unknown

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

@@ -58,7 +58,7 @@
 
 				@if($cpc->mcd_number)
 				<h5 class="mt-2 font-weight-bold">Medicaid Information Provided:</h5>
-				<table class="table table-bordered table-striped">
+				<table class="table table-bordered table-striped table-sm">
 					<tbody>
 						<tr>
 							<td>Medicaid Number</td>
@@ -78,7 +78,7 @@
 
 				@if($cpc->mcr_number)
 				<h5 class="mt-2 font-weight-bold">Medicare Information Provided:</h5>
-				<table class="table table-bordered table-striped">
+				<table class="table table-bordered table-striped table-sm">
 					<thead>
 						<tr>
 							<th></th>
@@ -112,6 +112,9 @@
 									<div class="form-check form-check-inline">
 										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBActive" @click="onInputChange" value="NO">No</label>
 									</div>
+									<div class="form-check form-check-inline">
+										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBActive" @click="onInputChange" value="UNKNOWN">Unknown</label>
+									</div>
 								</div>
 							</td>
 						</tr>
@@ -126,6 +129,9 @@
 									<div class="form-check form-check-inline">
 										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBPrimary" @click="onInputChange" value="NO">No</label>
 									</div>
+									<div class="form-check form-check-inline">
+										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBPrimary" @click="onInputChange" value="UNKNOWN">Unknown</label>
+									</div>
 								</div>
 							</td>
 						</tr>
@@ -143,6 +149,9 @@
 									<div class="form-check form-check-inline">
 										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartCActive" @click="onInputChange" value="NO">No</label>
 									</div>
+									<div class="form-check form-check-inline">
+										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartCActive" @click="onInputChange" value="UNKNOWN">Unknown</label>
+									</div>
 								</div>
 							</td>
 						</tr>
@@ -276,7 +285,7 @@
 
 								if(/medicare/gi.test(nameLowerCase)){
 									if(value === 'YES') this.uiState.manualMedicareIsMatched = 'YES';
-								}								
+								}
 
 								if (name === 'manualMedicareIsPartBPrimary') {
 									if (value === 'YES') this.uiState.manualMedicareIsPartBActive = 'YES';
@@ -369,4 +378,4 @@
 				}
 				addMCInitializer('manual-determination-form-{{$patient->uid}}', init, '#manual-determination-form-{{$patient->uid}}')
 			}).call(window);
-</script>
+</script>

