Summary Table

Categories Total Count
PII 0
URL 0
DNS 0
EKL 0
IP 0
PORT 0
VsID 0
CF 0
AI 0
VPD 0
PL 0
Other 0

File Content


<ng-container>
<div class="accordion ewv" [ngClass]="{'split': isSplitView}">
<!-- <input #otherHealthInfoInput id="{{accordionId}}" type="checkbox" name="otherHealthInfo" [checked]="collapseState" [(ngModel)]="collapseState"> -->
<input id="{{accordionId}}" type="checkbox" name="otherHealthInfo" [checked]="collapseState" [(ngModel)]="collapseState"
role="button" aria-label="Other Health Information Section">
<label id="LBL_title_ohiInfo_1" for="{{accordionId}}">Other Health Information (OHI)</label>
<h5 *ngIf="ohiInfo" class="icon-function acc-adj truncate">
<!-- <ng-container *ngIf="ohiInfo.primaryOhi && ohiInfo.secondaryOhi != null"> -->
<ng-container *ngIf="isRightSide">
<span *ngIf="ohiInfo?.primaryOhi?.otherPayerName">P:
<span appHighlight [leftSideData]="compareOhiInfo?.primaryOhi?.otherPayerName" [rightSideData]="ohiInfo?.primaryOhi?.otherPayerName"
title="{{ ohiInfo?.primaryOhi?.otherPayerName }}">{{ ohiInfo?.primaryOhi?.otherPayerName }}</span>
<span appHighlight [leftSideData]="getPayerIdString(compareOhiInfo?.primaryOhi?.ohiPayerId)" [rightSideData]="getPayerIdString(ohiInfo?.primaryOhi?.ohiPayerId)">{{ getPayerIdString(ohiInfo?.primaryOhi?.ohiPayerId) }}</span>
</span>
<span *ngIf="ohiInfo?.secondaryOhi?.otherPayerName">S:
<span appHighlight [leftSideData]="compareOhiInfo?.secondaryOhi?.otherPayerName" [rightSideData]="ohiInfo?.secondaryOhi?.otherPayerName"
title="{{ ohiInfo?.secondaryOhi?.otherPayerName }}">{{ ohiInfo?.secondaryOhi?.otherPayerName }}</span>
<span appHighlight [leftSideData]="getPayerIdString(compareOhiInfo?.secondaryOhi?.ohiPayerId)" [rightSideData]="getPayerIdString(ohiInfo?.secondaryOhi?.ohiPayerId)">{{ getPayerIdString(ohiInfo?.secondaryOhi?.ohiPayerId) }}</span>
</span>
<span *ngIf="ohiInfo?.tertiaryOhi?.otherPayerName">T:
<span appHighlight [leftSideData]="compareOhiInfo?.tertiaryOhi?.otherPayerName" [rightSideData]="ohiInfo?.tertiaryOhi?.otherPayerName"
title="{{ ohiInfo?.tertiaryOhi?.otherPayerName }}">{{ ohiInfo?.tertiaryOhi?.otherPayerName }}</span>
<span appHighlight [leftSideData]="getPayerIdString(compareOhiInfo?.tertiaryOhi?.ohiPayerId)" [rightSideData]="getPayerIdString(ohiInfo?.tertiaryOhi?.ohiPayerId)">{{ getPayerIdString(ohiInfo?.tertiaryOhi?.ohiPayerId) }}</span>
</span>
</ng-container>
<ng-container *ngIf="!isRightSide">
<span *ngIf="ohiInfo?.primaryOhi?.otherPayerName" title="{{ ohiInfo?.primaryOhi?.otherPayerName }}">P: {{ ohiInfo?.primaryOhi?.otherPayerName }} {{ getPayerIdString(ohiInfo?.primaryOhi?.ohiPayerId) }}</span>
<span *ngIf="ohiInfo?.secondaryOhi?.otherPayerName" title="{{ ohiInfo?.secondaryOhi?.otherPayerName }}">S: {{ ohiInfo?.secondaryOhi?.otherPayerName }} {{ getPayerIdString(ohiInfo?.secondaryOhi?.ohiPayerId) }}</span>
<span *ngIf="ohiInfo?.tertiaryOhi?.otherPayerName" title="{{ ohiInfo?.tertiaryOhi?.otherPayerName }}">T: {{ ohiInfo?.tertiaryOhi?.otherPayerName }} {{ getPayerIdString(ohiInfo?.tertiaryOhi?.ohiPayerId) }}
</span>
</ng-container>
</h5>
<div class="accordion-content row">
<app-messages [ewvNoInfo]="ohiInfo?.primaryOhi?.otherPayerName === null && ohiInfo?.secondaryOhi?.otherPayerName === null && ohiInfo?.tertiaryOhi?.otherPayerName === null" [ewvMsg]="ohiInfoMsg"></app-messages>
<div *ngIf="ohiInfo?.primaryOhi?.otherPayerName === null && ohiInfo?.secondaryOhi?.otherPayerName === null && ohiInfo?.tertiaryOhi?.otherPayerName === null" class="row"></div>
<div *ngIf="ohiInfo?.primaryOhi?.otherPayerName != null || ohiInfo?.secondaryOhi?.otherPayerName != null || ohiInfo?.tertiaryOhi?.otherPayerName != null" class="col three" [ngStyle]="{'width': isSplitView ? '788px' : '1191px'}">
