584 lines
29 KiB
HTML
584 lines
29 KiB
HTML
{% extends "base.html" %}
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{% load static %}
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{% block title %}Payment {{ object.payment_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">Payment {{ object.payment_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:payment_list' %}">Payments</a></li>
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<li class="breadcrumb-item active">{{ object.payment_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:payment_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 == 'PENDING' %}
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<a href="{% url 'billing:payment_update' object.payment_id %}" class="btn btn-primary">
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<i class="fas fa-edit me-2"></i>Edit Payment
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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:payment_receipt' object.payment_id %}">
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<i class="fas fa-receipt me-2"></i>Print Receipt
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</a></li>
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<li><a class="dropdown-item" href="{% url 'billing:payment_email' object.payment_id %}">
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<i class="fas fa-envelope me-2"></i>Email Receipt
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</a></li>
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<li><a class="dropdown-item" href="{% url 'billing:payment_download' object.payment_id %}">
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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 == 'PENDING' %}
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<li><a class="dropdown-item text-success" href="{% url 'billing:payment_process' object.payment_id %}">
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<i class="fas fa-check me-2"></i>Process Payment
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</a></li>
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{% elif object.status == 'COMPLETED' %}
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<li><a class="dropdown-item text-warning" href="{% url 'billing:payment_refund' object.payment_id %}">
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<i class="fas fa-undo me-2"></i>Process Refund
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</a></li>
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{% endif %}
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{% if object.status == '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:payment_delete' object.payment_id %}">
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<i class="fas fa-trash me-2"></i>Delete Payment
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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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<!-- Payment Status Alert -->
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{% if object.status == 'FAILED' %}
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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>Payment Failed</h6>
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This payment failed to process. Please check the payment details and try again.
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{% if object.failure_reason %}
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<br><strong>Reason:</strong> {{ object.failure_reason }}
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{% endif %}
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</div>
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{% elif object.status == 'PENDING' %}
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<div class="alert alert-warning mb-4">
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<h6 class="alert-heading"><i class="fas fa-clock me-2"></i>Payment Pending</h6>
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This payment is pending processing. It may take a few minutes to complete.
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</div>
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{% elif object.status == 'COMPLETED' %}
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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>Payment Completed</h6>
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This payment has been successfully processed and applied to the bill.
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</div>
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{% elif object.status == 'REFUNDED' %}
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<div class="alert alert-info mb-4">
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<h6 class="alert-heading"><i class="fas fa-undo me-2"></i>Payment Refunded</h6>
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This payment has been refunded on {{ object.refunded_date|date:"M d, Y" }}.
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</div>
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{% endif %}
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<!-- Payment 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-credit-card me-2"></i>Payment 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">Payment Number:</td>
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<td>{{ object.payment_number }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Payment Date:</td>
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<td>{{ object.payment_date|date:"M d, Y" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Payment Amount:</td>
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<td class="fw-bold text-success"><span class="symbol">ê</span>{{ object.payment_amount|floatformat:'2g' }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Payment Method:</td>
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<td>
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<span class="badge bg-light text-dark">
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{{ object.get_payment_method_display }}
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</span>
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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">Status:</td>
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<td>
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{% if object.status == 'PENDING' %}
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<span class="badge bg-warning">{{ object.get_status_display }}</span>
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{% elif object.status == 'PROCESSING' %}
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<span class="badge bg-info">{{ object.get_status_display }}</span>
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{% elif object.status == 'COMPLETED' %}
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<span class="badge bg-success">{{ object.get_status_display }}</span>
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{% elif object.status == 'FAILED' %}
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<span class="badge bg-danger">{{ object.get_status_display }}</span>
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{% elif object.status == 'REFUNDED' %}
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<span class="badge bg-secondary">{{ object.get_status_display }}</span>
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{% else %}
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<span class="badge bg-green">{{ object.get_status_display }}</span>
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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">Reference Number:</td>
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<td>{{ object.transaction_id }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Processed:</td>