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

@@ -1,292 +0,0 @@
-<div id="manual-determination-form-{{$patient->uid}}">
-	@php
-	$cpc = $patient->latestClientPrimaryCoverage;
-	@endphp
-	<div class="p-3">
-		<form @submit.prevent="submitForm" method="post" class="mcp-theme-1">
-			<input type="hidden" name="clientPrimaryCoverageUid" value="{{$cpc->uid}}" class="form-control input-sm" />
-			<div class="row">
-				<div class="form-group col-md-12">
-					<p class="mb-1">How did you manually check coverage?</p>
-					<div class="form-check form-check-inline">
-						<label class="form-check-label"><input class="form-check-input" type="radio" v-model="uiState.manualDeterminationStrategy" name="manualDeterminationStrategy" value="REVIEWED_ELECTRONIC" required>Reviewed Electronically</label>
-					</div>
-					<div class="form-check form-check-inline">
-						<label class="form-check-label"><input class="form-check-input" type="radio" v-model="uiState.manualDeterminationStrategy" name="manualDeterminationStrategy" value="CALLED_PAYER" required>Called Payer</label>
-					</div>
-				</div>
-			</div>
-			<div class="table-responsive">
-				<table class="table table-sm table-bordered table-striped">
-					<thead>
-						<tr>
-							<th></th>
-							<th>Automatic</th>
-							<th>Override</th>
-						</tr>
-					</thead>
-					<tbody>
-						<tr>
-							<td>Record Found?</td>
-							<td>{{$cpc->auto_commercial_is_match_found ? 'YES' : 'NO'}}</td>
-							<td>
-
-							</td>
-						</tr>
-						<tr>
-							<td>Medicaid Number</td>
-							<td colspan="2">{{$cpc->mcd_number ?? '-'}}</td>
-						</tr>
-						<tr>
-							<td>Medicaid State</td>
-							<td colspan="2">{{$cpc->mcd_payer_name ?? '-'}}</td>
-						</tr>
-						<tr>
-							<td>Was Medicaid Record Found?</td>
-							<td colspan="2">{{$cpc->auto_medicaid_is_match_found ? 'Yes' : 'No'}}</td>
-						</tr>
-						<tr>
-							<td>Medicare Number</td>
-							<td colspan="2">{{$cpc->mcr_number ?? '-'}}</td>
-						</tr>
-
-						<tr>
-							<td>Part B Active?</td>
-							<td>{{$cpc->auto_medicare_is_partbactive}}</td>
-							<td>
-								<div class="form-group mb-0">
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBActive" @click="onInputChange" value="YES">Yes</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBActive" @click="onInputChange" value="NO">No</label>
-									</div>
-								</div>
-							</td>
-						</tr>
-						<tr>
-							<td>Is Part B Primary?</td>
-							<td>{{$cpc->auto_medicare_is_partbprimary}}</td>
-							<td>
-								<div class="form-group mb-0">
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBPrimary" @click="onInputChange" value="YES">Yes</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartBPrimary" @click="onInputChange" value="NO">No</label>
-									</div>
-								</div>
-							</td>
-						</tr>
-						<tr>
-							<td>Is Part C Active?</td>
-							<td>{{$cpc->auto_medicare_is_partcactive}}</td>
-							<td>
-								<div class="alert alert-danger" v-if="(cpc.auto_medicare_is_partcactive == 'YES' && cpc.auto_medicare_is_partbprimary == 'YES') || (uiState.manualMedicareIsPartBPrimary == 'YES' && uiState.manualMedicareIsPartCActive == 'YES')">
-									Oops! Patient Medicare Part B Primary is set to <b>Yes</b>.
-								</div>
-								<div class="form-group mb-0">
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartCActive" @click="onInputChange" value="YES">Yes</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsPartCActive" @click="onInputChange" value="NO">No</label>
-									</div>
-								</div>
-							</td>
-						</tr>
-						<tr>
-							<td>Inpatient?</td>
-							<td>{{$cpc->auto_medicare_is_inpatient}}</td>
-							<td>
-								<div class="form-group mb-0">
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsInpatient" @click="onInputChange" value="YES">Yes</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsInpatient" @click="onInputChange" value="NO">No</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsInpatient" @click="onInputChange" value="UNKNOWN">Unknown</label>
-									</div>
-								</div>
-							</td>
-						</tr>
-						<tr>
-							<td>Hospice?</td>
-							<td>UNKNOWN</td>
-							<td>
-								<div class="form-group mb-0">
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsHospice" @click="onInputChange" value="YES">Yes</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsHospice" @click="onInputChange" value="NO">No</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsHospice" @click="onInputChange" value="UNKNOWN">Unknown</label>
-									</div>
-								</div>
-							</td>
-						</tr>
-						<tr>
-							<td>Home Health?</td>
-							<td>UNKNOWN</td>
-							<td>
-								<div class="form-group mb-0">
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsHomeHealth" @click="onInputChange" value="YES">Yes</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsHomeHealth" @click="onInputChange" value="NO">No</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsHomeHealth" @click="onInputChange" value="UNKNOWN">Unknown</label>
