Init dump
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<div class="bg-deepcove min-h-screen w-full flex flex-col">
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<h1 class="font-bold text-4xl text-platinum">New Employer Setup</h1>
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<h3 class="font-bold text-2xl text-bluemana">Provider Network</h3>
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<%= form_with model: @form, url: employer_setup_index_path, local: true do |f| %>
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<% @form.number_of_additional_network_logos.to_i.times do |i| %>
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<%= f.fields_for :network_exceptions do |network_fields| %>
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<div class="w-full flex flex-col my-8 space-y-6">
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<div class="flex space-x-5 items-center mt-4">
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<label for="file_upload_input" class="cursor-pointer bg-atmosphere hover:bg-bluetang text-platinum font-bold py-2 px-4 rounded border border-platinum">
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Choose Network Logo File
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</label>
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<span id="file_name_display" class="ml-2 text-bluemana font-semibold">No file chosen</span>
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<%= network_fields.file_field :network_logo, class: "hidden", id: "file_upload_input" %>
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</div>
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<% 2.to_i.times do |j| %>
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<%= network_fields.fields_for :exceptions do |exception_fields| %>
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<div class="flex space-x-10">
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<div class="w-1/5">
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<%= exception_fields.select :type, options_for_select(["Zipcode","State"]), label: { text: "Exception Type" }, prompt: "Select Type", class: "w-full" %>
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</div>
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<div class="w-1/5">
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<%= exception_fields.text_field :value, label: { text: "Exception Value" }, class: "w-full" %>
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</div>
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</div>
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<% end %>
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<% end %>
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</div>
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<% end %>
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<% end %>
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<div class="py-10">
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<%= f.submit "Continue to Summary" %>
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</div>
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<% end %>
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</div>
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<script>
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document.getElementById('file_upload_input').addEventListener('change', function(e) {
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var fileName = e.target.files[0] ? e.target.files[0].name : 'No file chosen';
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document.getElementById('file_name_display').textContent = fileName;
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});
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</script>
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