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
<div class="accordion ewv" [ngClass]="{'split': isSplitView}">
<!-- Accordion Trigger -->
<input id={{accordionId}} type="checkbox" name="OhiLineAdjAccordion" [(ngModel)]="collapseState" role="button" aria-label="O H I Service Line Adjustments Section">
<label id="LBL_title_ohiLineAdjustment_1" for={{accordionId}}>OHI Service Line Adjustments</label>
<!-- Accordion Content -->
<div [style.backgroundColor]="" class="accordion-content row">
<app-messages [ewvNoInfo]="!ohiSrvcLineAdjInfo" [ewvMsg]="ohiMsg"></app-messages>
<div *ngIf="!ohiSrvcLineAdjInfo" class="row"></div>
<div *ngIf="ohiSrvcLineAdjInfo">
<app-messages [ewvNoInfo]="ohiSrvcLineAdjInfo.length===0" [ewvMsg]="ohiMsg"></app-messages>
<div *ngIf="ohiSrvcLineAdjInfo.length===0" class="row"></div>
</div>
<div *ngIf="ohiSrvcLineAdjInfo">
<div *ngIf="ohiSrvcLineAdjInfo.length!==0">
<!-- OHI service line adjustments table -->
<table id="TBL_ohiSrvcLineAdjInfo_ohiLineAdjustment_1" class="ewv-table row-hover">
<thead>
<tr>
<th id="TH_lineNumber_ohiLineAdjustment_1">Line #</th>
<th id="TH_adjudicationDate_ohiLineAdjustment_1">Adj. Date</th>
<th id="TH_ohiId_ohiLineAdjustment_1">OHI ID</th>
<th id="TH_paymentSequenceIndicator_ohiLineAdjustment_1">PST</th>
<th id="TH_from_ohiLineAdjustment_1">From</th>
<th id="TH_bundledUnbundled_ohiLineAdjustment_1">B/U</th>
<th id="TH_revenueCode_ohiLineAdjustment_1">Rev.</th>
<th id="TH_procedureCode_ohiLineAdjustment_1">Proc.</th>
<th id="TH_modifiers_ohiLineAdjustment_1">Modifiers</th>
<th id="TH_lineCharge_ohiLineAdjustment_1">Line Charge</th>
<th id="TH_ohiPaid_ohiLineAdjustment_1">OHI Paid</th>
<th id="TH_quantity_ohiLineAdjustment_1">Qty.</th>
<th id="TH_adjustmentCode_ohiLineAdjustment_1">Adj.</th>
<th id="TH_amount_ohiLineAdjustment_1">Total Non-Covered Amount</th>
</tr>
</thead>
<tbody id="TB_ohiSrvcLineAdjInfo_ohiLineAdjustment_1">
<ng-container *ngIf="isRightSide">
<tr id="TR_ohiSrvcLineAdjInfo_data_ohiLineAdjustment_{{i + 1}}" *ngFor="let row of ohiSrvcLineAdjInfoList; index as i">
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.lineNumber" [rightSideData]="ohiSrvcLineAdjInfo[i]?.lineNumber">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.lineNumber) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.adjudicationDate" [rightSideData]="ohiSrvcLineAdjInfo[i]?.adjudicationDate">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.adjudicationDate) }}
</span>
</td>
<!-- "OHI ID" is "payerId" in the response -->
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.payerId" [rightSideData]="ohiSrvcLineAdjInfo[i]?.payerId">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.payerId) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.paymentSequenceIndicator" [rightSideData]="ohiSrvcLineAdjInfo[i]?.paymentSequenceIndicator">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.paymentSequenceIndicator) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.beginDateOfService" [rightSideData]="ohiSrvcLineAdjInfo[i]?.beginDateOfService">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.beginDateOfService) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.bundledUnbundledLineNumber" [rightSideData]="ohiSrvcLineAdjInfo[i]?.bundledUnbundledLineNumber">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.bundledUnbundledLineNumber) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.revenueCode" [rightSideData]="ohiSrvcLineAdjInfo[i]?.revenueCode">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.revenueCode) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.procedureCode" [rightSideData]="ohiSrvcLineAdjInfo[i]?.procedureCode">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.procedureCode) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.modifiers" [rightSideData]="ohiSrvcLineAdjInfo[i]?.modifiers">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.modifiers) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.lineCharge" [rightSideData]="ohiSrvcLineAdjInfo[i]?.lineCharge">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.lineCharge) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.payerPaidAmount" [rightSideData]="ohiSrvcLineAdjInfo[i]?.payerPaidAmount">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.payerPaidAmount) }}