-									</div>
-								</div>
-							</td>
-						</tr>
-						<tr>
-							<td>MSP?</td>
-							<td>{{$cpc->auto_medicare_is_msp}}</td>
-							<td>
-								<div class="form-group mb-0">
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsMsp" @click="onInputChange" value="YES">Yes</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsMsp" @click="onInputChange" value="NO">No</label>
-									</div>
-									<div class="form-check form-check-inline">
-										<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicareIsMsp" @click="onInputChange" value="UNKNOWN">Unknown</label>
-									</div>
-								</div>
-							</td>
-						</tr>
-					</tbody>
-				</table>
-			</div>
-			<div class="row">
-				<div class="form-group col-md-12">
-					<label for="" class="control-label">Memo</label>
-					<textarea name="manualMedicareMemo" class="form-control"></textarea>
-				</div>
-			</div>
-
-
-			<div v-if="response" :class="response.success ? 'alert success' : 'alert alert-danger'">
-				@{{ response.message }}
-			</div>
-
-			<div class="form-group text-nowrap mb-0">
-				<button v-if="!processing" class="btn btn-sm btn-primary" type="submit" :disabled="url == '' || disabled === true">Submt</button>
-				<button v-else class="btn btn-sm btn-primary" type="button"><i class="fas fa-circle-notch fa-spin"></i> Processing...</button>
-			</div>
-		</form>
-	</div>
-</div>
-<script>
-	(function() {
-		function init() {
-			new Vue({
-				el: '#manual-determination-form-{{$patient->uid}}',
-				delimiters: ['@{{', '}}'],
-				data: {
-					url: '/api/clientPrimaryCoverage/manualDeterminationForCommercial',
-					uiState: {
-						manualDeterminationCategory: null,
-						manualMedicareIsPartBActive: null,
-						manualMedicareIsPartBPrimary: null,
-						manualMedicareIsPartCActive: null,
-						manualMedicareIsInpatient: null,
-						manualMedicareIsHospice: null,
-						manualMedicareIsHomeHealth: null,
-						manualMedicareIsMsp: null,
-
-					},
-					cpc: <?= json_encode($cpc); ?>,
-					processing: false,
-					response: null,
-					disabled: false
-				},
-				methods: {
-					onInputChange: function(evt){
-						var input = evt.target;
-						var name = input.name;
-						var value = input.value;
-						this.uiState[name] = value;
-						console.log({name, value});
-						if(name === 'manualMedicareIsPartBPrimary'){
-							if(value === 'YES') this.uiState.manualMedicareIsPartBActive = 'YES';
-						}
-						if(name === 'manualMedicareIsPartCActive'){
-							if(value === 'YES') this.uiState.manualMedicareIsPartBActive = 'NO';
-						}
-						if(name === 'manualDeterminationCategory'){
-							if(value === 'INVALID' || value === 'UNKNOWN'){
-								this.setUiStateDefaultValue('NO');
-								return;
-							}
-						}
-						this.refreshUi();
-					},
-					setUiStateDefaultValue: function(value){
-						var self = this;
-						for(var fieldName in self.uiState){
-							self.uiState[fieldName] = value;	
-						}
-						self.refreshUi();
-					},
-					submitForm: function(evt) {
-						var self = this;
-						if (self.processing) return;
-						var form = evt.target;
-						var data = $(form).serializeArray();
-						var url = self.url;
-						if (!url) {
-							self.response = {
-								success: false,
-								message: 'Invalid url'
-							};
-							return;
-						}
-
-						self.processing = true;
-						$.post(url, data, function(response) {
-							self.processing = false;
-							if (response.success) {
-								closeStagPopup();
-								fastReload();
-							} else {
-								self.response = response;
-							}
-						}, 'json');
-					},
-					refreshUi: function(){
-						var self = this;
-						$("input[type=radio]").prop('checked', false);
-						for(var fieldName in self.uiState){
-							var value = self.uiState[fieldName];
-							if(value){					
-								$("input[name="+ fieldName +"][type=radio][value=" + value + "]").prop('checked', true);
-							}							
-						}
-						self.disabled = (self.cpc.auto_medicare_is_partcactive == 'YES' && self.cpc.auto_medicare_is_partbprimary == 'YES') || (self.uiState.manualMedicareIsPartBPrimary == 'YES' && self.uiState.manualMedicareIsPartCActive == 'YES');
-					},
-				},
-				mounted: function() {
-					if (this.cpc.auto_medicare_is_partbprimary == 'YES') {
-						this.uiState.manualMedicareIsPartBPrimary = 'YES';
-						this.uiState.manualMedicareIsPartCActive = 'NO';
-						this.uiState.manualMedicareIsPartBActive = 'YES';
-					};
-					if(this.cpc.auto_commercial_is_match_found === 'NO'){
-						this.uiState.manualDeterminationCategory = 'INVALID';
-					}					
-					this.refreshUi();
-				}
-			});
-		}
-		addMCInitializer('manual-determination-form-{{$patient->uid}}', init, '#manual-determination-form-{{$patient->uid}}')
-	}).call(window);
-</script>