123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263 |
- /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
|