639 lines
33 KiB
HTML
639 lines
33 KiB
HTML
{% extends "base.html" %}
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{% load static %}
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{% block title %}Bill {{ object.bill_number }} - {{ block.super }}{% endblock %}
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{% block content %}
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<div class="container-fluid">
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<!-- Page Header -->
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<div class="d-flex justify-content-between align-items-center mb-4">
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<div>
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<h1 class="h3 mb-1">Medical Bill {{ object.bill_number }}</h1>
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<nav aria-label="breadcrumb">
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<ol class="breadcrumb mb-0">
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<li class="breadcrumb-item"><a href="{% url 'billing:dashboard' %}">Billing</a></li>
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<li class="breadcrumb-item"><a href="{% url 'billing:bill_list' %}">Medical Bills</a></li>
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<li class="breadcrumb-item active">{{ object.bill_number }}</li>
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</ol>
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</nav>
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</div>
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<div class="btn-group">
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<a href="{% url 'billing:bill_list' %}" class="btn btn-outline-secondary">
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<i class="fas fa-arrow-left me-2"></i>Back to List
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</a>
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{% if object.status == 'DRAFT' %}
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<a href="{% url 'billing:bill_update' object.bill_id %}" class="btn btn-primary">
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<i class="fas fa-edit me-2"></i>Edit Bill
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</a>
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{% endif %}
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<div class="btn-group" role="group">
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<button type="button" class="btn btn-outline-secondary dropdown-toggle" data-bs-toggle="dropdown">
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<i class="fas fa-cog me-2"></i>Actions
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</button>
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<ul class="dropdown-menu">
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<li><a class="dropdown-item" href="{% url 'billing:print_bill_detail' object.bill_id %}">
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<i class="fas fa-print me-2"></i>Print Bill
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</a></li>
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<li><a class="dropdown-item" href="">
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<i class="fas fa-envelope me-2"></i>Email Bill
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</a></li>
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<li><a class="dropdown-item" href="">
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<i class="fas fa-download me-2"></i>Download PDF
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</a></li>
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<li><hr class="dropdown-divider"></li>
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{% if object.status == 'DRAFT' %}
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<li><a class="dropdown-item text-warning" href="{% url 'billing:submit_bill' object.bill_id %}">
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<i class="fas fa-paper-plane me-2"></i>Submit Bill
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</a></li>
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{% endif %}
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{% if object.status in 'SUBMITTED,PENDING' %}
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<li><a class="dropdown-item text-info" href="{% url 'billing:payment_create' %}?bill={{ object.bill_id }}">
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<i class="fas fa-credit-card me-2"></i>Record Payment
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</a></li>
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{% endif %}
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{% if object.status in 'DRAFT,PENDING' %}
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<li><hr class="dropdown-divider"></li>
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<li><a class="dropdown-item text-danger" href="{% url 'billing:bill_delete' object.bill_id %}">
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<i class="fas fa-trash me-2"></i>Delete Bill
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</a></li>
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{% endif %}
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</ul>
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</div>
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</div>
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</div>
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<div class="row">
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<!-- Main Content -->
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<div class="col-lg-8">
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<!-- Bill Status Alert -->
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{% if object.status == 'OVERDUE' %}
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<div class="alert alert-danger mb-4">
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<h6 class="alert-heading"><i class="fas fa-exclamation-triangle me-2"></i>Overdue Bill</h6>
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This bill is {{ object.days_outstanding }} days overdue. Please follow up with the patient or consider collections.
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</div>
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{% elif object.status == 'DRAFT' %}
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<div class="alert alert-warning mb-4">
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<h6 class="alert-heading"><i class="fas fa-edit me-2"></i>Draft Bill</h6>
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This bill is still in draft status. Review and submit when ready.
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</div>
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{% elif object.status == 'PAID' %}
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<div class="alert alert-success mb-4">
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<h6 class="alert-heading"><i class="fas fa-check-circle me-2"></i>Paid in Full</h6>
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This bill has been paid in full on {{ object.paid_date|date:"M d, Y" }}.
