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="modal-overlay clear" [class.modal-show]="!loadingSpinnerClosed" [style.visibility]="loadingSpinnerClosed? 'hidden': 'visible'">
<div class="spinner-content center-align">
<div class="redirect">
<app-spinner></app-spinner>
</div>
</div>
</div> -->
<app-ewv-base [title]="title">
<app-messages id="CMP_appMessage_ewvSearch_1" [infoStatusSolid]="infoStatusSolid" [infoMsg]="infoMsg"></app-messages>
<app-messages id="CMP_appMessage_ewvSearch_2" [successStatus]="successStatus" [successMsg]="successMsg" [errorMsg]="errorMsg"
[errorStatus]="errorStatus"></app-messages>
<app-messages id="CMP_appMessage_ewvSearch_3" [warningStatus]="archiveSuccessStatus" [warningMsg]="archiveSuccessMsg" [errorMsg]="archiveErrorMsg"
[errorStatus]="archiveErrorStatus"></app-messages>
<!-- <app-messages [ewvNoInfo]="ewvNoInfo" [ewvMsg]="ewvMessage"></app-messages> -->
<article>
<div class="row"></div>
<div class="container fade-in">
<!-- Card Tabs -->
<div class="card-tabs blue-tab">
<section>
<!-- Tab 1 -->
<input id="tab1" type="radio" checked="checked" name="tabs" #primaryRadioButton role="tab" />
<!-- Add this tag when there is more than one Tab: aria-label="PDI Lookup Tab. To switch tabs, use arrow keys." -->
<label id="label1" for="tab1" class="tab-label">PDI Lookup</label>
<!-- Tab 1 Content -->
<div class="tab-content">
<!-- <app-messages [ewvNoInfo]="ewvNoInfo" [ewvMsg]="ewvMessage"></app-messages> -->
<div class="col three">
<div class="card-head">
<h3>PDI Lookup</h3>
<span>Enter PDI number to view EDI Institutional, Professional and Dental submissions.</span>
</div>
<form [formGroup]="form" (ngSubmit)="onSearch()">
<div class="col two">
<label class="label text-field" for="pdiSearchParam">PDI Number
<!-- <label for="test1" class="label text-field">
Testing Label One -->
<span class="info">Maximum 15 Digits</span>
<span class="required" *ngIf="!(form.get('pdiSearchParam').touched && form.get('pdiSearchParam').invalid)">Required</span>
<span class="error" role="alert" aria-live="assertive" *ngIf="form.get('pdiSearchParam').touched && form.get('pdiSearchParam').invalid">Enter a valid Number.</span>
</label>
<input id="IPT_pdiSearchNumber_ewvSearch_1" [(ngModel)]="pdiSearchParam" formControlName="pdiSearchParam" appAutofocus type="text"
name="primarySearchParam" placeholder="Enter PDI" class="big-box" maxlength="15">
</div>
<div class="row bottom col two">
<!-- <button formControlName="pdiSearchParam" (ngModelChange)="textAreaEmpty()" class="button primary button-align " [class.disabled]="!form.valid || form.pristine"
[disabled]="!form.valid || form.pristine" type="submit" id="pdiSearch">Retrieve</button> -->
<button class="button primary button-align" [class.disabled]="(form.invalid && form.dirty) || form.pristine" [disabled]="!form.valid || form.pristine"
type="submit" id="BTN_pdiSearchRetrieve_ewvSearch_1">Retrieve</button>
<!-- <button class="button secondary button-align" type="reset" id="BTN_pdiClear_ewvSearch_1">Reset Form</button> -->
<button class="button secondary button-align" type="button" (click)="resetForm()" id="BTN_pdiClear_ewvSearch_1">Reset Form</button>
</div>
</form>
</div>
</div>
</section>
</div>
</div>
</article>
</app-ewv-base>