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@@ -24,12 +24,12 @@
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<div class="form-group mr-2">
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<label class="form-check">
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<input type="checkbox" name="zero_deductible" class="form-check-input" {{request()->input('zero_deductible') ? 'checked' : ''}}>
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- <span for="" class="form-check-label">Zero Deductible</span>
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+ <span for="" class="form-check-label">Zero Deduc.</span>
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</label>
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</div>
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<div class="form-group mr-2">
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- <label class="control-label mr-1" for="">Claim Status</label>
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+ <label class="control-label mr-1" for="">Claim</label>
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<select name="claim_status" class="form-control">
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<option value="">All</option>
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@foreach($claimStatuses as $claimStatus)
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@@ -39,13 +39,19 @@
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</div>
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<div class="form-group mr-2">
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- <label class="control-label mr-1" for="">Bill Verification Status</label>
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+ <label class="control-label mr-1" for="">Bill Verif.</label>
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<select name="verified" class="form-control">
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<option value="">All</option>
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<option {{request()->input('verified') === 'VERIFIED' ? 'selected' : ''}} value="VERIFIED">Verified</option>
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<option {{request()->input('verified') === 'UNVERIFIED' ? 'selected' : ''}} value="UNVERIFIED">Unverified</option>
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</select>
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</div>
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+ <div class="form-group mr-2">
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+ <label class="control-label mr-1" for="">From</label>
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+ <input type="date" name="from" class="form-control" value="{{request()->input('from')}}">
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+ <label class="control-label ml-2 mr-1" for="">To</label>
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+ <input type="date" name="to" class="form-control" value="{{request()->input('to')}}">
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+ </div>
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<div class="form-group mr-2">
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<button onclick="return fastLoad('{{ route('practice-management.billing-report') }}?' + $('#admin-billing-report-form').serialize())" class="btn btn-primary btn-sm">Filter</button>
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</div>
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