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@@ -75,6 +75,34 @@
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</select>
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</select>
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</td>
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</td>
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</tr>
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</tr>
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+ @if($patient->rmCompany)
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+ <tr>
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+ <td>RPM covered (if medically needed)?</td>
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+ <td>UNKNOWN</td>
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+ <td>
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+ <select name="manualRpmDeterminationCategory" class="form-control input-sm" @change="onInputChange" required>
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+ <option value="">--select--</option>
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+ <option value="COVERED">Covered</option>
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+ <option value="NOT_COVERED">Not Covered</option>
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+ <option value="INVALID">Invalid</option>
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+ <option value="UNKNOWN">Unknown</option>
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+ </select>
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>Televisits covered (if medically needed)?</td>
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+ <td>UNKNOWN</td>
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+ <td>
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+ <select name="manualTelevisitDeterminationCategory" class="form-control input-sm" @change="onInputChange" required>
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+ <option value="">--select--</option>
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+ <option value="COVERED">Covered</option>
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+ <option value="NOT_COVERED">Not Covered</option>
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+ <option value="INVALID">Invalid</option>
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+ <option value="UNKNOWN">Unknown</option>
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+ </select>
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+ </td>
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+ </tr>
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+ @endif
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</tbody>
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</tbody>
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</table>
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</table>
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