<table class="ohi-info-table">
<thead>
<tr>
<th colspan="5" style="text-align: right;">Claim Level Adjustments:&nbsp;</th>
<th class="table-tint">Primary Paid</th>
<th class="table-tint">Adj.</th>
<th class="table-tint">Adj. Amount</th>
<th>Secondary Paid</th>
<th>Adj.</th>
<th>Adj. Amount</th>
<th class="table-tint">Tertiary Paid</th>
<th class="table-tint">Adj.</th>
<th class="table-tint">Adj. Amount</th>
</tr>
</thead>
<tbody>
<ng-container *ngIf="claimLevelAdjustmentsRows.length > 0">
<ng-container *ngIf="isRightSide">
<tr *ngFor="let claim of claimLevelAdjustmentsRowsList; index as i">
<td colspan="5">&nbsp;</td>
<td class="table-tint">
<span appHighlight [leftSideData]="'$' + compareClaimLevelAdjustmentsRows[i]?.primaryOhiInfo?.payerPaidAmount" [rightSideData]="'$' + claimLevelAdjustmentsRows[i]?.primaryOhiInfo?.payerPaidAmount">
{{ getDollarSignString(claimLevelAdjustmentsRows[i]?.primaryOhiInfo?.payerPaidAmount) }}
</span>
</td>
<!-- <td class="table-tint">{{ claim.primaryOhiInfo.adjustmentCode }}</td> -->
<td class="table-tint">
<div *ngIf="claimLevelAdjustmentsRows[i]?.primaryOhiInfo" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_1">
<span appHighlight [leftSideData]="compareClaimLevelAdjustmentsRows[i]?.primaryOhiInfo?.adjustmentCode" [rightSideData]="claimLevelAdjustmentsRows[i]?.primaryOhiInfo?.adjustmentCode">
{{claimLevelAdjustmentsRows[i]?.primaryOhiInfo?.adjustmentCode }}</span>
</a>
<span id="SPN_wildcard_ohiInfo_1" role="tooltip">{{ claimLevelAdjustmentsRows[i]?.primaryOhiInfo?.adjustmentCode }}: {{ claimLevelAdjustmentsRows[i]?.primaryOhiInfo?.descriptionLong
}}
</span>
</div>

<!-- Remove Primary ADJ Below -->
<!-- <app-tooltip [data]='claimLevelAdjustmentsRows[i].primaryOhiInfo' [type]='"tableAdj_v2"'></app-tooltip> -->
</td>
<td class="table-tint">
<span appHighlight [leftSideData]="'$' + compareClaimLevelAdjustmentsRows[i]?.primaryOhiInfo.adjustmentAmount" [rightSideData]="'$' + claimLevelAdjustmentsRows[i]?.primaryOhiInfo.adjustmentAmount">{{ '$' + claimLevelAdjustmentsRows[i]?.primaryOhiInfo.adjustmentAmount }}</span>
</td>
<td>
<span appHighlight [leftSideData]="getDollarSignString(compareClaimLevelAdjustmentsRows[i]?.secondaryOhiInfo.payerPaidAmount)"
[rightSideData]="getDollarSignString(claimLevelAdjustmentsRows[i]?.secondaryOhiInfo.payerPaidAmount)">
{{ getDollarSignString(claimLevelAdjustmentsRows[i]?.secondaryOhiInfo.payerPaidAmount) }}
</span>
</td>
<!-- <td>{{ claimLevelAdjustmentsRows[i].secondaryOhiInfo.adjustmentCode }}</td> -->
<td>
<div *ngIf="claimLevelAdjustmentsRows[i]?.secondaryOhiInfo" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_2">
<span appHighlight [leftSideData]="compareClaimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.adjustmentCode" [rightSideData]="claimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.adjustmentCode">
{{ claimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.adjustmentCode }}
</span>
</a>
<span id="SPN_wildcard_ohiInfo_2" role="tooltip">{{ claimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.adjustmentCode }}: {{ claimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.descriptionLong
}}
</span>
</div>

<!-- Remove Secondary ADJ Below -->
</td>
<td>
<span appHighlight [leftSideData]="'$' + compareClaimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.adjustmentAmount" [rightSideData]="'$' + claimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.adjustmentAmount">
{{ getDollarSignString(claimLevelAdjustmentsRows[i]?.secondaryOhiInfo?.adjustmentAmount) }}
</span>
</td>
<td class="table-tint">{{ getDollarSignString(claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.payerPaidAmount) }}</td>
