Card updates
This commit is contained in:
Jason Jordan
@@ -50,18 +50,22 @@
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<detail>
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<band height="153" splitType="Immediate">
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<rectangle>
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<reportElement x="1" y="10" width="122" height="90" uuid="e762ee84-c013-417b-a78f-54f6f1f6a1a3"/>
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</rectangle>
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<rectangle>
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<reportElement x="1" y="112" width="122" height="34" uuid="66e1721c-c7fd-40cf-8f45-10b5f6b4c22d"/>
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</rectangle>
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<rectangle>
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<reportElement x="128" y="10" width="106" height="136" uuid="ad8b04e0-5993-4f1c-b6b1-f2c11320be29">
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<reportElement x="1" y="10" width="120" height="90" uuid="e762ee84-c013-417b-a78f-54f6f1f6a1a3">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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</rectangle>
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<rectangle>
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<reportElement x="128" y="1" width="62" height="8" backcolor="#000000" uuid="5c229560-d2d4-4752-95a0-b562e786d29e">
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<reportElement x="1" y="112" width="120" height="34" uuid="66e1721c-c7fd-40cf-8f45-10b5f6b4c22d">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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</rectangle>
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<rectangle>
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<reportElement x="126" y="10" width="106" height="136" uuid="ad8b04e0-5993-4f1c-b6b1-f2c11320be29">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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</rectangle>
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<rectangle>
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<reportElement x="126" y="1" width="62" height="8" backcolor="#000000" uuid="5c229560-d2d4-4752-95a0-b562e786d29e">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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</rectangle>
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@@ -90,7 +94,7 @@
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<text><![CDATA[Utilization / Pre-Cert]]></text>
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</staticText>
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<staticText>
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<reportElement x="130" y="1" width="62" height="11" forecolor="#FFFFFF" uuid="5e18e17a-d437-434d-ad97-fe131a7f2850">
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<reportElement x="128" y="1" width="62" height="11" forecolor="#FFFFFF" uuid="5e18e17a-d437-434d-ad97-fe131a7f2850">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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<textElement>
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@@ -99,25 +103,31 @@
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<text><![CDATA[Claims Submission]]></text>
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</staticText>
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<staticText>
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<reportElement x="1" y="11" width="122" height="17" uuid="75aa6426-2374-4c07-9556-63dab683cb11"/>
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<reportElement x="1" y="11" width="120" height="17" uuid="75aa6426-2374-4c07-9556-63dab683cb11">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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<textElement textAlignment="Center" verticalAlignment="Middle">
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<font size="6" isBold="false" isItalic="false"/>
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<font size="6" isBold="true" isItalic="false"/>
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</textElement>
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<text><![CDATA[To confirm eligibility, verify benefits,
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or check claim:
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]]></text>
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</staticText>
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<staticText>
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<reportElement x="1" y="28" width="122" height="17" uuid="8307c61b-9927-4bcc-a825-fec29b5ba605"/>
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<reportElement x="1" y="28" width="120" height="17" uuid="8307c61b-9927-4bcc-a825-fec29b5ba605">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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<textElement textAlignment="Center" verticalAlignment="Middle">
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<font size="6" isBold="false" isItalic="false"/>
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<font size="6" isBold="true" isItalic="false"/>
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</textElement>
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<text><![CDATA[Britton Benefit Services, LLC]]></text>
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</staticText>
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<staticText>
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<reportElement x="1" y="45" width="122" height="50" uuid="46c394a4-7df2-4f23-b17e-d8e186e99f5e"/>
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<reportElement x="1" y="45" width="120" height="50" uuid="46c394a4-7df2-4f23-b17e-d8e186e99f5e">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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<textElement textAlignment="Center" verticalAlignment="Middle">