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<td>
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{% if object.processed_at %}
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{{ object.processed_at|date:"M d, Y g:i A" }}
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{% else %}
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<span class="text-muted">Not processed</span>
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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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</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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<!-- Bill 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-file-invoice me-2"></i>Related Bill
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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>
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<a href="{% url 'billing:bill_detail' object.medical_bill.bill_id %}" class="text-decoration-none">
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{{ object.medical_bill.bill_number }}
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</a>
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</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.medical_bill.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">Bill Status:</td>
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<td>
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{% if object.medical_bill.status == 'DRAFT' %}
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<span class="badge bg-secondary">Draft</span>
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{% elif object.medical_bill.status == 'PENDING' %}
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<span class="badge bg-warning">Pending</span>
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{% elif object.medical_bill.status == 'SUBMITTED' %}
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<span class="badge bg-info">Submitted</span>
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{% elif object.medical_bill.status == 'PARTIAL_PAID' %}
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<span class="badge bg-primary">Partially Paid</span>
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{% elif object.medical_bill.status == 'PAID' %}
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<span class="badge bg-success">Paid</span>
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{% elif object.medical_bill.status == 'OVERDUE' %}
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<span class="badge bg-danger">Overdue</span>
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{% elif object.medical_bill.status == 'COLLECTIONS' %}
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<span class="badge bg-dark">Collections</span>
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{% elif object.medical_bill.status == 'WRITTEN_OFF' %}
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<span class="badge bg-secondary">Written Off</span>
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{% else %}
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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">Total Amount:</td>
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<td class="fw-bold"><span class="symbol">ê</span>{{ object.medical_bill.total_amount|floatformat:'2g' }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Paid Amount:</td>
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<td class="text-success"><span class="symbol">ê</span>{{ object.medical_bill.paid_amount|floatformat:'2g' }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Balance Due:</td>
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<td class="{% if object.medical_bill.balance_amount > 0 %}text-danger{% else %}text-success{% endif %} fw-bold">
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<span class="symbol">ê</span>{{ object.medical_bill.balance_amount|floatformat:'2g' }}
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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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<!-- 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.medical_bill.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.medical_bill.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.medical_bill.patient.date_of_birth|date:"M d, Y" }}</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">Phone:</td>
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<td>{{ object.medical_bill.patient.phone_number|default:"-" }}</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.medical_bill.patient.email|default:"-" }}</td>
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</tr>
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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.medical_bill.patient.address_line_1 %}
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{{ object.medical_bill.patient.address_line_1 }}<br>
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{{ object.medical_bill.patient.city }}, {{ object.medical_bill.patient.state }} {{ object.medical_bill.patient.zip_code }}
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{% else %}
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No address provided
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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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<!-- Payment Method Details -->
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{% if object.payment_method_details %}
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<div class="card">
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<div class="card-header">
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<h5 class="mb-0">
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<i class="fas fa-info-circle me-2"></i>Payment Method Details
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</h5>
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</div>
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<div class="card-body">
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{% if object.payment_method == 'CREDIT_CARD' or object.payment_method == 'DEBIT_CARD' %}
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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">Card Number:</td>
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<td>**** **** **** {{ object.payment_method_details.last_four|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Card Holder:</td>
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<td>{{ object.payment_method_details.card_holder|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">Authorization Code:</td>
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<td>{{ object.payment_method_details.auth_code|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Transaction ID:</td>
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<td>{{ object.payment_method_details.transaction_id|default:"-" }}</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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{% elif object.payment_method == 'CHECK' %}
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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">Check Number:</td>
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<td>{{ object.payment_method_details.check_number|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Bank Name:</td>
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<td>{{ object.payment_method_details.bank_name|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">Routing Number:</td>
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<td>{{ object.payment_method_details.routing_number|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Account Number:</td>