<!-- <td class="table-tint">{{ claimLevelAdjustmentsRows[i].tertiaryOhiInfo.adjustmentCode }}</td> -->
<td class="table-tint">
<div *ngIf="claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_3">
<span appHighlight [leftSideData]="compareClaimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.adjustmentCode" [rightSideData]="claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.adjustmentCode">
{{ claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.adjustmentCode }}
</span>
</a>
<span id="SPN_wildcard_ohiInfo_3" role="tooltip">{{ claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.adjustmentCode }}: {{ claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.descriptionLong
}}
</span>
</div>

<!-- Remove Tertiary ADJ Below -->
<!-- <app-tooltip [data]='claimLevelAdjustmentsRows[i].tertiaryOhiInfo' [type]='"tableAdj_v2"'></app-tooltip> -->
</td>
<td class="table-tint">
<span appHighlight [leftSideData]="getDollarSignString(compareClaimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.adjustmentAmount)"
[rightSideData]="getDollarSignString(claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.adjustmentAmount)">
{{ getDollarSignString(claimLevelAdjustmentsRows[i]?.tertiaryOhiInfo?.adjustmentAmount) }}
</span>
</td>
</tr>
<!-- end of loop -->
</ng-container>
<ng-container *ngIf="!isRightSide">
<tr *ngFor="let claim of claimLevelAdjustmentsRows; index as i">
<td colspan="5">&nbsp;</td>
<td class="table-tint">
{{ getDollarSignString(claim?.primaryOhiInfo?.payerPaidAmount) }}
</td>
<!-- <td class="table-tint">{{ claim.primaryOhiInfo.adjustmentCode }}</td> -->
<td class="table-tint">
<div *ngIf="claim?.primaryOhiInfo" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_4">{{ claim?.primaryOhiInfo?.adjustmentCode }}</a>
<span id="SPN_wildcard_ohiInfo_4" role="tooltip">{{ claim?.primaryOhiInfo?.adjustmentCode }}: {{ claim?.primaryOhiInfo?.descriptionLong }}</span>
</div>

<!-- Remove Primary ADJ Below -->
<!-- <app-tooltip [data]='claim.primaryOhiInfo' [type]='"tableAdj_v2"'></app-tooltip> -->
</td>
<td class="table-tint">
{{ getDollarSignString(claim?.primaryOhiInfo?.adjustmentAmount) }}
</td>
<td>{{ getDollarSignString(claim?.secondaryOhiInfo?.payerPaidAmount) }}</td>
<!-- <td>{{ claim.secondaryOhiInfo.adjustmentCode }}</td> -->
<td>
<div *ngIf="claim?.secondaryOhiInfo" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_5">{{ claim?.secondaryOhiInfo?.adjustmentCode }}</a>
<span id="SPN_wildcard_ohiInfo_5" role="tooltip">
{{ claim?.secondaryOhiInfo?.adjustmentCode }}: {{ claim?.secondaryOhiInfo?.descriptionLong }}
</span>
</div>
<!-- Remove Secondary ADJ Below -->
</td>
<td>
{{ getDollarSignString(claim?.secondaryOhiInfo?.adjustmentAmount) }}
</td>
<td class="table-tint">{{ getDollarSignString(claim?.tertiaryOhiInfo?.payerPaidAmount) }}</td>
<!-- <td class="table-tint">{{ claim.tertiaryOhiInfo.adjustmentCode }}</td> -->
<td class="table-tint">
<div *ngIf="claim?.tertiaryOhiInfo" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_6">{{ claim?.tertiaryOhiInfo?.adjustmentCode }}</a>
<span id="SPN_wildcard_ohiInfo_6" role="tooltip">{{ claim?.tertiaryOhiInfo?.adjustmentCode }}: {{ claim?.tertiaryOhiInfo?.descriptionLong }}</span>
</div>
<!-- Remove Tertiary ADJ Below -->
<!-- <app-tooltip [data]='claim.tertiaryOhiInfo' [type]='"tableAdj_v2"'></app-tooltip> -->
</td>
<td class="table-tint">{{ getDollarSignString(claim?.tertiaryOhiInfo?.adjustmentAmount) }}</td>
</tr>
<!-- end of loop -->
</ng-container>
</ng-container>
</tbody>
<thead>
<tr>
<th>Line #</th>
<th>Svc. From</th>
<th>Amount</th>
<th>Proc.</th>
<th>Mod.</th>
<th class="table-tint">Primary Paid</th>
<th class="table-tint">Adj.</th>
<th class="table-tint">Adj. Amount</th>
<th>Secondary Paid</th>
