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+@php
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+ $cpc = $patient->latestClientPrimaryCoverage;
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+@endphp
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+<div id="primaryCoverageManualDeterminationView">
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+ <div class="table-responsive">
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+ <table class="table table-bordered table-striped">
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+ <thead>
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+ <tr>
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+ <th></th>
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+ <th>Automatic</th>
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+ <th>Override</th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr>
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+ <td>Plan Type</td>
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+ <td colspan="2">{{$cpc->plan_type}}</td>
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+ </tr>
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+ <tr v-if="cpc.plan_type == 'MEDICARE'">
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+ <td>Record Found?</td>
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+ <td>{{$cpc->auto_medicare_is_match_found ? 'YES' : 'NO'}}</td>
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+ <td>
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+ <div class="form-group">
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+ <p class="mb-1 text-secondary">Is Matched?</p>
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+ <span>{{$cpc->manual_medicare_is_matched ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="cpc.plan_type == 'MEDICAID'">
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+ <td>Record Found?</td>
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+ <td>{{$cpc->auto_medicaid_is_match_found ? 'YES' : 'NO'}}</td>
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+ <td>
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+ <div class="form-group">
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+ <p class="mb-1 text-secondary">Is Matched?</p>
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+ <span>{{$cpc->manual_medicaid_is_matched ?? '-'}}</span>
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+ </div>
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+ <div class="form-group">
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+ <p class="mb-1 text-secondary">Manual Determination Category</p>
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+ <span>{{$cpc->manual_determination_category ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="cpc.plan_type == 'COMMERCIAL'">
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+ <td>Record Found?</td>
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+ <td>{{$cpc->auto_commercial_is_match_found ? 'YES' : 'NO'}}</td>
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+ <td>
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+ <div class="form-group">
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+ <p class="mb-1 text-secondary">Manual Determination Category</p>
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+ <span>{{$cpc->manual_determination_category ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="cpc.plan_type == 'COMMERCIAL' && cpc.mcd_number">
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+ <td>Medicaid Number</td>
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+ <td colspan="2">{{$cpc->mcd_number ?? '-'}}</td>
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+ </tr>
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+ <tr v-if="cpc.plan_type == 'COMMERCIAL' && cpc.mcd_number">
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+ <td>Medicaid State</td>
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+ <td colspan="2">{{$cpc->mcd_payer_name ?? '-'}}</td>
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+ </tr>
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+ <tr v-if="cpc.plan_type == 'COMMERCIAL' && cpc.mcd_number">
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+ <td>Was Medicaid Record Found?</td>
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+ <td colspan="2">{{$cpc->auto_medicaid_is_match_found ?? '-'}}</td>
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+ </tr>
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+ <tr v-if="cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number">
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+ <td>Medicare Number</td>
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+ <td colspan="2">{{$cpc->mcr_number ?? '-'}}</td>
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+ </tr>
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+
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+ <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <td>Part B Active?</td>
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+ <td>{{$cpc->auto_medicare_is_partbactive}}</td>
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+ <td>
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+ <div class="form-group mb-0">
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+ <p class="mb-1 text-secondary">Is Part B Active?</p>
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+ <span>{{$cpc->manual_medicare_is_partbactive ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <td>Part B Primary?</td>
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+ <td>{{$cpc->auto_medicare_is_partbprimary}}</td>
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+ <td>
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+ <div class="form-group">
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+ <p class="mb-1 text-secondary">Manual Determination Category</p>
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+ <span>{{$cpc->manual_determination_category ?? '-'}}</span>
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+ </div>
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+ <div class="form-group mb-0">
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+ <p class="mb-1 text-secondary">Is Part B Primary?</p>
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+ <span>{{$cpc->manual_medicare_is_partbprimary ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <td>Part C Active?</td>
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+ <td>{{$cpc->auto_medicare_is_partcactive}}</td>
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+ <td>
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+ <div class="alert alert-danger" v-if="(cpc.auto_medicare_is_partcactive == 'YES' && cpc.auto_medicare_is_partbprimary == 'YES')">
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+ Oops! Patient Medicare Part B Primary is set to <b>Yes</b>.
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+ </div>
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+ <div class="form-group mb-0">
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+ <p class="mb-1 text-secondary">Is Part C Active?</p>
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+ <span>{{$cpc->manual_medicare_is_partcactive ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <td>Inpatient?</td>
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+ <td>{{$cpc->auto_medicare_is_inpatient}}</td>
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+ <td>
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+ <div class="form-group mb-0">
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+ <p class="mb-1 text-secondary">Inpatient?</p>
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+ <span>{{$cpc->manual_medicare_is_inpatient ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <td>Hospice?</td>
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+ <td>UNKNOWN</td>
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+ <td>
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+ <div class="form-group mb-0">
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+ <p class="mb-1 text-secondary">Hospice?</p>
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+ <span>UNKNOWN</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <td>Home Health?</td>
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+ <td>UNKNOWN</td>
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+ <td>
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+ <div class="form-group mb-0">
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+ <p class="mb-1 text-secondary">Home Health?</p>
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+ <span>UNKNOWN</span>
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+ </div>
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+ </td>
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+ </tr>
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+ <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <td>MSP?</td>
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+ <td>{{$cpc->auto_medicare_is_msp}}</td>
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+ <td>
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+ <div class="form-group mb-0">
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+ <p class="mb-1 text-secondary">MSP?</p>
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+ <span>{{$cpc->manual_medicare_is_msp ?? '-'}}</span>
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+ </div>
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+ </td>
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+ </tr>
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+ </tbody>
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+ </table>
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+</div>
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+</div>
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+<script type="text/javascript">
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+ var primaryCoverageManualDeterminationView = new Vue({
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+ el: '#primaryCoverageManualDeterminationView',
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+ data: {
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+ cpc: <?= json_encode($cpc); ?>,
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+ }
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+ })
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+</script>
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