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<font size="6" isBold="false" isItalic="false"/>
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<font size="6" isBold="true" isItalic="false"/>
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</textElement>
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<text><![CDATA[Call:
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1.800.676.1182 (8am – 5pm)
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@@ -128,86 +138,86 @@ eligibility or payment
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]]></text>
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</staticText>
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<textField>
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<reportElement x="130" y="11" width="37" height="7" uuid="10b2b729-cb2f-4507-99d4-d3286e5ca8ed"/>
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<reportElement x="128" y="11" width="37" height="7" uuid="10b2b729-cb2f-4507-99d4-d3286e5ca8ed"/>
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<textElement verticalAlignment="Middle">
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_1}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="16" width="37" height="7" uuid="0f23b912-da97-4297-b142-8c47d3332037"/>
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<reportElement x="128" y="16" width="37" height="7" uuid="0f23b912-da97-4297-b142-8c47d3332037"/>
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<textElement verticalAlignment="Middle">
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_2}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="21" width="37" height="7" uuid="6664081c-30df-4e12-a563-e286fb71935a"/>
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<reportElement x="128" y="21" width="37" height="7" uuid="6664081c-30df-4e12-a563-e286fb71935a"/>
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<textElement verticalAlignment="Middle">
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_3}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="26" width="37" height="7" uuid="e957833e-54e9-4145-b41b-1a72d0ddadf3"/>
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<reportElement x="128" y="26" width="37" height="7" uuid="e957833e-54e9-4145-b41b-1a72d0ddadf3"/>
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<textElement verticalAlignment="Middle">
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_4}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="35" width="37" height="7" uuid="a49dbbb0-791e-4930-b99a-dfa39ee3e3d9"/>
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<reportElement x="128" y="35" width="37" height="7" uuid="a49dbbb0-791e-4930-b99a-dfa39ee3e3d9"/>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_5}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="40" width="37" height="7" uuid="0b0c6791-76a7-4a76-9695-59fff6544f8f"/>
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<reportElement x="128" y="40" width="37" height="7" uuid="0b0c6791-76a7-4a76-9695-59fff6544f8f"/>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_6}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="45" width="37" height="7" uuid="f1ce64f0-b5fd-499e-a419-e0ef4b1e32e0"/>
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<reportElement x="128" y="45" width="37" height="7" uuid="f1ce64f0-b5fd-499e-a419-e0ef4b1e32e0"/>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_7}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="50" width="37" height="7" uuid="2abffded-f4c1-4bfd-bf83-95550d8e1aa3"/>
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<reportElement x="128" y="50" width="37" height="7" uuid="2abffded-f4c1-4bfd-bf83-95550d8e1aa3"/>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_8}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="59" width="37" height="7" uuid="ed2733a7-5906-4544-a4a6-1e4465c94f70">
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<reportElement x="128" y="59" width="37" height="7" uuid="ed2733a7-5906-4544-a4a6-1e4465c94f70">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_9}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="65" width="37" height="7" uuid="cc95f964-4572-46b1-b092-964c9f19e7f6"/>
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<reportElement x="128" y="65" width="37" height="7" uuid="cc95f964-4572-46b1-b092-964c9f19e7f6"/>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_10}]]></textFieldExpression>
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</textField>
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<textField>
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<reportElement x="130" y="71" width="37" height="7" uuid="6becfb6d-cb5b-4262-991d-e8d5bc9153c1"/>
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<reportElement x="128" y="71" width="37" height="7" uuid="6becfb6d-cb5b-4262-991d-e8d5bc9153c1"/>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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</textElement>
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<textFieldExpression><![CDATA[$F{claim_to_11}]]></textFieldExpression>
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</textField>
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<componentElement>
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<reportElement x="130" y="96" width="100" height="49" uuid="68346dc5-8ea0-4119-846b-af63da9dc653"/>
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<reportElement x="128" y="96" width="100" height="49" uuid="68346dc5-8ea0-4119-846b-af63da9dc653"/>
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||||
<jr:list xmlns:jr="http://jasperreports.sourceforge.net/jasperreports/components" xsi:schemaLocation="http://jasperreports.sourceforge.net/jasperreports/components http://jasperreports.sourceforge.net/xsd/components.xsd" printOrder="Vertical">
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||||
