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@@ -76,7 +76,7 @@
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<label class='my-0 mr-3 control-label'>Insurance </label>
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<div class="d-inline-flex align-items-center">
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<label class="my-0 mr-3 d-inline-flex align-items-center">
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- <input class='insurance' type='radio' name='insurance' value="medicare">
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+ <input class='insurance' type='radio' name='insurance' value="medicare" checked>
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<span class="ml-1">Medicare</span>
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</label>
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<label class="my-0 mr-3 d-inline-flex align-items-center">
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@@ -85,7 +85,7 @@
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</label>
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</div>
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</div>
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- <div data-insurance="medicare" class="d-none">
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+ <div data-insurance="medicare">
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<div class='form-group mb-3'>
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<label class='control-label'>Medicare Number</label>
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<input class='form-control' type='text' name='medicareNumber'>
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@@ -103,7 +103,7 @@
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Member ID</label>
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- <input class='form-control' type='text' name='mbPayerMemberId' required>
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+ <input class='form-control' type='text' name='mbPayerMemberId'>
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</div>
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</div>
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<hr class="m-neg-4">
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