<th>Adj.</th>
<th>Adj. Amount</th>
<th class="table-tint">Tertiary Paid</th>
<th class="table-tint">Adj.</th>
<th class="table-tint">Adj. Amount</th>
</tr>
</thead>
<!-- SECOND BODY -->
<tbody>
<ng-container *ngIf="(ohiInfo?.claimOhiList && ohiInfo?.claimOhiList.length >0) && (ohiInfo?.quickviewServiceLineOhiOutputRows && ohiInfo?.quickviewServiceLineOhiOutputRows.length > 0)" >
<!-- *** -->
<ng-container *ngIf="isRightSide">
<tr *ngFor="let line of quickviewServiceLineOhiOutputRowsList; let i = index" >
<!-- ohiInfo?.quickviewServiceLineOhiOutputRows[i] -->
<td>
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.lineNumber" [rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.lineNumber">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.lineNumber }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.beginDateOfService" [rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.beginDateOfService">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.beginDateOfService }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.charge" [rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.charge">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.charge ? '$' + ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.charge :
'' }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryPayerProcedureCode" [rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryPayerProcedureCode">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryPayerProcedureCode }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.ohiModifiers" [rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.ohiModifiers">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.ohiModifiers }}
</span>
</td>
<td class="table-tint">
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryPayerPaidAmount" [rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryPayerPaidAmount">
{{ getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryPayerPaidAmount) }}
</span>
</td>
<td class="table-tint">
<div *ngIf="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_7">
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.adjustmentCode"
[rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.adjustmentCode">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.adjustmentCode }}
</span>
</a>
<span id="SPN_wildcard_ohiInfo_7" role="tooltip">{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.adjustmentCode }}:
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.descriptionLong }}
</span>
</div>
</td>
<td class="table-tint">
<span appHighlight [leftSideData]="getDollarSignString(compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.adjustmentAmount)"
[rightSideData]="getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.adjustmentAmount)">
{{ getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.primaryServiceLineAdjustment?.adjustmentAmount) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="getDollarSignString(compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryPayerPaidAmount)"
[rightSideData]="getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryPayerPaidAmount)">
{{ getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryPayerPaidAmount) }}
</span>
</td>
<td>
<div *ngIf="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_8">
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.adjustmentCode"
[rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.adjustmentCode">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.adjustmentCode }}
</span>
</a>
<span id="SPN_wildcard_ohiInfo_8" role="tooltip">{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.adjustmentCode }}:
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.descriptionLong
}}
</span>
</div>
</td>