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</div>
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{% endif %}
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<!-- Patient Information -->
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<div class="card mb-4">
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<div class="card-header">
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<h5 class="mb-0">
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<i class="fas fa-user me-2"></i>Patient Information
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</h5>
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</div>
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<div class="card-body">
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<div class="row">
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<div class="col-md-6">
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<table class="table table-borderless table-sm">
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<tr>
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<td class="fw-bold">Patient Name:</td>
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<td>{{ object.patient.get_full_name }}</td>
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</tr>
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<tr>
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<td class="fw-bold">MRN:</td>
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<td>{{ object.patient.mrn }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Date of Birth:</td>
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<td>{{ object.patient.date_of_birth|date:"M d, Y" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Phone:</td>
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<td>{{ object.patient.phone_number|default:"-" }}</td>
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</tr>
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</table>
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</div>
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<div class="col-md-6">
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<table class="table table-borderless table-sm">
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<tr>
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<td class="fw-bold">Address:</td>
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<td>
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{% if object.patient.address_line_1 %}
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{{ object.patient.address_line_1 }}<br>
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{{ object.patient.city }}, {{ object.patient.state }} {{ object.patient.zip_code }}
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{% else %}
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-
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{% endif %}
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</td>
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</tr>
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<tr>
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<td class="fw-bold">Email:</td>
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<td>{{ object.patient.email|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Insurance:</td>
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<td>
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{% if object.patient.insurance_info %}
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{{ object.patient.insurance_info.insurance_company }}
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{% else %}
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No insurance on file
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{% endif %}
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</td>
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</tr>
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</table>
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</div>
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</div>
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</div>
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</div>
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<!-- Bill Details -->
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<div class="card mb-4">
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<div class="card-header">
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<h5 class="mb-0">
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<i class="fas fa-file-invoice me-2"></i>Bill Details
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</h5>
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</div>
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<div class="card-body">
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<div class="row">
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<div class="col-md-6">
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<table class="table table-borderless table-sm">
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<tr>
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<td class="fw-bold">Bill Number:</td>
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<td>{{ object.bill_number }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Bill Date:</td>
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<td>{{ object.bill_date|date:"M d, Y" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Due Date:</td>
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<td>
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{% if object.due_date %}
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{{ object.due_date|date:"M d, Y" }}
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{% if object.is_overdue %}
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<span class="badge bg-danger ms-2">Overdue</span>
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{% endif %}
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{% else %}
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-
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{% endif %}
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</td>
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</tr>
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<tr>
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<td class="fw-bold">Status:</td>
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<td>
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{% if object.status == 'DRAFT' %}
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<span class="badge bg-secondary">Draft</span>
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{% elif object.status == 'PENDING' %}
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<span class="badge bg-warning">Pending</span>
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{% elif object.status == 'SUBMITTED' %}
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<span class="badge bg-info">Submitted</span>
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{% elif object.status == 'PARTIAL_PAID' %}
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<span class="badge bg-primary">Partially Paid</span>
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{% elif object.status == 'PAID' %}
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<span class="badge bg-success">Paid</span>
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{% elif object.status == 'OVERDUE' %}
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<span class="badge bg-danger">Overdue</span>
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{% elif object.status == 'COLLECTIONS' %}
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<span class="badge bg-dark">Collections</span>
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{% elif object.status == 'WRITTEN_OFF' %}
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<span class="badge bg-secondary">Written Off</span>
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{% elif object.status == 'CANCELLED' %}
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<span class="badge bg-secondary">Cancelled</span>
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{% endif %}
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</td>
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</tr>
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</table>
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</div>
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<div class="col-md-6">
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<table class="table table-borderless table-sm">
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<tr>
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<td class="fw-bold">Billing Provider:</td>
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<td>{{ object.billing_provider|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Related Encounter:</td>
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<td>
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{% if object.encounter %}
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<a href="{% url 'emr:encounter_detail' object.encounter.encounter_id %}" class="text-decoration-none">
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{{ object.encounter.encounter_number }}
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</a>
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{% else %}
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-
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{% endif %}
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</td>
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</tr>
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<tr>
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<td class="fw-bold">Created:</td>
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<td>{{ object.created_at|date:"M d, Y g:i A" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Last Updated:</td>
