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+@extends ('layouts/template')
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+
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+@section('content')
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+<style>
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+ #rm-action-report-filters label {
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+ font-weight: bold;
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+ }
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+
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+ #rm-action-report-filters .mw-100px {
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+ min-width: 100px;
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+ }
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+ .filter-container{
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+ display: flex;
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+ align-items: flex-start;
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+ flex-wrap: wrap;
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+ }
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+ .filter-container >div {
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+ width: 165px;
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+ }
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+ .filter-container >div:not(:last-child) {
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+ margin-right: 15px;
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+ }
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+ .sm-section {
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+ width: 150px !important;
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+ }
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+ thead.border-bottom-0 tr th {
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+ border-bottom: none;
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+ }
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+</style>
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+<div id="rm-action-report" class="p-3 mcp-theme-1">
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+ <div class="card">
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+
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+ <div class="card-header px-2 py-1 d-flex align-items-center">
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+ <strong class="mr-4">
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+ <i class="fas fa-user"></i>
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+ Claims Report
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+ </strong>
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+ </div>
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+ <div class="card-body p-0 border-0 table-responsive">
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+ <div class="m-2">
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+ <form method="GET" action="{{ route('practice-management.claims-report') }}">
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+ <div class="d-flex align-items-baseline">
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+ <div class="form-group my-0 mr-2">
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+ <label class="font-weight-normal mb-1">DOS From</label>
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+ <input name="f_start" type="date" class="form-control form-control-sm" value="{{request()->input('f_start')}}">
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+ </div>
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+ <div class="form-group my-0 mr-2">
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+ <label class="font-weight-normal mb-1">DOS To</label>
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+ <input name="f_end" type="date" class="form-control form-control-sm" value="{{request()->input('f_end')}}">
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+ </div>
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+ <div class="form-group m-0">
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+ <label class="font-weight-normal mb-1"> </label>
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+ <div class=" d-flex">
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+ <button type="button" onclick="return fastLoad('{{ route('practice-management.claims-report') }}?' + $(this).closest('form').serialize())" class="btn btn-primary btn-sm mr-2"><i class="fas fa-filter"></i> Filter</button>
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+ <a href="#" onclick="return fastLoad('{{ route('practice-management.claims-report') }}')" class="btn btn-link btn-sm text-danger">Clear Filters</a>
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+ </div>
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+ </div>
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+ </div>
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+ </form>
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+ </div>
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+ <table class="table table-sm table-striped table-bordered border-0 p-0 m-0 text-nowrap">
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+ <thead class="bg-light border-bottom-0">
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+ <tr>
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+ <th class="border-left-0">@include('app.practice-management._sort_header_multi', ['route' => route("practice-management.claims-report"), 'label' => 'Insurance', 'key' => 'payer_name'])</th>
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+ <th>@include('app.practice-management._sort_header_multi', ['route' => route("practice-management.claims-report"), 'label' => 'State', 'key' => 'mailing_address_state'])</th>
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+ <th>@include('app.practice-management._sort_header_multi', ['route' => route("practice-management.claims-report"), 'label' => 'Patient', 'key' => 'client_name'])</th>
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+ <th>@include('app.practice-management._sort_header_multi', ['route' => route("practice-management.claims-report"), 'label' => 'DOB', 'key' => 'dob'])</th>
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+ <th>@include('app.practice-management._sort_header_multi', ['route' => route("practice-management.claims-report"), 'label' => 'Provider', 'key' => 'pro_name'])</th>
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+ <th>@include('app.practice-management._sort_header_multi', ['route' => route("practice-management.claims-report"), 'label' => 'Date of Service', 'key' => 'date_of_service'])</th>
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+ <th class="text-secondary">POS</th>
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+ <th>@include('app.practice-management._sort_header_multi', ['route' => route("practice-management.claims-report"), 'label' => 'CPT', 'key' => 'cpt'])</th>
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+ <th class="text-secondary">A</th>
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+ <th class="text-secondary">Units</th>
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+ <th class="text-secondary">Charges</th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ @foreach ($rows as $row)
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+ <tr class="{{false ? 'bg-light' : ''}}">
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+ <td class="text-nowrap border-left-0">
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+ {{$row->payer_name}}
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+ </td>
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+ <td>
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+ {{$row->mailing_address_state}}
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+ </td>
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+ <td class="">
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+ <a href="/patients/view/{{$row->client_uid}}">
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+ {{$row->client_name}}
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+ </a>
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+ </td>
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+ <td>
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+ {{$row->dob}}
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+ </td>
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+ <td>
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+ {{$row->pro_name}}
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+ </td>
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+ <td>
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+ {{friendly_date($row->date_of_service)}}
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+ </td>
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+ <td>10</td> <!-- dunno what these are!! -->
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+ <td>{{$row->cpt}}</td>
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+ <td>95</td> <!-- dunno what these are!! -->
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+ <td>1</td> <!-- dunno what these are!! -->
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+ <td>
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+ {{$row->cpt ? chargeForCPT($row->cpt) : '-'}}
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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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+
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+ </div>
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+ </div>
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+ <div class="d-flex align-items-baseline mt-3">
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+ {!! $paginator->withQueryString()->links() !!}
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+ <div class="mb-3">
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+ <div class="ml-4 mb-3">Showing <b>{{$paginator->firstItem()}}</b> to <b>{{$paginator->lastItem()}}</b> (page {{$paginator->currentPage()}}) of <b>{{$paginator->total()}}</b> care months</div>
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+ </div>
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+ </div>
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+
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+</div>
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+
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+@endsection
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