Peter Muturi 3 år sedan
förälder
incheckning
3188ed8f47

+ 5 - 0
public/css/style.css

@@ -1341,6 +1341,11 @@ span.select2-container.select2-container--default.select2-container--open {
     background: #fff !important;
 }
 
+.form-check-label {
+  display: flex;
+  align-items: center;
+}
+
 #stagPdfViewer>form {
     padding: 0;
     background: #eee;

+ 10 - 7
resources/views/app/patient/primary-coverage-form.blade.php

@@ -68,12 +68,12 @@
 			<div class="row">
 				<div class="form-group col-md-12" v-if="insuranceCardType == 'medicaid' || insuranceCardType == 'commercial'">
 					<p class="mb-1">Is Patient The Subscriber?</p>
-					<label class="mr-2">
-						<input type="radio" name="isPatientSubscriber" v-model="isPatientSubscriber" value="1"> Yes
-					</label>
-					<label class="">
-						<input type="radio" name="isPatientSubscriber" v-model="isPatientSubscriber" value="0"> No
-					</label>
+					<div class="form-check form-check-inline">
+					  <label class="form-check-label"><input class="form-check-input" type="radio" name="isPatientSubscriber" v-model="isPatientSubscriber" value="1">Yes</label>
+					</div>
+					<div class="form-check form-check-inline">
+					  <label class="form-check-label"><input class="form-check-input" type="radio" name="isPatientSubscriber" v-model="isPatientSubscriber" value="0">No</label>
+					</div>
 				</div>
 			</div>
 
@@ -111,7 +111,7 @@
 						<input type="date" name="subscriberDob" value="{{$patient->dob}}" class="form-control input-sm">
 					</div>
 					<div class="form-group col-md-6">
-						<label class="control-label">Patient Relationship To Subscriber</label>
+						<label class="control-label">What is the patient's relationship to the subscriber?</label>
 						<select name="patientRelationshipToSubscriber" class="form-control input-sm">
 							<option value="">--</option>
 							<option value="SPOUSE">Spouse</option>
@@ -125,6 +125,9 @@
 						</select>
 					</div>
 			</div>
+			<div class="mb-1" v-if="insuranceCardType == 'commercial'">
+				<p>Does the patient also have either a Medicare or Medicaid #? (optional)</p>
+			</div>
 			<div class="row" v-if="insuranceCardType == 'medicaid' || insuranceCardType == 'commercial'">
 				<div class="col-md-12 bg-light p-3 mb-2">
 					<h5 class="m-0 font-weight-bold">Medicaid Information:</h5>

+ 1 - 1
resources/views/app/patient/primary-coverage.blade.php

@@ -98,7 +98,7 @@
                       </tr>
                       <tr>
                         <td>Patient Group Number</td>
-                        <td>{{$cpc->commercial_payer_name}}</td>
+                        <td>{{$cpc->commercial_group_number}}</td>
                       </tr>
                       <tr>
                         <td>Is Patient Subsriber</td>