{% extends "base.html" %} {% load static %} {% block title %}Insurance Details - Patients{% endblock %} {% block content %}

Insurance Details {{ object.insurance_provider }}

Insurance Information

Provider: {{ object.insurance_provider }}
Policy Number: {{ object.policy_number }}
Member ID: {% if object.member_id %} {{ object.member_id }} {% else %} Not provided {% endif %}
Group Number: {% if object.group_number %} {{ object.group_number }} {% else %} Not provided {% endif %}
Insurance Type: {{ object.get_insurance_type_display }}
Status: {{ object.get_status_display }} {% if object.status == 'ACTIVE' and object.is_expiring_soon %}
Expires in {{ object.days_until_expiration }} days {% endif %}
Effective Date: {% if object.effective_date %} {{ object.effective_date|date:"M d, Y" }} {% else %} Not set {% endif %}
Expiration Date: {% if object.expiration_date %} {{ object.expiration_date|date:"M d, Y" }} {% if object.is_expired %}
Expired {% elif object.is_expiring_soon %}
{{ object.days_until_expiration }} days remaining {% endif %} {% else %} No expiration {% endif %}
Copay: {% if object.copay %} ${{ object.copay }} {% else %} Not specified {% endif %}
Deductible: {% if object.deductible %} ${{ object.deductible }} {% else %} Not specified {% endif %}
Created: {{ object.created_at|date:"M d, Y H:i" }}
Last Updated: {{ object.updated_at|date:"M d, Y H:i" }}
{% if object.coverage_details %}
Coverage Details
{{ object.coverage_details|linebreaks }}
{% endif %} {% if object.notes %}
Additional Notes
{{ object.notes|linebreaks }}
{% endif %}

Claims History

Insurance Added

Insurance policy was added to patient record

{{ object.created_at|date:"M d, Y H:i" }}
{% if object.updated_at != object.created_at %}
Insurance Updated

Insurance information was modified

{{ object.updated_at|date:"M d, Y H:i" }}
{% endif %}

Quick Actions

Edit Insurance Delete Insurance

Patient Information

{{ object.patient.get_full_name }}
{{ object.patient.patient_id }}
DOB: {{ object.patient.date_of_birth|date:"M d, Y" }}
Age: {{ object.patient.age }} years
Gender: {{ object.patient.get_gender_display }}
Phone: {% if object.patient.phone_number %} {{ object.patient.phone_number }} {% else %} Not provided {% endif %}

Other Insurance Policies

{% for insurance in object.patient.insurance_information.all %} {% if insurance.pk != object.pk %}
{{ insurance.insurance_provider }}
{{ insurance.get_insurance_type_display }} {{ insurance.get_status_display }}
{% endif %} {% empty %}

No other insurance policies

{% endfor %}

Insurance Validation

Validation Status
  • Policy Number
  • Member ID
  • Effective Date
  • Not Expired
Last verified: {% if object.last_verified %}{{ object.last_verified|date:"M d, Y" }}{% else %}Never{% endif %}
{% endblock %} {% block js %} {% endblock %}