|
@@ -20,7 +20,7 @@
|
|
<div class="row" v-if="insuranceCardType == 'commercial'">
|
|
<div class="row" v-if="insuranceCardType == 'commercial'">
|
|
<div class="form-group col-md-12">
|
|
<div class="form-group col-md-12">
|
|
<label for="" class="control-label">Commercial Payer</label>
|
|
<label for="" class="control-label">Commercial Payer</label>
|
|
- <select name="commercialPayerUid" id="" class="form-control input-sm">
|
|
|
|
|
|
+ <select name="commercialPayerUid" data-url="{{ route('searchPayer') }}" data-text-prop="name" data-id-prop="uid" placeholder="Search" select2-search class="form-control input-sm">
|
|
<option value="">--</option>
|
|
<option value="">--</option>
|
|
</select>
|
|
</select>
|
|
</div>
|
|
</div>
|
|
@@ -133,7 +133,7 @@
|
|
<h5 class="m-0 font-weight-bold">Medicaid Information:</h5>
|
|
<h5 class="m-0 font-weight-bold">Medicaid Information:</h5>
|
|
</div>
|
|
</div>
|
|
<div class="form-group col-md-6">
|
|
<div class="form-group col-md-6">
|
|
- <label for="" class="control-label">Medicaid Payer</label>
|
|
|
|
|
|
+ <label for="" class="control-label">Medicaid State</label>
|
|
<select name="mcdPayerUid" id="" class="form-control input-sm">
|
|
<select name="mcdPayerUid" id="" class="form-control input-sm">
|
|
<option value="">--</option>
|
|
<option value="">--</option>
|
|
<option>MEDICAID ALABAMA</option>
|
|
<option>MEDICAID ALABAMA</option>
|
|
@@ -221,6 +221,7 @@
|
|
<script>
|
|
<script>
|
|
(function() {
|
|
(function() {
|
|
function init() {
|
|
function init() {
|
|
|
|
+ STAG.initSelect2RemoteSearch()
|
|
new Vue({
|
|
new Vue({
|
|
el: '#new-coverage-form-{{$patient->uid}}',
|
|
el: '#new-coverage-form-{{$patient->uid}}',
|
|
delimiters:['@{{','}}'],
|
|
delimiters:['@{{','}}'],
|