|
@@ -0,0 +1,263 @@
|
|
|
+/api/client/wipeDefaultMcpCompanyPro
|
|
|
+ uid
|
|
|
+
|
|
|
+/api/client/putDefaultMcpCompanyPro
|
|
|
+ uid
|
|
|
+ defaultMcpCompanyProUid
|
|
|
+
|
|
|
+/api/client/wipeDefaultMcpCompanyProPayer
|
|
|
+ uid
|
|
|
+
|
|
|
+/api/client/putDefaultMcpCompanyProPayer
|
|
|
+ uid
|
|
|
+ defaultMcpCompanyProPayerUid
|
|
|
+
|
|
|
+/api/client/wipeDefaultMcpCompanyLocation
|
|
|
+ uid
|
|
|
+
|
|
|
+/api/client/putDefaultMcpCompanyLocation
|
|
|
+ uid
|
|
|
+ defaultMcpCompanyProPayerUid
|
|
|
+
|
|
|
+/api/client/createNonMcn
|
|
|
+ howIsQuarantine
|
|
|
+ nameFirst
|
|
|
+ nameLast
|
|
|
+ sex
|
|
|
+ dateOfBirth
|
|
|
+ homeNumber
|
|
|
+ cellNumber
|
|
|
+ payerMemberId
|
|
|
+ initiative
|
|
|
+
|
|
|
+<div class="card-body">
|
|
|
+<form show url="/api/client/createNonMcn" class="px-3 pt-3 pb-1 primary-form" redir="patients/view/[data]">
|
|
|
+ @if (session('message'))
|
|
|
+ <div class="alert alert-danger">{{ session('message') }}</div>
|
|
|
+ @endif
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>How is quarantine treating you?</label>
|
|
|
+ <textarea class='form-control' type='text' name='howIsQuarantine'></textarea>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>First Name *</label>
|
|
|
+ <input class='form-control' type='text' name='nameFirst' required>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>Last Name *</label>
|
|
|
+ <input class='form-control' type='text' name='nameLast' value='' required>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>Sex</label>
|
|
|
+ <select class='form-control' name='sex' value='' >
|
|
|
+ <option value=''>-- Select --</option>
|
|
|
+ <option value='M'>M</option>
|
|
|
+ <option value='F'>F</option>
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>Date Of Birth *</label>
|
|
|
+ <input class='form-control' type='date' name='dateOfBirth' max="{{ date('Y-m-d') }}" required>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label d-flex align-items-center'>
|
|
|
+ <span>Home Phone Number</span>
|
|
|
+ <a href="#"
|
|
|
+ class="ml-2 px-1 on-hover-opaque hpn-to-cpn">
|
|
|
+ <i class="fa fa-arrow-down"></i>
|
|
|
+ </a>
|
|
|
+ <a href="#"
|
|
|
+ class="ml-2 px-1 on-hover-opaque swap-pns">
|
|
|
+ <i class="fa fa-retweet"></i>
|
|
|
+ </a>
|
|
|
+ </label>
|
|
|
+ <input class='form-control' stag-input-phone type='tel' name='homeNumber'>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label d-flex align-items-center'>
|
|
|
+ <span>Cell Phone Number</span>
|
|
|
+ <a href="#"
|
|
|
+ class="ml-2 px-1 on-hover-opaque cpn-to-hpn">
|
|
|
+ <i class="fa fa-arrow-up"></i>
|
|
|
+ </a>
|
|
|
+ </label>
|
|
|
+ <input class='form-control' stag-input-phone type='tel' name='cellNumber'>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>Email Address </label>
|
|
|
+ <input class='form-control' type='email' name='emailAddress'>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>Payer</label>
|
|
|
+ <select name="payerName" class="form-control select2">
|
|
|
+ <option value="">--select--</option>
|
|
|
+ @foreach($mbPayers as $mbPayer)
|
|
|
+ <option value="{{$mbPayer->uid}}">{{$mbPayer->name()}}</option>
|
|
|
+ @endforeach
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>Member ID</label>
|
|
|
+ <input class='form-control' type='text' name='payerMemberId' required>
|
|
|
+ </div>
|
|
|
+ <div class='form-group mb-3'>
