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+@extends ('layouts.patient')
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+
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+@section('inner-content')
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+<div id="client-settings-container">
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+ <div class="row">
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+ <div class="col-md-12">
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+ <h1>Eligible Refreshes</h1>
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+ <div>
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+ <div moe relative class="ml-2">
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+ <a href="" start show class="btn btn-sm btn-success text-white font-weight-bold small">Refresh Eligible Data</a>
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+ <form url="/api/client/refreshEligible" class="mcp-theme-1" right>
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <p>Refresh eligible data?</p>
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+ <div>
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+ <button submit class="btn btn-sm btn-primary mr-2">Yes</button>
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+ <button cancel class="btn btn-sm btn-default border">Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ <hr>
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+ <table class="table table-condensed table-striped">
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+ <thead>
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+ <tr>
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+ <th>Timestamp</th>
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+ <th>Result</th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ @foreach($patient->eligibleRefreshes as $el)
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+ <tr>
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+ <td>{{friendly_date_time($el->ts)}}</td>
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+ <td>
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+ <table class="table table-sm table-striped table-condensed">
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+ <tr>
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+ <td>Was Successful</td>
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+ <td>{{$el->medicareResult->was_successful}}</td>
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+ </tr>
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+ <tr>
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+ <td>Reject Reason Code</td>
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+ <td>{{$el->medicareResult->reject_reason_code}}</td>
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+ </tr>
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+ <tr>
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+ <td>Reject Reason Description</td>
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+ <td>{{$el->medicareResult->reject_reason_description}}</td>
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+ </tr>
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+ <tr>
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+ <td>Follow Up Action Code</td>
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+ <td>{{$el->medicareResult->follow_up_action_code}}</td>
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+ </tr>
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+ <tr>
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+ <td>Follow Up Action Description</td>
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+ <td>{{$el->medicareResult->follow_up_action_description}}</td>
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+ </tr>
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+ <tr>
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+ <td>Details</td>
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+ <td>{{$el->medicareResult->details}}</td>
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+ </tr>
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+ <tr>
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+ <td>Is Mcn Valid Number</td>
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+ <td>{{$el->medicareResult->is_mcn_valid_number}}</td>
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+ </tr>
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+ <tr>
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+ <td>Address Street Line1</td>
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+ <td>{{$el->medicareResult->address_street_line1}}</td>
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+ </tr>
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+ <tr>
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+ <td>Address Street Line2</td>
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+ <td>{{$el->medicareResult->address_street_line2}}</td>
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+ </tr>
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+ <tr>
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+ <td>Address City</td>
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+ <td>{{$el->medicareResult->address_city}}</td>
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+ </tr>
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+ <tr>
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+ <td>Address State</td>
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+ <td>{{$el->medicareResult->address_state}}</td>
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+ </tr>
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+ <tr>
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+ <td>Address Zip</td>
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+ <td>{{$el->medicareResult->address_zip}}</td>
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+ </tr>
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+ <tr>
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+ <td>Is Partbprimary</td>
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+ <td>{{$el->medicareResult->is_partbprimary}}</td>
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+ </tr>
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+ <tr>
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+ <td>Is Hospice</td>
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+ <td>{{$el->medicareResult->is_hospice}}</td>
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+ </tr>
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+ <tr>
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+ <td>Mcn Response Detail</td>
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+ <td>{{$el->medicareResult->mcn_response_detail}}</td>
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+ </tr>
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+ <tr>
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+ <td>Billing Address</td>
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+ <td>{{$el->medicareResult->billing_address}}</td>
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+ </tr>
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+ <tr>
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+ <td>Reason Not Partb</td>
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+ <td>{{$el->medicareResult->reason_not_partb}}</td>
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+ </tr>
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+ <tr>
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+ <td>Reason Not Partbmemo</td>
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+ <td>{{$el->medicareResult->reason_not_partbmemo}}</td>
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+ </tr>
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+ <tr>
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+ <td>Is Medicare Advantage</td>
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+ <td>{{$el->medicareResult->is_medicare_advantage}}</td>
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+ </tr>
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+ <tr>
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+ <td>Medicare Advantage Plan</td>
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+ <td>{{$el->medicareResult->medicare_advantage_plan}}</td>
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+ </tr>
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+ </table>
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+ </td>
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+ </tr>
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+ @endforeach
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+ </tbody>
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+ </table>
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+ </div>
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+ </div>
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+</div>
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+@endsection
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