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added refresh mc check

= 3 years ago
parent
commit
5614e009a8
1 changed files with 34 additions and 3 deletions
  1. 34 3
      resources/views/app/patient/eligible-refreshes.blade.php

+ 34 - 3
resources/views/app/patient/eligible-refreshes.blade.php

@@ -43,11 +43,42 @@
     </style>
     </style>
 <div>
 <div>
 
 
+    <div class="d-flex align-items-center">
+        <h4 class="font-weight-bold m-0 font-size-16">MC Codes Checks</h4>
+        <div class="ml-3">
+            <div moe relative>
+                <a href="" start show class="btn btn-sm btn-primary text-white font-weight-bold small">Conduct MC Code Check</a>
+                <form url="/api/client/conductMcCodeCheck" class="mcp-theme-1">
+                    <input type="hidden" name="uid" value="{{$patient->uid}}">
+                    <div class="form-group">
+                        <label for="" class="control-label">Codes</label>
+                        <input class="form-control" type="text" name="codes" value="" placeholder="comma separated list of codes">
+                    </div>
+                    <div class="form-group">
+                        <label for="" class="control-label">Codes</label>
+                        <select name="proUid" class="form-control" provider-search>
+                            @if($patient->mcp)
+                            <option value="{{$patient->mcp->uid}}" selected>{{$patient->mcp->name_display}}</option>
+                            @endif
+                            @foreach($pros as $pro)
+                                <option value="{{$pro->uid}}">{{$pro->name_first}} {{$pro->name_last}}</option>
+                            @endforeach
+                        </select>
+                    </div>
+                    <div>
+                        <button submit class="btn btn-sm btn-primary mr-2">Submit</button>
+                        <button cancel class="btn btn-sm btn-default border">Cancel</button>
+                    </div>
+                </form>
+            </div>
+        </div>
+    </div>
+
 	<div class="d-flex align-items-center mb-4">
 	<div class="d-flex align-items-center mb-4">
 		<table class="table table-sm table-bordered mt-3 mb-0">
 		<table class="table table-sm table-bordered mt-3 mb-0">
 		<?php
 		<?php
 			$codeCheckKeys = [
 			$codeCheckKeys = [
-				'Timestamp' => 'created_at',
+				'created_at' => 'Timestamp',
 				'procedure_code' => 'Code',
 				'procedure_code' => 'Code',
 				'procedure_label' => 'Label',
 				'procedure_label' => 'Label',
 				'plan_type' => 'Plan Type',
 				'plan_type' => 'Plan Type',
@@ -58,7 +89,7 @@
 				'coinsurance_percent' => 'Coinsurance %',
 				'coinsurance_percent' => 'Coinsurance %',
 				'info_valid_till' => 'Info valid till',
 				'info_valid_till' => 'Info valid till',
 				'next_eligible_date_technical' => 'Next Elig. Date Technical',
 				'next_eligible_date_technical' => 'Next Elig. Date Technical',
-				'next_eligible_date_professional' => 'Next Elig. Date Professional' 
+				'next_eligible_date_professional' => 'Next Elig. Date Professional'
 			];
 			];
 		?>
 		?>
 		<tr>
 		<tr>
@@ -76,7 +107,7 @@
 			</tr>
 			</tr>
 		@endforeach
 		@endforeach
 		</table>
 		</table>
-	</div>	
+	</div>
 
 
     <div class="d-flex align-items-center">
     <div class="d-flex align-items-center">
         <h4 class="font-weight-bold m-0 font-size-16">Eligible Refreshes</h4>
         <h4 class="font-weight-bold m-0 font-size-16">Eligible Refreshes</h4>