minor update on ui

resources/views/app/patient/primary-coverage-manual-determination-commercial-modal.blade.php

@@ -3,6 +3,17 @@
 	$cpc = $patient->latestClientPrimaryCoverage;
 	@endphp
 	<div class="p-3">
+		@if($cpc->mcd_number)
+		<div class="mb-2">
+			<span><b>Medicaid Number:</b> {{$cpc->mcd_number}}</span>
+			<span class="ml-3"><b>Medicaid State:</b> {{$cpc->mcd_payer_id ?? '-'}}</span>
+		</div>
+		@endif
+		@if($cpc->mcr_number)
+		<div class="mb-2">
+			<b>Medicare Number:</b> {{$cpc->mcr_number}}
+		</div>
+		@endif
 		<form @submit.prevent="submitForm" method="post" class="mcp-theme-1">
 			<input type="hidden" name="clientPrimaryCoverageUid" value="{{$cpc->uid}}" class="form-control input-sm" />
 			<div class="row">

resources/views/app/patient/primary-coverage-manual-determination-medicaid-modal.blade.php

@@ -3,6 +3,12 @@
 	$cpc = $patient->latestClientPrimaryCoverage;
 	@endphp
 	<div class="p-3">
+		@if($cpc->mcd_number)
+		<div class="mb-2">
+			<span><b>Medicaid Number:</b> {{$cpc->mcd_number}}</span>
+			<span class="ml-3"><b>Medicaid State:</b> {{$cpc->mcd_payer_id ?? '-'}}</span>
+		</div>
+		@endif
 		<form @submit.prevent="submitForm" method="post" class="mcp-theme-1">
 			<input type="hidden" name="clientPrimaryCoverageUid" value="{{$cpc->uid}}" class="form-control input-sm" />
 			<div class="row">

resources/views/app/patient/primary-coverage-manual-determination-medicare-modal.blade.php

@@ -3,6 +3,11 @@
 	$cpc = $patient->latestClientPrimaryCoverage;
 	@endphp
 	<div class="p-3">
+		@if($cpc->mcr_number)
+		<div class="mb-2">
+			<b>Medicare Number:</b> {{$cpc->mcr_number}}
+		</div>
+		@endif
 		<form @submit.prevent="submitForm" method="post" class="mcp-theme-1">
 			<input type="hidden" name="clientPrimaryCoverageUid" value="{{$cpc->uid}}" class="form-control input-sm" />
 			<div class="row">
@@ -40,9 +45,6 @@
 								</div>
 							</td>
 						</tr>
-
-
-
 						<tr>
 							<td>Part B Active?</td>
 							<td>{{$cpc->auto_medicare_is_partbactive}}</td>

resources/views/app/patient/primary-coverage-view.blade.php

@@ -54,50 +54,51 @@
 								<td>Patient Group Name</td>
 								<td>{{$cpc->commercial_group_number ?? '-'}}</td>
 							</tr>
-							<tr>
-								<td>Date of Service</td>
-								<td>{{$cpc->date_of_service ? date_format(date_create($cpc->date_of_service), 'm/d/Y') : '-'}}</td>
-							</tr>
 							<tr v-if="cpc.plan_type == 'COMMERCIAL' || cpc.plan_type == 'MEDICAID'">
 								<td colspan="2">
 									<h5 class="font-weight-bold">Subscriber Details</h5>
-									<table class="table table-bordered table-fixed">
-										<tbody>
-											<tr>
-												<td>Is Patient the subscriber?</td>
-												<td>{{$cpc->is_patient_subscriber ? 'Yes' : 'No'}}</td>
-											</tr>
-											@if(!$cpc->is_patient_subscriber)
-											<tr>
-												<td>First Name</td>
-												<td>{{$cpc->subscriber_name_first ?? '-'}}</td>
-											</tr>
-											<tr>
-												<td>Middle Name / MI</td>
-												<td>{{$cpc->subscriber_name_middle ?? '-'}}</td>
-											</tr>
-											<tr>
-												<td>Last Name</td>
-												<td>{{$cpc->subscriber_name_last ?? '-'}}</td>
-											</tr>
-											<tr>
-												<td>Suffix</td>
-												<td>{{$cpc->subscriber_name_suffix ?? '-'}}</td>
-											</tr>
-											<tr>
-												<td>Sex</td>
-												<td>{{$cpc->subscriber_sex ?? '-'}}</td>
-											</tr>
-											<tr>
-												<td>Dob</td>
-												<td>{{$cpc->subscriber_dob ? date_format(date_create($cpc->subscriber_dob), 'm/d/Y') : '-'}}</td>
-											</tr>
-											@endif
-										</tbody>
-									</table>
+									<div class="table-responsive">
+										<table class="table table-bordered">
+											<tbody>
+												<tr class="bg-white">
+													<td>Is Patient the subscriber?</td>
+													<td>{{$cpc->is_patient_subscriber ? 'Yes' : 'No'}}</td>
+												</tr>
+												@if(!$cpc->is_patient_subscriber)
+												<tr class="bg-white">
+													<td>First Name</td>
+													<td>{{$cpc->subscriber_name_first ?? '-'}}</td>
+												</tr>
+												<tr class="bg-white">
+													<td>Middle Name / MI</td>
+													<td>{{$cpc->subscriber_name_middle ?? '-'}}</td>
+												</tr>
+												<tr class="bg-white">
+													<td>Last Name</td>
+													<td>{{$cpc->subscriber_name_last ?? '-'}}</td>
+												</tr>
+												<tr class="bg-white">
+													<td>Suffix</td>
+													<td>{{$cpc->subscriber_name_suffix ?? '-'}}</td>
+												</tr>
+												<tr class="bg-white">
+													<td>Sex</td>
+													<td>{{$cpc->subscriber_sex ?? '-'}}</td>
+												</tr>
+												<tr class="bg-white">
+													<td>Dob</td>
+													<td>{{$cpc->subscriber_dob ? date_format(date_create($cpc->subscriber_dob), 'm/d/Y') : '-'}}</td>
+												</tr>
+												@endif
+											</tbody>
+										</table>
+									</div>
 								</td>
 							</tr>
-
+							<tr>
+								<td>Date of Service</td>
+								<td>{{$cpc->date_of_service ? date_format(date_create($cpc->date_of_service), 'm/d/Y') : '-'}}</td>
+							</tr>
 							<tr v-if="cpc.plan_type == 'MEDICAID' || (cpc.plan_type == 'COMMERCIAL' && cpc.mcd_number)">
 								<td>Medicaid State</td>
 								<td>{{$cpc->mcd_payer_id ?? '-'}}</td>