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<td>
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{% if object.payment_method_details.account_last_four %}
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**** **** {{ object.payment_method_details.account_last_four }}
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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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</table>
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</div>
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</div>
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{% elif object.payment_method == 'BANK_TRANSFER' %}
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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">Transaction ID:</td>
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<td>{{ object.payment_method_details.transaction_id|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Bank Account:</td>
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<td>
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{% if object.payment_method_details.account_last_four %}
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**** **** {{ object.payment_method_details.account_last_four }}
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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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</table>
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</div>
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</div>
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{% elif object.payment_method == 'INSURANCE' %}
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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">Insurance Company:</td>
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<td>{{ object.payment_method_details.insurance_company|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Claim Number:</td>
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<td>{{ object.payment_method_details.claim_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">EOB Number:</td>
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<td>{{ object.payment_method_details.eob_number|default:"-" }}</td>
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</tr>
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<tr>
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<td class="fw-bold">Check Number:</td>
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<td>{{ object.payment_method_details.check_number|default:"-" }}</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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{% endif %}
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</div>
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</div>
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{% endif %}
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</div>
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<!-- Sidebar -->
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<div class="col-lg-4">
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<!-- Payment 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>Payment Summary
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</h5>
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</div>
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<div class="card-body">
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<div class="d-flex justify-content-between mb-2">
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<span>Payment Amount:</span>
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<span class="fw-bold text-success"><span class="symbol">ê</span>{{ object.payment_amount|floatformat:'2g' }}</span>
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</div>
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{% if object.processing_fee %}
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<div class="d-flex justify-content-between mb-2">
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<span>Processing Fee:</span>
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<span><span class="symbol">ê</span>{{ object.processing_fee|floatformat:'2g' }}</span>
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</div>
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<hr>
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<div class="d-flex justify-content-between fw-bold">
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<span>Total Processed:</span>
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<span><span class="symbol">ê</span>{{ object.total_processed_amount|floatformat:'2g' }}</span>
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</div>
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{% endif %}
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</div>
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</div>
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<!-- Quick Actions -->
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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-bolt me-2"></i>Quick Actions
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</h5>
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</div>
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<div class="card-body">
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<div class="d-grid gap-2">
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<a href="{% url 'billing:payment_receipt' object.payment_id %}" class="btn btn-primary">
|
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<i class="fas fa-receipt me-2"></i>Print Receipt
|
|
</a>
|
|
<a href="{% url 'billing:payment_email' object.payment_id %}" class="btn btn-outline-secondary">
|
|
<i class="fas fa-envelope me-2"></i>Email Receipt
|
|
</a>
|
|
<a href="{% url 'billing:bill_detail' object.medical_bill.bill_id %}" class="btn btn-outline-info">
|
|
<i class="fas fa-file-invoice me-2"></i>View Bill
|
|
</a>
|
|
{% if object.status == 'PENDING' %}
|
|
<a href="{% url 'billing:payment_update' object.payment_id %}" class="btn btn-outline-warning">
|
|
<i class="fas fa-edit me-2"></i>Edit Payment
|
|
</a>
|
|
<a href="{% url 'billing:payment_process' object.payment_id %}" class="btn btn-success">
|
|
<i class="fas fa-check me-2"></i>Process Payment
|
|
</a>
|
|
{% elif object.status == 'COMPLETED' %}
|
|
<a href="{% url 'billing:payment_refund' object.payment_id %}" class="btn btn-outline-warning">
|
|
<i class="fas fa-undo me-2"></i>Process Refund
|
|
</a>
|
|
{% endif %}
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<!-- Payment History -->
|
|
<div class="card">
|
|
<div class="card-header">
|
|
<h5 class="mb-0">
|
|
<i class="fas fa-history me-2"></i>Payment History
|
|
</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">Payment Created</h6>
|
|
<p class="timeline-text">{{ object.created_at|date:"M d, Y g:i A" }}</p>
|
|
</div>
|
|
</div>
|
|
{% if object.status != 'PENDING' %}
|
|
<div class="timeline-item">
|
|
<div class="timeline-marker {% if object.status == 'COMPLETED' %}bg-success{% elif object.status == 'FAILED' %}bg-danger{% else %}bg-info{% endif %}"></div>
|
|
<div class="timeline-content">
|
|
<h6 class="timeline-title">Payment {{ object.get_status_display }}</h6>
|
|
<p class="timeline-text">
|
|
{% if object.processed_at %}
|
|
{{ object.processed_at|date:"M d, Y g:i A" }}
|
|
{% else %}
|
|
{{ object.updated_at|date:"M d, Y g:i A" }}
|
|
{% endif %}
|
|
</p>
|
|
</div>
|
|
</div>
|
|
{% endif %}
|
|
{% if object.status == 'REFUNDED' %}
|
|
<div class="timeline-item">
|
|
<div class="timeline-marker bg-secondary"></div>
|
|
<div class="timeline-content">
|
|
<h6 class="timeline-title">Payment Refunded</h6>
|
|
<p class="timeline-text">{{ object.refunded_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 %}
|
|
|