|
|
|
- </td>
|
|
|
- <td>
|
|
|
- {{$mbClaim->status}}
|
|
|
- @if($mbClaim->status_memo)
|
|
|
- <div class="font-italic text-secondary text-sm">{{$mbClaim->status_memo}}</div>
|
|
|
- @endif
|
|
|
- </td>
|
|
|
- <td class="text-right pr-2">
|
|
|
- <span moe relative title="Submit Claim">
|
|
|
- <a class="" href="" show start><i class="fa fa-edit"></i></a>
|
|
|
- <form url="/api/mbClaim/updateStatus" right>
|
|
|
- <input type="hidden" name="uid" value="{{$mbClaim->uid}}">
|
|
|
- <div class="form-group">
|
|
|
- <label for="" class="control-label">Status</label>
|
|
|
- <select name="status" class="form-control form-control-sm" required>
|
|
|
- <option value="">-- select --</option>
|
|
|
- <option value="NEW" {{$mbClaim->status === 'NEW' ? 'selected' : ''}}>New</option>
|
|
|
- <option value="PROCESSING" {{$mbClaim->status === 'PROCESSING' ? 'selected' : ''}}>Processing</option>
|
|
|
- <option value="SUBMITTED" {{$mbClaim->status === 'SUBMITTED' ? 'selected' : ''}}>Submitted</option>
|
|
|
- <option value="CANCELLED" {{$mbClaim->status === 'CANCELLED' ? 'selected' : ''}}>Cancelled</option>
|
|
|
- </select>
|
|
|
- </div>
|
|
|
- <div class="form-group">
|
|
|
- <label for="" class="control-label">Status Memo</label>
|
|
|
- <textarea name="memo" class="form-control"></textarea>
|
|
|
- </div>
|
|
|
- <div class="mb-0">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-default border btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </form>
|
|
|
- </span>
|
|
|
- <a class="ml-1" target="_blank" native href="/api/mbClaim/downloadEDI/{{$mbClaim->uid}}" show start><i class="fa fa-file-download"></i></a>
|
|
|
- <a class="ml-1 text-success" href="" show start><i class="fa fa-arrow-right"></i></a>
|
|
|
- </td>
|
|
|
- </tr>
|
|
|
- @endforeach
|
|
|
- </tbody>
|
|
|
- @else
|
|
|
- <tbody>
|
|
|
- <tr>
|
|
|
- <td colspan="3">
|
|
|
- <p class="p-1 text-secondary m-0">No submissions in this claim</p>
|
|
|
- </td>
|
|
|
- </tr>
|
|
|
- </tbody>
|
|
|
- @endif
|
|
|
- </table>
|
|
|
- </td>
|
|
|
- </tr>
|
|
|
- @endif
|
|
|
- @endforeach
|
|
|
- </tbody>
|
|
|
- </table>
|
|
|
- </div>
|
|
|
- @else
|
|
|
- <div class="screen-only p-3 d-flex">
|
|
|
- <p class="font-weight-bold mb-0 text-secondary">No claims in this note</p>
|
|
|
- @include('app/patient/note/_create-claim')
|
|
|
- </div>
|
|
|
- @endif
|
|
|
- </div>
|
|
|
- @endif
|
|
|
+ @include('app.patient.note.partials.cpp-bills-claims-container')
|
|
|
|
|
|
{{-- addendums --}}
|
|
|
@if($note->is_signed_by_hcp)
|
