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@@ -43,11 +43,42 @@
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</style>
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<div>
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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">MC Codes Checks</h4>
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+ <div class="ml-3">
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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">Conduct MC Code Check</a>
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+ <form url="/api/client/conductMcCodeCheck" class="mcp-theme-1">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="form-group">
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+ <label for="" class="control-label">Codes</label>
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+ <input class="form-control" type="text" name="codes" value="" placeholder="comma separated list of codes">
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+ </div>
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+ <div class="form-group">
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+ <label for="" class="control-label">Codes</label>
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+ <select name="proUid" class="form-control" provider-search>
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+ @if($patient->mcp)
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+ <option value="{{$patient->mcp->uid}}" selected>{{$patient->mcp->name_display}}</option>
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+ @endif
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+ @foreach($pros as $pro)
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+ <option value="{{$pro->uid}}">{{$pro->name_first}} {{$pro->name_last}}</option>
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+ @endforeach
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+ </select>
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+ </div>
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+ <div>
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+ <button submit class="btn btn-sm btn-primary mr-2">Submit</button>
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+ <button cancel class="btn btn-sm btn-default border">Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ </div>
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+
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<div class="d-flex align-items-center mb-4">
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<table class="table table-sm table-bordered mt-3 mb-0">
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<?php
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$codeCheckKeys = [
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- 'Timestamp' => 'created_at',
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+ 'created_at' => 'Timestamp',
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'procedure_code' => 'Code',
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'procedure_label' => 'Label',
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'plan_type' => 'Plan Type',
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@@ -58,7 +89,7 @@
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'coinsurance_percent' => 'Coinsurance %',
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'info_valid_till' => 'Info valid till',
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'next_eligible_date_technical' => 'Next Elig. Date Technical',
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- 'next_eligible_date_professional' => 'Next Elig. Date Professional'
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+ 'next_eligible_date_professional' => 'Next Elig. Date Professional'
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];
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?>
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<tr>
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@@ -76,7 +107,7 @@
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</tr>
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@endforeach
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</table>
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- </div>
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+ </div>
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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">Eligible Refreshes</h4>
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=