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@@ -1,6 +1,6 @@
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<div id="primaryCoverageManualDeterminationView">
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<div id="primaryCoverageManualDeterminationView">
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<div class="table-responsive">
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<div class="table-responsive">
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- <table class="table table-bordered table-striped">
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+ <table class="table table-sm table-bordered table-striped">
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<thead>
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<thead>
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<tr>
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<tr>
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<th></th>
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<th></th>
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@@ -10,10 +10,6 @@
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</thead>
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</thead>
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<tbody>
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<tbody>
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<tr>
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<tr>
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- <td>Plan Type</td>
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- <td colspan="2">{{$cpc->plan_type}}</td>
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- </tr>
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- <tr v-if="cpc.plan_type == 'COMMERCIAL'">
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<td>Record Found?</td>
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<td>Record Found?</td>
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<td>{{$cpc->auto_commercial_is_match_found ? 'YES' : 'NO'}}</td>
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<td>{{$cpc->auto_commercial_is_match_found ? 'YES' : 'NO'}}</td>
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<td>
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<td>
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@@ -23,24 +19,8 @@
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</div>
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</div>
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</td>
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</td>
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</tr>
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</tr>
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- <tr v-if="cpc.plan_type == 'COMMERCIAL' && cpc.mcd_number">
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- <td>Medicaid Number</td>
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- <td colspan="2">{{$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">{{$cpc->mcr_number ?? '-'}}</td>
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- </tr>
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- <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <tr>
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<td>Part B Active?</td>
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<td>Part B Active?</td>
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<td>{{$cpc->auto_medicare_is_partbactive}}</td>
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<td>{{$cpc->auto_medicare_is_partbactive}}</td>
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<td>
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<td>
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@@ -50,7 +30,7 @@
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</div>
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</div>
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</td>
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</td>
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</tr>
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</tr>
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- <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <tr>
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<td>Part B Primary?</td>
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<td>Part B Primary?</td>
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<td>{{$cpc->auto_medicare_is_partbprimary}}</td>
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<td>{{$cpc->auto_medicare_is_partbprimary}}</td>
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<td>
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<td>
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@@ -64,7 +44,7 @@
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</div>
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</div>
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</td>
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</td>
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</tr>
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</tr>
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- <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <tr>
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<td>Part C Active?</td>
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<td>Part C Active?</td>
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<td>{{$cpc->auto_medicare_is_partcactive}}</td>
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<td>{{$cpc->auto_medicare_is_partcactive}}</td>
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<td>
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<td>
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@@ -77,7 +57,7 @@
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</div>
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</div>
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</td>
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</td>
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</tr>
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</tr>
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- <tr v-if="(cpc.plan_type == 'MEDICARE') || (cpc.plan_type == 'COMMERCIAL' && cpc.mcr_number)">
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+ <tr>
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<td>Inpatient?</td>
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<td>Inpatient?</td>
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<td>{{$cpc->auto_medicare_is_inpatient}}</td>
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<td>{{$cpc->auto_medicare_is_inpatient}}</td>
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<td>
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<td>
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@@ -87,7 +67,7 @@
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</div>
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</div>
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</td>
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</td>
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</tr>
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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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+ <tr>
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<td>Hospice?</td>
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<td>Hospice?</td>
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<td>UNKNOWN</td>
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<td>UNKNOWN</td>
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<td>
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<td>
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@@ -97,7 +77,7 @@
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</div>
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</div>
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</td>
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</td>
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</tr>
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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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+ <tr>
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<td>Home Health?</td>
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<td>Home Health?</td>
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<td>UNKNOWN</td>
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<td>UNKNOWN</td>
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<td>
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<td>
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@@ -107,7 +87,7 @@
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</div>
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</div>
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</td>
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</td>
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</tr>
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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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+ <tr>
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<td>MSP?</td>
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<td>MSP?</td>
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<td>{{$cpc->auto_medicare_is_msp}}</td>
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<td>{{$cpc->auto_medicare_is_msp}}</td>
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<td>
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<td>
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