|
|
|
+ <label class='control-label'>Initiative</label>
|
|
|
+ <select name="initiative" class="form-control ">
|
|
|
+ <option value="">-- select --</option>
|
|
|
+ @foreach($intiatives as $initiative)
|
|
|
+ <option value="{{$initiative}}">{{$initiative}}</option>
|
|
|
+ @endforeach
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+</form>
|
|
|
+</div>
|
|
|
+<div class="card-footer">
|
|
|
+<button class="btn btn-primary" submit>Create New Patient</button>
|
|
|
+</div>
|
|
|
+</div>
|
|
|
+</div>
|
|
|
+</div>
|
|
|
+
|
|
|
+
|
|
|
+/api/client/create
|
|
|
+/api/client/updateMcpOnboardingVisitInfo
|
|
|
+/api/client/conductMcCodeCheck
|
|
|
+/api/client/refreshEligible
|
|
|
+/api/client/validateAgainstMBPayer
|
|
|
+/api/client/sendCheckInTokenViaSmsOrEmail
|
|
|
+/api/client/updateClientEngagementAssessmentStatus
|
|
|
+/api/client/editAddress
|
|
|
+/api/client/editName
|
|
|
+/api/client/updateSex
|
|
|
+/api/client/editDob
|
|
|
+/api/client/putContactInfo
|
|
|
+/api/client/putRmmPro
|
|
|
+/api/client/putRmePro
|
|
|
+/api/client/putRmsPro
|
|
|
+/api/client/putDefaultNaPro
|
|
|
+/api/client/removeDefaultNaPro
|
|
|
+/api/client/updateClaimPhoneNumber
|
|
|
+/api/client/updateClaimAddress
|
|
|
+/api/client/updateRmEligibility
|
|
|
+/api/client/setIsEnrolledInRmToFalse
|
|
|
+/api/client/setIsEnrolledInRmToTrue
|
|
|
+/api/client/updateWhyNotEnrolledInRm
|
|
|
+/api/client/updateAdminEngagementAssessmentStatus
|
|
|
+/api/client/updateMcpEngagementAssessmentStatus
|
|
|
+/api/client/updateDefaultNaEngagementAssessmentStatus
|
|
|
+/api/client/updateClientEngagementAssessmentStatus
|
|
|
+/api/client/put2022AwvClaim
|
|
|
+/api/client/put2022AwvStatus
|
|
|
+/api/client/putRmCompany
|
|
|
+/api/client/wipeRmCompany
|
|
|
+/api/client/updateMcpOnboardingActiveInfo
|
|
|
+/api/client/putPhysicianPro
|
|
|
+/api/client/updateMcpOnboardingVisitInfo
|
|
|
+/api/client/setSendAppointmentConfirmationSmsToFalse
|
|
|
+/api/client/setSendAppointmentConfirmationSmsToTrue
|
|
|
+/api/client/updateInitiative
|
|
|
+/api/client/setSendSmsOnBdtMeasurementToFalse
|
|
|
+/api/client/setSendSmsOnBdtMeasurementToTrue
|
|
|
+/api/client/updatePreferredPharmacyDetail
|
|
|
+/api/client/wipeDefaultMcpCompanyPro
|
|
|
+/api/client/putDefaultMcpCompanyPro
|
|
|
+/api/client/wipeDefaultMcpCompanyProPayer
|
|
|
+/api/client/putDefaultMcpCompanyProPayer
|
|
|
+/api/client/wipeDefaultMcpCompanyLocation
|
|
|
+/api/client/putDefaultMcpCompanyLocation
|
|
|
+/api/client/markCoverageAsManuallyVerified
|
|
|
+/api/client/undoMarkCoverageAsManuallyVerified
|
|
|
+/api/client/updateWatchPatMedicalNecessity
|
|
|
+/api/client/updateWatchPatStudyInstructionsGiven
|
|
|
+/api/client/updateWatchPatStudyOrdered
|
|
|
+/api/client/updateWatchPatResults
|
|
|
+/api/client/updateWatchPatResultsCommunicatedToPatient
|
|
|
+/api/client/updateCanvasData
|
|
|
+/api/client/updateMcpOnboardingVisitInfo
|
|
|
+/api/client/setIsEnrolledInCmToTrue
|
|
|
+/api/client/setIsEnrolledInCmToFalse
|
|
|
+/api/client/updateMcpOnboardingVisitInfo
|
|
|
+/api/client/clearFlag
|
|
|
+/api/client/undoCarePlanFlag
|
|
|
+/api/client/flagCarePlan
|
|
|
+/api/client/updateFlagMemo
|
|
|
+/api/client/flagCarePlan
|
|
|
+/api/client/undoAcknowledgeCarePlanFlag
|
|
|
+/api/client/updateAcknowledgementMemo
|
|
|
+/api/client/acknowledgeCarePlanFlag
|
|
|