<td>
<span appHighlight [leftSideData]="getDollarSignString(compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.adjustmentAmount)"
[rightSideData]="getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.adjustmentAmount)">
{{ getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.secondaryServiceLineAdjustment?.adjustmentAmount) }}
</span>
</td>
<td class="table-tint">
<span appHighlight [leftSideData]="getDollarSignString(compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryPayerPaidAmount)"
[rightSideData]="getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryPayerPaidAmount)">
{{ getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryPayerPaidAmount) }}
</span>
</td>
<td class="table-tint">
<div *ngIf="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_9">
<span appHighlight [leftSideData]="compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.adjustmentCode"
[rightSideData]="ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.adjustmentCode">
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.adjustmentCode }}
</span>
,&nbsp;
</a>
<span id="SPN_wildcard_ohiInfo_9" role="tooltip">{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.adjustmentCode }}:
{{ ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.descriptionLong
}}
</span>
</div>
</td>
<td class="table-tint">
<span appHighlight [leftSideData]="getDollarSignString(compareOhiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.adjustmentAmount)"
[rightSideData]="getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.adjustmentAmount)">
{{ getDollarSignString(ohiInfo?.quickviewServiceLineOhiOutputRows[i]?.tertiaryServiceLineAdjustment?.adjustmentAmount) }}
</span>
</td>
</tr>
<!-- end of loop -->
</ng-container>
<!-- *** -->
<ng-container *ngIf="!isRightSide">
<tr *ngFor="let line of ohiInfo?.quickviewServiceLineOhiOutputRows; let i = index">
<td>
{{ line?.lineNumber }}</td>
<td>
{{ line?.beginDateOfService }}</td>
<td>
{{ line?.charge ? '$' + line?.charge : '' }}</td>
<td>
{{ line?.primaryPayerProcedureCode }}</td>
<td>
{{ line?.ohiModifiers }}</td>
<td class="table-tint">{{ getDollarSignString(line?.primaryPayerPaidAmount) }}
</td>
<td class="table-tint">
<div *ngIf="line?.primaryServiceLineAdjustment" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_10">{{ line?.primaryServiceLineAdjustment?.adjustmentCode }}</a>
<span id="SPN_wildcard_ohiInfo_10" role="tooltip">{{ line?.primaryServiceLineAdjustment?.adjustmentCode }}: {{ line?.primaryServiceLineAdjustment?.descriptionLong
}}
</span>
</div>
</td>
<td class="table-tint">{{ getDollarSignString(line?.primaryServiceLineAdjustment?.adjustmentAmount) }}</td>
<td>{{ getDollarSignString(line?.secondaryPayerPaidAmount) }}</td>
<td>
<div *ngIf="line?.secondaryServiceLineAdjustment" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_11">{{ line?.secondaryServiceLineAdjustment?.adjustmentCode }}</a>
<span id="SPN_wildcard_ohiInfo_11" role="tooltip">{{ line?.secondaryServiceLineAdjustment?.adjustmentCode }}: {{ line?.secondaryServiceLineAdjustment?.descriptionLong
}}
</span>
</div>
</td>
<td>{{ getDollarSignString(line.secondaryServiceLineAdjustment?.adjustmentAmount) }}</td>
<td class="table-tint">{{ getDollarSignString(line?.tertiaryPayerPaidAmount) }}</td>
<td class="table-tint">
<div *ngIf="line?.tertiaryServiceLineAdjustment" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_12"> {{ line?.tertiaryServiceLineAdjustment?.adjustmentCode }},&nbsp;</a>
<span id="SPN_wildcard_ohiInfo_12" role="tooltip">{{ line?.tertiaryServiceLineAdjustment?.adjustmentCode }}: {{ line?.tertiaryServiceLineAdjustment?.descriptionLong
}}
</span>
</div>
</td>
<td class="table-tint">
{{ getDollarSignString(line?.tertiaryServiceLineAdjustment?.adjustmentAmount) }}