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<td>{{ object.updated_at|date:"M d, Y g:i A" }}</td>
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</tr>
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</table>
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</div>
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</div>
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{% if object.notes %}
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<div class="mt-3">
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<h6 class="fw-bold">Notes:</h6>
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<p class="text-muted">{{ object.notes }}</p>
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</div>
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{% endif %}
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</div>
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</div>
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<!-- Line Items -->
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<div class="card mb-4">
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<div class="card-header">
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<h5 class="mb-0">
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<i class="fas fa-list me-2"></i>Line Items
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</h5>
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</div>
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<div class="card-body p-0">
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<div class="table-responsive">
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<table class="table table-hover mb-0">
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<thead class="table-light">
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<tr>
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<th>Service Code</th>
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<th>Description</th>
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<th class="text-center">Quantity</th>
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<th class="text-end">Unit Price</th>
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<th class="text-end">Total</th>
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</tr>
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</thead>
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<tbody>
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{% for line_item in object.line_items.all %}
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<tr>
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<td>
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<code>{{ line_item.service_code }}</code>
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</td>
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<td>{{ line_item.service_description }}</td>
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<td class="text-center">{{ line_item.quantity }}</td>
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<td class="text-end"><span class="symbol">ê</span>{{ line_item.unit_price|floatformat:'2g' }}</td>
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<td class="text-end fw-bold"><span class="symbol">ê</span>{{ line_item.total_price|floatformat:'2g' }}</td>
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</tr>
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{% empty %}
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<tr>
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<td colspan="5" class="text-center text-muted py-4">
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No line items found for this bill.
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</td>
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</tr>
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{% endfor %}
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</tbody>
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</table>
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</div>
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</div>
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</div>
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<!-- Payment History -->
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<div class="card mb-4">
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<div class="card-header d-flex justify-content-between align-items-center">
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<h5 class="mb-0">
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<i class="fas fa-credit-card me-2"></i>Payment History
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</h5>
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{% if object.status not in 'PAID,CANCELLED,WRITTEN_OFF' %}
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<a href="{% url 'billing:payment_create' %}?bill={{ object.bill_id }}" class="btn btn-sm btn-success">
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<i class="fas fa-plus me-1"></i>Record Payment
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</a>
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{% endif %}
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</div>
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<div class="card-body p-0">
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<div class="table-responsive">
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<table class="table table-hover mb-0">
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<thead class="table-light">
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<tr>
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<th>Payment Number</th>
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<th>Date</th>
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<th>Method</th>
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<th class="text-end">Amount</th>
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<th>Status</th>
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<th>Reference</th>
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<th width="80">Actions</th>
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</tr>
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</thead>
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<tbody>
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{% for payment in object.payments.all %}
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<tr>
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<td>
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<a href="{% url 'billing:payment_detail' payment.payment_id %}" class="text-decoration-none">
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{{ payment.payment_number }}
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</a>
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</td>
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<td>{{ payment.payment_date|date:"M d, Y" }}</td>
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<td>{{ payment.get_payment_method_display }}</td>
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<td class="text-end fw-bold text-success"><span class="symbol">ê</span>{{ payment.payment_amount|floatformat:'2g' }}</td>
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<td>
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{% if payment.status == 'PENDING' %}
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<span class="badge bg-warning">Pending</span>
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{% elif payment.status == 'PROCESSING' %}
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<span class="badge bg-info">Processing</span>
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{% elif payment.status == 'COMPLETED' %}
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<span class="badge bg-success">Completed</span>
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{% elif payment.status == 'FAILED' %}
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<span class="badge bg-danger">Failed</span>
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{% elif payment.status == 'REFUNDED' %}
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<span class="badge bg-secondary">Refunded</span>
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{% endif %}
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</td>
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<td>
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<small class="text-muted">{{ payment.reference_number|default:"-" }}</small>
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</td>
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<td>
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<div class="btn-group btn-group-sm">
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<a href="{% url 'billing:payment_detail' payment.payment_id %}" class="btn btn-outline-primary btn-sm" title="View">
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<i class="fas fa-eye"></i>
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</a>
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<a href="{% url 'billing:payment_receipt' payment.payment_id %}" class="btn btn-outline-secondary btn-sm" title="Receipt">
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<i class="fas fa-receipt"></i>
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</a>
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</div>
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</td>
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</tr>
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{% empty %}
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<tr>
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<td colspan="7" class="text-center text-muted py-4">
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No payments recorded for this bill.
