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@@ -2,8 +2,41 @@
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@section('inner-content')
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@section('inner-content')
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<div>
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<div>
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+ <div class="my-2">
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+ <div>
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+ Latest Client Primary Coverage:
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+ @if($patient->latestClientPrimaryCoverage)
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+ {{$patient->latestClientPrimaryCoverage->plan_type}}|{{$patient->latestClientPrimaryCoverage->payer_member_identifier}}
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+ @else
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+ --
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+ @endif
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+ </div>
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+ <div>Latest New Client Primary Coverage:
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+ @if($patient->latestNewClientPrimaryCoverage)
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+ {{$patient->latestNewClientPrimaryCoverage->plan_type}}|{{$patient->latestNewClientPrimaryCoverage->payer_member_identifier}}
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+ @else
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+ --
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+ @endif
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+ </div>
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+ <div>Latest Auto Refresh Client Primary Coverage:
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+ @if($patient->latestAutoRefreshClientPrimaryCoverage)
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+ {{$patient->latestAutoRefreshClientPrimaryCoverage->plan_type}}|{{$patient->latestAutoRefreshClientPrimaryCoverage->payer_member_identifier}}
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+ @else
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+ --
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+ @endif
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+ </div>
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+ <div>Latest Manual Client Primary Coverage:
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+ @if($patient->latestManualClientPrimaryCoverage)
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+ {{$patient->latestManualClientPrimaryCoverage->plan_type}}|{{$patient->latestManualClientPrimaryCoverage->payer_member_identifier}}
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+ @else
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+ --
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+ @endif
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+ </div>
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+
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+ </div>
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<div class="d-flex align-items-center">
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<div class="d-flex align-items-center">
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<h4 class="font-weight-bold m-0 font-size-16">Client Primary Coverages</h4>
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<h4 class="font-weight-bold m-0 font-size-16">Client Primary Coverages</h4>
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+
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<div class="ml-3">
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<div class="ml-3">
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<div moe relative>
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<div moe relative>
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<a href="" start show class="btn btn-sm btn-primary text-white font-weight-bold small">Create New Coverage For Medicare Without Manual Determination</a>
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<a href="" start show class="btn btn-sm btn-primary text-white font-weight-bold small">Create New Coverage For Medicare Without Manual Determination</a>
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@@ -85,7 +118,7 @@
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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<label for="" class="control-label">Manual Detail Json</label>
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<label for="" class="control-label">Manual Detail Json</label>
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- <input type="text" name="baseManualDeterminationValuemanualDetailJson" class="form-control input-sm"/>
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+ <input type="text" name="manualDetailJson" class="form-control input-sm"/>
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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<label for="" class="control-label">Manual Medicare Is Part B Primary</label>
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<label for="" class="control-label">Manual Medicare Is Part B Primary</label>
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@@ -263,7 +296,7 @@
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</select>
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</select>
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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- <label for="" class="form-control-labelManual Determination Category Memo</label>
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+ <label for="" class="form-control-label">Manual Determination Category Memo</label>
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<input type="text" name="manualDeterminationCategoryMemo" class="form-control input-sm">
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<input type="text" name="manualDeterminationCategoryMemo" class="form-control input-sm">
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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@@ -541,7 +574,7 @@
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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<label for="" class="control-label">Manual Detail Json</label>
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<label for="" class="control-label">Manual Detail Json</label>
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- <input type="text" name="baseManualDeterminationValuemanualDetailJson" class="form-control input-sm"/>
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+ <input type="text" name="manualDetailJson" class="form-control input-sm"/>
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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<label for="" class="control-label">Manual Medicare Is Part B Primary</label>
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<label for="" class="control-label">Manual Medicare Is Part B Primary</label>
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@@ -693,7 +726,7 @@
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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<label for="" class="control-label">Manual Detail Json</label>
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<label for="" class="control-label">Manual Detail Json</label>
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- <input type="text" name="baseManualDeterminationValuemanualDetailJson" class="form-control input-sm"/>
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+ <input type="text" name="manualDetailJson" class="form-control input-sm"/>
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</div>
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</div>
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@@ -748,7 +781,7 @@
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</div>
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</div>
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<div class="form-group">
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<div class="form-group">
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<label for="" class="control-label">Manual Detail Json</label>
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<label for="" class="control-label">Manual Detail Json</label>
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- <input type="text" name="baseManualDeterminationValuemanualDetailJson" class="form-control input-sm"/>
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+ <input type="text" name="manualDetailJson" class="form-control input-sm"/>
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</div>
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</div>
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