</td>
</tr>
<!-- end of loop -->
</ng-container>
<!-- *** -->
</ng-container>
<tr>
<td colspan="5" style="text-align: right; font-weight: 700;">Remittance Remark Codes:&nbsp;</td>
<td colspan="3" class="table-tint">
<ng-container *ngIf="isRightSide">
<ng-container *ngIf="ohiInfo?.primaryOhi">
<div *ngFor="let remarkCode of ohiInfo?.primaryOhi?.remittanceRemarkCodes; index as i" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_13">
<span appHighlight [leftSideData]="compareOhiInfo?.primaryOhi?.remittanceRemarkCodes[i]?.code" [rightSideData]="ohiInfo?.primaryOhi?.remittanceRemarkCodes[i]?.code">
{{ohiInfo?.primaryOhi?.remittanceRemarkCodes[i]?.code}}
</span>,&nbsp;
</a>
<span id="SPN_wildcard_ohiInfo_13" role="tooltip">{{ohiInfo?.primaryOhi?.remittanceRemarkCodes[i]?.code}}: {{ohiInfo?.primaryOhi?.remittanceRemarkCodes[i]?.remarkLong}}</span>
</div>
</ng-container>
</ng-container>
<ng-container *ngIf="!isRightSide">
<ng-container *ngIf="ohiInfo?.primaryOhi">
<div *ngFor="let remarkCode of ohiInfo.primaryOhi.remittanceRemarkCodes" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_14">{{remarkCode?.code}},&nbsp;</a>
<span id="SPN_wildcard_ohiInfo_14" role="tooltip">{{remarkCode?.code}}: {{remarkCode?.remarkLong}}</span>
</div>
</ng-container>
</ng-container>
</td>
<td colspan="3">
<ng-container *ngIf="isRightSide">
<ng-container *ngIf="ohiInfo?.secondaryOhi">
<div *ngFor="let remarkCode of ohiInfo?.secondaryOhi?.remittanceRemarkCodes; index as i" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_15">
<span appHighlight [leftSideData]="compareOhiInfo?.secondaryOhi?.remittanceRemarkCodes[i]?.code" [rightSideData]="ohiInfo?.secondaryOhi?.remittanceRemarkCodes[i]?.code">
{{ohiInfo?.secondaryOhi?.remittanceRemarkCodes[i]?.code}}
</span>,&nbsp;
</a>
<span id="SPN_wildcard_ohiInfo_15" role="tooltip">{{ohiInfo?.secondaryOhi?.remittanceRemarkCodes[i]?.code}}: {{ohiInfo?.secondaryOhi?.remittanceRemarkCodes[i]?.remarkLong}}</span>
</div>
</ng-container>
</ng-container>
<ng-container *ngIf="!isRightSide">
<ng-container *ngIf="ohiInfo?.secondaryOhi">
<div *ngFor="let remarkCode of ohiInfo.secondaryOhi.remittanceRemarkCodes" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_16">{{remarkCode?.code}},&nbsp;</a>
<span id="SPN_wildcard_ohiInfo_16" role="tooltip">{{remarkCode?.code}}: {{remarkCode?.remarkLong}}</span>
</div>
</ng-container>
</ng-container>
</td>
<!-- tertiaryOhi -->
<td colspan="3" class="table-tint">
<ng-container *ngIf="isRightSide">
<ng-container *ngIf="ohiInfo?.tertiaryOhi">
<div *ngFor="let remarkCode of ohiInfo?.tertiaryOhi?.remittanceRemarkCodes; index as i" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_17">
<span appHighlight [leftSideData]="compareOhiInfo?.tertiaryOhi?.remittanceRemarkCodes[i]?.code" [rightSideData]="ohiInfo?.tertiaryOhi?.remittanceRemarkCodes[i]?.code">
{{ohiInfo?.tertiaryOhi?.remittanceRemarkCodes[i]?.code}}
</span>,&nbsp;
</a>
<span id="SPN_wildcard_ohiInfo_17" role="tooltip">{{ohiInfo?.tertiaryOhi?.remittanceRemarkCodes[i]?.code}}: {{ohiInfo?.tertiaryOhi?.remittanceRemarkCodes[i]?.remarkLong}}</span>
</div>
</ng-container>
</ng-container>
<ng-container *ngIf="!isRightSide">
<ng-container *ngIf="ohiInfo?.tertiaryOhi">
<div *ngFor="let remarkCode of ohiInfo.tertiaryOhi.remittanceRemarkCodes" class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiInfo_18">{{remarkCode?.code}},&nbsp;</a>
<span id="SPN_wildcard_ohiInfo_18" role="tooltip">{{remarkCode?.code}}: {{remarkCode?.remarkLong}}</span>
</div>
</ng-container>
</ng-container>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</ng-container>
<!-- <app-messages [ewvStatus]="!ohiInfo" [ewvMsg]="ohiInfoMsg"></app-messages> -->