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</td>
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</tr>
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{% endfor %}
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</tbody>
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</table>
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</div>
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</div>
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</div>
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<!-- Insurance Claims -->
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<div class="card">
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<div class="card-header d-flex justify-content-between align-items-center">
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<h5 class="mb-0">
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<i class="fas fa-file-medical me-2"></i>Insurance Claims
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</h5>
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{% if object.patient.primary_insurance and object.status not in 'CANCELLED,WRITTEN_OFF' %}
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<a href="{% url 'billing:claim_create' %}?bill={{ object.bill_id }}" class="btn btn-sm btn-info">
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<i class="fas fa-plus me-1"></i>Submit Claim
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</a>
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{% endif %}
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</div>
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<div class="card-body p-0">
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<div class="table-responsive">
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<table class="table table-hover mb-0">
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<thead class="table-light">
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<tr>
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<th>Claim Number</th>
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<th>Insurance Company</th>
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<th>Submit Date</th>
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<th class="text-end">Billed Amount</th>
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<th class="text-end">Approved Amount</th>
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<th>Status</th>
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<th width="80">Actions</th>
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</tr>
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</thead>
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<tbody>
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{% for claim in object.insurance_claims.all %}
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<tr>
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<td>
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<a href="{% url 'billing:claim_detail' claim.claim_id %}" class="text-decoration-none">
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{{ claim.claim_number }}
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</a>
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</td>
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<td>{{ claim.insurance_info.insurance_company }}</td>
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<td>
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{% if claim.submission_date %}
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{{ claim.submission_date|date:"M d, Y" }}
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{% else %}
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<span class="text-muted">Not submitted</span>
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{% endif %}
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</td>
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<td class="text-end"><span class="symbol">ê</span>{{ claim.billed_amount|floatformat:'2g' }}</td>
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<td class="text-end">
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{% if claim.approved_amount %}
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<span class="text-success fw-bold"><span class="symbol">ê</span>{{ claim.approved_amount|floatformat:'2g' }}</span>
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{% else %}
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<span class="text-muted">-</span>
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{% endif %}
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</td>
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<td>
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{% if claim.status == 'DRAFT' %}
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<span class="badge bg-secondary">Draft</span>
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{% elif claim.status == 'SUBMITTED' %}
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<span class="badge bg-info">Submitted</span>
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{% elif claim.status == 'PENDING' %}
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<span class="badge bg-warning">Pending</span>
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{% elif claim.status == 'APPROVED' %}
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<span class="badge bg-success">Approved</span>
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{% elif claim.status == 'PARTIALLY_APPROVED' %}
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<span class="badge bg-primary">Partially Approved</span>
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{% elif claim.status == 'DENIED' %}
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<span class="badge bg-danger">Denied</span>
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{% elif claim.status == 'PAID' %}
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<span class="badge bg-success">Paid</span>
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{% elif claim.status == 'APPEALED' %}
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<span class="badge bg-dark">Appealed</span>
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{% endif %}
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</td>
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<td>
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<div class="btn-group btn-group-sm">
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<a href="{% url 'billing:claim_detail' claim.claim_id %}" class="btn btn-outline-primary btn-sm" title="View">
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<i class="fas fa-eye"></i>
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</a>
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<a href="" class="btn btn-outline-secondary btn-sm" title="Print">
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<i class="fas fa-print"></i>
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</a>
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</div>
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</td>
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</tr>
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{% empty %}
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<tr>
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<td colspan="7" class="text-center text-muted py-4">
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No insurance claims submitted for this bill.