+/api/client/updateRmEligibility
|
|
|
+/api/client/setIsEnrolledInRmToFalse
|
|
|
+/api/client/setIsEnrolledInRmToTrue
|
|
|
+/api/client/putRmePro
|
|
|
+/api/client/removeRmePro
|
|
|
+/api/client/putRmmPro
|
|
|
+/api/client/removeRmmPro
|
|
|
+/api/client/setIsEnrolledInRmToTrue
|
|
|
+/api/client/updateClientBpWeightPhoneNumberStatus
|
|
|
+/api/client/putClientRepFollowUp
|
|
|
+/api/client/putMcp
|
|
|
+/api/client/putRmReasons
|
|
|
+/api/client/sendCheckInTokenViaSmsOrEmail
|
|
|
+/api/client/updateBestTimeToCall
|
|
|
+/api/client/updateMcpOnboardingVisitInfo
|
|
|
+/api/client/updateMcpOnboardingVisitInfo
|
|
|
+/api/client/updateWatchPatAppInstalled
|
|
|
+/api/client/updateWatchPatAllocation
|
|
|
+/api/client/updateWatchPatInsuranceCoverage
|
|
|
+/api/client/updateWatchPatManagerAssignment
|
|
|
+/api/client/updateWatchPatMedicalNecessity
|
|
|
+/api/client/updateWatchPatPatientInterest
|
|
|
+/api/client/updateWatchPatPatientReady
|
|
|
+/api/client/updateWatchPatReceivedByPatient
|
|
|
+/api/client/updateWatchPatReceivedByManager
|
|
|
+/api/client/updateWatchPatResultsCommunicatedToOtherDoctors
|
|
|
+/api/client/updateWatchPatResultsCommunicatedToPatient
|
|
|
+/api/client/updateWatchPatShipmentToPatient
|
|
|
+/api/client/updateWatchPatShipmentToManager
|
|
|
+/api/client/updateWatchPatSignsAndSymptoms
|
|
|
+/api/client/updateSleepApneaBackground
|
|
|
+/api/client/updateWatchPatSleepSpecialistAssignment
|
|
|
+/api/client/updateHomeAddressForWatchPatStudy
|
|
|
+/api/client/updateWatchPatStudyAuthorized
|
|
|
+/api/client/updateWatchPatStudyRawDataStatus
|
|
|
+/api/client/updateWatchPatStudyInstructionsGiven
|
|
|
+/api/client/updateWatchPatStudyOrdered
|
|
|
+/api/client/updateWatchPatResults
|
|
|
+/api/client/updateBmiManagementSettingsValue
|
|
|
+/api/client/updateBpManagementSettingsValue
|
|
|
+/api/client/getNextClientForVideoVisit
|
|
|
+/api/client/putMcpUsualFollowUpFrequencyInDays
|
|
|
+/api/client/editName
|
|
|
+/api/client/putNewEmailAddress
|
|
|
+/api/client/undoMarkEmailAddressAsWaived
|
|
|
+/api/client/putNewEmailAddress
|
|
|
+/api/client/markEmailAddressAsWaived
|
|
|
+/api/client/removeMcp
|
|
|
+/api/client/putDefaultNaPro
|
|
|
+/api/client/removeDefaultNaPro
|
|
|
+/api/client/updateClientEngagementAssessmentStatus
|
|
|
+/api/client/updateMcpEngagementAssessmentStatus
|
|
|
+/api/client/updateDefaultNaEngagementAssessmentStatus
|
|
|
+/api/client/updateStickyNote
|
|
|
+/api/client/putMcp
|
|
|
+/api/client/updateClientEngagementAssessmentStatus
|
|
|
+/api/client/updateMcpOnboardingVisitInfo
|
|
|
+/api/client/putMcpUsualFollowUpFrequencyInDays
|
|
|
+/api/client/sendCheckInTokenViaSmsOrEmail
|
|
|
+/api/client/removeMcp
|
|
|
+/api/client/updateMcpEngagementAssessmentStatus
|
|
|
+/api/client/putDefaultNaPro
|
|
|
+/api/client/removeDefaultNaPro
|
|
|
+/api/client/updateDefaultNaEngagementAssessmentStatus
|
|
|
+/api/client/updateStickyNote
|
|
|
+/api/client/putMcp
|
|
|
+/api/client/updateCmEligibility
|
|
|
+/api/client/setIsEnrolledInCmToTrue
|
|
|
+/api/client/setIsEnrolledInCmToFalse
|
|
|
+/api/client/updateCmEnrollmentConsentInfo
|
|
|
+/api/client/updateWhyNotEnrolledInCm
|
|
|
+/api/client/updateRmEligibility
|
|
|
+/api/client/setIsEnrolledInRmToTrue
|
|
|
+/api/client/setIsEnrolledInRmToFalse
|
|
|
+/api/client/updateWhyNotEnrolledInRm
|
|
|
+/api/client/updateRmReasons
|