</span>
</td>
<td>
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.quantity" [rightSideData]="ohiSrvcLineAdjInfo[i]?.quantity">
{{ getDisplayString(ohiSrvcLineAdjInfo[i]?.quantity) }}
</span>
</td>
<td id="TD_adjustmentCode_ohiLineAdjustment_{{i + 1}}" [style.backgroundColor]="rowsWithoutLineNumbersDiffs && row.lineNumber && isRightSide &&
rowsWithoutLineNumbersDiffs[row.lineNumber]?.adjustment?.hasOwnProperty('adjustmentCode') ? '#ffea99' : 'transparent'">
<div class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiLine_1">
<span appHighlight [leftSideData]="compareOhiSrvcLineAdjInfo[i]?.adjustment?.adjustmentCode" [rightSideData]="ohiSrvcLineAdjInfo[i]?.adjustment?.adjustmentCode">
{{ ohiSrvcLineAdjInfo[i]?.adjustment?.adjustmentCode }}
</span>
</a>
<span id="SPN_wildcard_ohiLine_1" role="tooltip">{{ ohiSrvcLineAdjInfo[i]?.adjustment?.adjustmentCode }}: {{ ohiSrvcLineAdjInfo[i]?.adjustment?.descriptionLong
}}
</span>
</div>
<!-- <app-tooltip [data]='row' [type]='"tableAdj"'></app-tooltip> -->
</td>
<td id="TD_amount_ohiLineAdjustment_{{i + 1}}">
<span appHighlight [leftSideData]="getDollarSignString(compareOhiSrvcLineAdjInfo[i]?.adjustment?.adjustmentAmount)" [rightSideData]="getDollarSignString(ohiSrvcLineAdjInfo[i]?.adjustment?.adjustmentAmount)">
{{ getDollarSignString(ohiSrvcLineAdjInfo[i]?.adjustment?.adjustmentAmount) }}
</span>
</td>
</tr>
</ng-container>
<ng-container *ngIf="!isRightSide">
<tr id="TR_ohiSrvcLineAdjInfo_data_ohiLineAdjustment_{{i + 1}}" *ngFor="let row of ohiSrvcLineAdjInfo; index as i">
<td>
<span>
{{ getDisplayString(row?.lineNumber) }}
</span>
</td>
<td id="TD_adjudicationDate_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.adjudicationDate) }}
</td>
<!-- "OHI ID" is "payerId" in the response -->
<td id="TD_ohiId_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.payerId) }}
</td>
<td id="TD_paymentSequenceIndicator_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.paymentSequenceIndicator) }}
</td>
<td id="TD_from_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.beginDateOfService) }}
</td>
<td id="TD_bundledUnbundled_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.bundledUnbundledLineNumber) }}
</td>
<td id="TD_revenueCode_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.revenueCode) }}
</td>
<td id="TD_procedureCode_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.procedureCode) }}
</td>
<td id="TD_modifiers_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.modifiers) }}
</td>
<td id="TD_lineCharge_ohiLineAdjustment_{{i + 1}}">
{{ getDollarSignString(row?.lineCharge) }}
</td>
<td id="TD_ohiPaid_ohiLineAdjustment_{{i + 1}}">
{{ getDollarSignString(row?.payerPaidAmount) }}
</td>
<td id="TD_quantity_ohiLineAdjustment_{{i + 1}}">
{{ getDisplayString(row?.quantity) }}
</td>
<td id="TD_adjustmentCode_ohiLineAdjustment_{{i + 1}}">
<div class="tooltip">
<a [tabindex]="tabbableIdx" aria-describedby="SPN_wildcard_ohiLine_2"> {{ row?.adjustment?.adjustmentCode }}</a>
<span id="SPN_wildcard_ohiLine_2" role="tooltip">{{ row?.adjustment?.adjustmentCode }}: {{ row?.adjustment?.descriptionLong }}</span>
</div>
<!-- <app-tooltip [data]='row' [type]='"tableAdj"'></app-tooltip> -->
</td>
<td id="TD_amount_ohiLineAdjustment_{{i + 1}}">{{ getDollarSignString(row.adjustment?.adjustmentAmount) }}</td>
</tr>
</ng-container>
</tbody>
</table>
</div>
</div>
</div>
</div>