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</td>
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</tr>
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{% endfor %}
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</tbody>
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</table>
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</div>
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</div>
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</div>
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</div>
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<!-- Sidebar -->
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<div class="col-lg-4">
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<!-- Bill Summary -->
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<div class="card mb-4">
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<div class="card-header">
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<h5 class="mb-0">
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<i class="fas fa-calculator me-2"></i>Bill Summary
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</h5>
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</div>
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|
<div class="card-body">
|
|
<div class="d-flex justify-content-between mb-2">
|
|
<span>Subtotal:</span>
|
|
<span class="fw-bold"><span class="symbol">ê</span>{{ object.subtotal|floatformat:'2g' }}</span>
|
|
</div>
|
|
<div class="d-flex justify-content-between mb-2">
|
|
<span>Vat:</span>
|
|
<span><span class="symbol">ê</span>{{ object.tax_amount|floatformat:'2g' }}</span>
|
|
</div>
|
|
<div class="d-flex justify-content-between mb-2">
|
|
<span>Discount:</span>
|
|
<span><span class="symbol">ê</span>{{ object.discount_amount|floatformat:'2g' }}</span>
|
|
</div>
|
|
<hr>
|
|
<div class="d-flex justify-content-between mb-2">
|
|
<span class="fw-bold">Total Amount:</span>
|
|
<span class="fw-bold text-primary"><span class="symbol">ê</span>{{ object.total_amount|floatformat:'2g' }}</span>
|
|
</div>
|
|
<div class="d-flex justify-content-between mb-2">
|
|
<span>Paid Amount:</span>
|
|
<span class="text-success"><span class="symbol">ê</span>{{ object.paid_amount|floatformat:2 }}</span>
|
|
</div>
|
|
<hr>
|
|
<div class="d-flex justify-content-between">
|
|
<span class="fw-bold">Balance Due:</span>
|
|
<span class="fw-bold {% if object.balance_amount > 0 %}text-danger{% else %}text-success{% endif %}">
|
|
<span class="symbol">ê</span>{{ object.balance_amount|floatformat:'2g' }}
|
|
</span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- Quick Actions -->
|
|
<div class="card mb-4">
|
|
<div class="card-header">
|
|
<h5 class="mb-0">
|
|
<i class="fas fa-bolt me-2"></i>Quick Actions
|
|
</h5>
|
|
</div>
|
|
<div class="card-body">
|
|
<div class="d-grid gap-2">
|
|
{% if object.status not in 'PAID,CANCELLED,WRITTEN_OFF' %}
|
|
<a href="{% url 'billing:payment_create' %}?bill={{ object.bill_id }}" class="btn btn-success">
|
|
<i class="fas fa-credit-card me-2"></i>Record Payment
|
|
</a>
|
|
{% endif %}
|
|
{% if object.patient.primary_insurance and object.status not in 'CANCELLED,WRITTEN_OFF' %}
|
|
<a href="{% url 'billing:claim_create' %}?bill={{ object.bill_id }}" class="btn btn-info">
