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@@ -0,0 +1,146 @@
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+<?php $noteRates = $note->hcpPro->noteRates(); ?>
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+@if($note->hasTreatmentServicesBillByHCP())
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+ <div class="text-secondary">
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+ <i class="fa fa-check"></i>
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+ Bill Created
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+ </div>
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+@else
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+ @if(!$note->is_bill_closed && !$note->is_billing_marked_done)
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+ <div moe wide class="">
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+ <a class="font-weight-bold text-info" href="" show start>+ Bill</a>
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+ <form url="/api/bill/createForNote" right>
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+ <?php $maxMinutes = 30; ?>
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+ @if($noteRates && count($noteRates))
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+ <input type="hidden" name="noteUid" value="{{$note->uid}}">
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+ <div class="mb-2">
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+ <label for="" class="text-secondary text-sm">Effective Date</label>
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+ <input type="date" name="effectiveDate" class="form-control form-control-sm" value="{{$note->effective_dateest ? $note->effective_dateest : date('Y-m-d')}}" required>
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+ </div>
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+ <div class="mb-2">
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+ @if($noteRates && count($noteRates))
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+ @if(count($noteRates) === 1)
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+ <input type="hidden" name="code" value="{{$noteRates[0]->code}}">
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+ <p class="mb-2">Service: <b>{{ $noteRates[0]->code }} (${{ $noteRates[0]->amount }}/hr)</b></p>
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+ @else
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+ <select autofocus class="form-control" name="code" onchange="switchCoNumberOfUnitsByType(this)">
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+ <option value="">-- Select Code --</option>
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+ @foreach($noteRates as $noteRate)
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+ <option data-amount="{{ $noteRate->amount }}" value="{{ $noteRate->code }}">
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+ {{ $noteRate->code }} (${{ $noteRate->amount }}{{ $noteRate->code === 'Treatment Services' ? '/hr' : '' }})
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+ </option>
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+ @endforeach
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+ </select>
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+ @endif
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+ @endif
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+ </div>
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+
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+ <?php
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+ $maxMinutes = 120;
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+ if($note->new_or_fu_or_na === 'NEW') {
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+ $maxMinutes = 90;
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+ }
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+ else if($note->new_or_fu_or_na === 'FU') {
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+ if($note->method === 'VIDEO') {
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+ $maxMinutes = 75;
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+ }
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+ else if($note->method === 'AUDIO') {
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+ $maxMinutes = 60;
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+ }
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+ }
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+ ?>
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+
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+ @if($noteRates && count($noteRates) && count($noteRates) === 1)
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+ @if(strpos(strtolower($noteRates[0]->code), "treatment services") !== FALSE)
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+ <div class="mb-2">
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+ <select name="numberOfUnits" class="form-control form-control-sm"
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+ onchange="calculateCoBillAmount(this)">
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+ <option value=""> -- select -- </option>
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+ <?php for ($i = 5; $i <= $maxMinutes; $i+=5) { ?>
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+ <option value="{{ $i/60 }}" {{ $i === 30 ? 'selected' : '' }}>{{ $i }} minutes</option>
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+ <?php } ?>
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+ </select>
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+ </div>
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+ <div class="mb-2" calculated-co-amount></div>
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+ @else
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+ <input type="hidden" name="numberOfUnits" value="1">
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+ @endif
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+ @endif
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+ <div class="bill-conditional">
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+
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+ </div>
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+
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+ @if(@$note && $note->hcpPro->id === $pro->id)
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+ <div class="my-3">
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+ <input type="checkbox" name="signAndMarkBillingDone" checked> Sign and Mark Billing Done
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+ </div>
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+ @endif
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+
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+ <div class="">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ @else
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+ <div class="border rounded bg-aliceblue p-2 width-200px">
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+ <i class="fa fa-exclamation-triangle text-warning-mellow mr-1"></i>
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+ Payment rates not yet set for Treatment Services. Please contact admin.
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+ </div>
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+ @endif
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+ </form>
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+ <div class="d-none" hourly-co-template>
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+ <div class="mb-2">
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+ <select name="numberOfUnits" class="form-control form-control-sm"
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+ onchange="calculateCoBillAmount(this)">
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+ <option value=""> -- select -- </option>
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+ <?php for ($i = 5; $i <= $maxMinutes; $i+=5) { ?>
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+ <option value="{{ $i/60 }}" {{ $i === 30 ? 'selected' : '' }}>{{ $i }} minutes</option>
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+ <?php } ?>
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+ </select>
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+ </div>
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+ <div class="mb-2" calculated-co-amount></div>
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+ </div>
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+ <div class="d-none" non-hourly-co-template>
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+ <input type="hidden" name="numberOfUnits" value="1">
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+ </div>
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+ </div>
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+ @endif
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+
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+ <script>
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+ (function() {
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+ let selectedCodeHourlyRate = 0;
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+ @if($noteRates && count($noteRates) && count($noteRates) === 1)
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+ selectedCodeHourlyRate = {{ $noteRates[0]->amount }};
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+ @endif
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+ window.switchCoNumberOfUnitsByType = function(_trigger) {
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+ let container = $('.bill-conditional').empty();
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+ let selected = $(_trigger).find('option:selected');
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+ if(!selected.length) return;
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+ let clone = null;
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+ selectedCodeHourlyRate = +selected.attr('data-amount');
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+ $('[calculated-co-amount]').text('');
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+ if(selected.text().toLowerCase().indexOf('treatment services') !== -1) {
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+ clone = $('[hourly-co-template]').clone()
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+ .removeAttr('hourly-co-template')
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+ .removeClass('d-none');
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+ }
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+ else {
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+ clone = $('[non-hourly-co-template]').clone()
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+ .removeAttr('non-hourly-co-template')
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+ .removeClass('d-none');
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+ }
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+ clone.appendTo(container)
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+ clone.focus();
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+ }
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+ window.calculateCoBillAmount = function(_trigger) {
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+ let amountTarget = $('[calculated-co-amount]');
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+ _trigger = $(_trigger);
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+ if(!_trigger.find('option:selected').length) {
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+ amountTarget.text('');
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+ return;
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+ }
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+ let hours = +_trigger.find('option:selected').attr('value');
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+ amountTarget.html('<b>Reimbursable Amount:</b> $' + (hours * selectedCodeHourlyRate).toFixed(2));
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+ }
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+ })();
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+
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+ </script>
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+@endif
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