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@@ -30,7 +30,7 @@
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<td>Record Found?</td>
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<td>{{$cpc->auto_medicaid_is_match_found ? 'YES' : 'NO'}}</td>
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<td>
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- <div class="form-group">
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+ <div class="form-group mb-0">
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<div class="form-check form-check-inline">
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<label class="form-check-label"><input class="form-check-input" type="radio" name="manualMedicaidIsMatched" value="YES" :checked="uiState.manualMedicaidIsMatched === 'YES'" @change="inputChange">Yes</label>
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</div>
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@@ -44,9 +44,9 @@
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<td>Coverage Status?</td>
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<td>UNKNOWN</td>
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<td>
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- <select name="manualDeterminationCategory" class="form-control input-sm" @change="inputChange">
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- <option value="">--select--</option>
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- <option value="COVERED" :selected="uiState.manualMedicaidIsMatched == 'YES'">Covered</option>
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+ <select name="manualDeterminationCategory" class="form-control input-sm" required @change="inputChange">
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+ <option value="" :selected="uiState.manualMedicaidIsMatched == 'YES'">--select--</option>
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+ <option value="COVERED">Covered</option>
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<option value="NOT_COVERED">Not Covered</option>
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<option value="INVALID" :selected="uiState.manualMedicaidIsMatched == 'NO'">Invalid</option>
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<option value="UNKNOWN">Unknown</option>
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