|
|
<i class="fas fa-file-medical me-2"></i>Submit Claim
|
|
</a>
|
|
{% endif %}
|
|
<a href="{% url 'billing:print_bill_detail' object.bill_id %}" class="btn btn-outline-primary">
|
|
<i class="fas fa-print me-2"></i>Print Bill
|
|
</a>
|
|
<a href="" class="btn btn-outline-secondary">
|
|
<i class="fas fa-envelope me-2"></i>Email Bill
|
|
</a>
|
|
{% if object.status == 'DRAFT' %}
|
|
<a href="{% url 'billing:bill_update' object.bill_id %}" class="btn btn-outline-warning">
|
|
<i class="fas fa-edit me-2"></i>Edit Bill
|
|
</a>
|
|
{% endif %}
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- Activity Timeline -->
|
|
<div class="card">
|
|
<div class="card-header">
|
|
<h5 class="mb-0">
|
|
<i class="fas fa-history me-2"></i>Activity Timeline
|
|
</h5>
|
|
</div>
|
|
<div class="card-body">
|
|
<div class="timeline">
|
|
<div class="timeline-item">
|
|
<div class="timeline-marker bg-primary"></div>
|
|
<div class="timeline-content">
|
|
<h6 class="timeline-title">Bill Created</h6>
|
|
<p class="timeline-text">{{ object.created_at|date:"M d, Y g:i A" }}</p>
|
|
</div>
|
|
</div>
|
|
{% if object.status != 'DRAFT' %}
|
|
<div class="timeline-item">
|
|
<div class="timeline-marker bg-info"></div>
|
|
<div class="timeline-content">
|
|
<h6 class="timeline-title">Bill Submitted</h6>
|
|
<p class="timeline-text">{{ object.submitted_at|date:"M d, Y g:i A"|default:"Unknown" }}</p>
|
|
</div>
|
|
</div>
|
|
{% endif %}
|
|
{% for payment in object.payment_set.all %}
|
|
<div class="timeline-item">
|
|
<div class="timeline-marker bg-success"></div>
|
|
<div class="timeline-content">
|
|
<h6 class="timeline-title">Payment Received</h6>
|
|
<p class="timeline-text">
|
|
<span class="symbol">ê</span>{{ payment.payment_amount|floatformat:'2g' }} via {{ payment.get_payment_method_display }}
|
|
<br><small class="text-muted">{{ payment.payment_date|date:"M d, Y g:i A" }}</small>
|
|
</p>
|
|
</div>
|
|
</div>
|
|
{% endfor %}
|
|
{% if object.status == 'PAID' %}
|
|
<div class="timeline-item">
|
|
<div class="timeline-marker bg-success"></div>
|
|
<div class="timeline-content">
|
|
<h6 class="timeline-title">Paid in Full</h6>
|
|
<p class="timeline-text">{{ object.paid_date|date:"M d, Y g:i A"|default:"Unknown" }}</p>
|
|
</div>
|
|
</div>
|
|
{% endif %}
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<style>
|
|
.timeline {
|
|
position: relative;
|
|
padding-left: 30px;
|
|
}
|
|
|
|
.timeline::before {
|
|
content: '';
|
|
position: absolute;
|
|
left: 15px;
|
|
top: 0;
|
|
bottom: 0;
|
|
width: 2px;
|
|
background: #dee2e6;
|
|
}
|
|
|
|
.timeline-item {
|
|
position: relative;
|
|
margin-bottom: 20px;
|
|
}
|
|
|
|
.timeline-marker {
|
|
position: absolute;
|
|
left: -22px;
|
|
top: 0;
|
|
width: 12px;
|
|
height: 12px;
|
|
border-radius: 50%;
|
|
border: 2px solid #fff;
|
|
box-shadow: 0 0 0 2px #dee2e6;
|
|
}
|
|
|
|
.timeline-content {
|
|
background: #f8f9fa;
|
|
padding: 10px 15px;
|
|
border-radius: 8px;
|
|
border-left: 3px solid #dee2e6;
|
|
}
|
|
|
|
.timeline-title {
|
|
margin: 0 0 5px 0;
|
|
font-size: 0.9rem;
|
|
font-weight: 600;
|
|
}
|
|
|
|
.timeline-text {
|
|
margin: 0;
|
|
font-size: 0.85rem;
|
|
color: #6c757d;
|
|
}
|
|
</style>
|
|
{% endblock %}
|
|
|