<datasetRun subDataset="LogoDataset" uuid="f9c33856-e20c-4c2f-a9fe-8a2bbef32985">
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<datasetParameter name="LOGO_FILENAME">
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@@ -224,119 +234,121 @@ eligibility or payment
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</jr:list>
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</componentElement>
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<textField>
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||||
<reportElement x="168" y="11" width="64" height="7" uuid="94749044-5ec6-4eb4-8f6d-e52ce5e215da">
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||||
<reportElement x="166" y="11" width="64" height="7" uuid="94749044-5ec6-4eb4-8f6d-e52ce5e215da">
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||||
<property name="com.jaspersoft.studio.unit.width" value="px"/>
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||||
<property name="com.jaspersoft.studio.unit.x" value="px"/>
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||||
</reportElement>
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||||
<textElement>
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||||
<font size="5"/>
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||||
<font size="5" isBold="true"/>
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||||
</textElement>
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||||
<textFieldExpression><![CDATA[$F{provider_line_1}]]></textFieldExpression>
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||||
</textField>
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||||
<textField>
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||||
<reportElement x="168" y="16" width="64" height="7" uuid="25cbc687-a185-4894-97f4-11d57c8ad84c">
|
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<reportElement x="166" y="16" width="64" height="7" uuid="25cbc687-a185-4894-97f4-11d57c8ad84c">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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||||
<property name="com.jaspersoft.studio.unit.width" value="px"/>
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||||
</reportElement>
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<textElement>
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||||
<font size="5"/>
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||||
<font size="5" isBold="true"/>
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||||
</textElement>
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||||
<textFieldExpression><![CDATA[$F{provider_line_2}]]></textFieldExpression>
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||||
</textField>
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||||
<textField>
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||||
<reportElement x="168" y="21" width="64" height="7" uuid="527837e8-6ecb-4eba-8b3c-c1fee8e58b52">
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<reportElement x="166" y="21" width="64" height="7" uuid="527837e8-6ecb-4eba-8b3c-c1fee8e58b52">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
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||||
</textElement>
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||||
<textFieldExpression><![CDATA[$F{provider_line_3}]]></textFieldExpression>
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||||
</textField>
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||||
<textField>
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<reportElement x="168" y="26" width="64" height="7" uuid="96e1ff12-6c27-4bd9-b706-050a283ea1a8">
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<reportElement x="166" y="26" width="64" height="7" uuid="96e1ff12-6c27-4bd9-b706-050a283ea1a8">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
|
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</textElement>
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||||
<textFieldExpression><![CDATA[$F{provider_line_4}]]></textFieldExpression>
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||||
</textField>
|
||||
<textField>
|
||||
<reportElement x="168" y="35" width="64" height="7" uuid="c209866f-c8db-455d-8118-ae0aa51204a8">
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<reportElement x="166" y="35" width="64" height="7" uuid="c209866f-c8db-455d-8118-ae0aa51204a8">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
|
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
|
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</textElement>
|
||||
<textFieldExpression><![CDATA[$F{provider_line_5}]]></textFieldExpression>
|
||||
</textField>
|
||||
<textField>
|
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<reportElement x="168" y="40" width="64" height="7" uuid="22bcf3ce-6edc-4390-9c63-f169623fdf58">
|
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<reportElement x="166" y="40" width="64" height="7" uuid="22bcf3ce-6edc-4390-9c63-f169623fdf58">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
|
||||
</reportElement>
|
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<textElement>
|
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<font size="5"/>
|
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<font size="5" isBold="true"/>
|
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</textElement>
|
||||
<textFieldExpression><![CDATA[$F{provider_line_6}]]></textFieldExpression>
|
||||
</textField>
|
||||
<textField>
|
||||
<reportElement x="168" y="45" width="64" height="7" uuid="b8bd2df8-9ad2-4cde-9c67-b0e32425c00b">
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<reportElement x="166" y="45" width="64" height="7" uuid="b8bd2df8-9ad2-4cde-9c67-b0e32425c00b">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
|
||||
<textElement>
|
||||
<font size="5"/>
|
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<font size="5" isBold="true"/>
|
||||
</textElement>
|
||||
<textFieldExpression><![CDATA[$F{provider_line_7}]]></textFieldExpression>
|
||||
</textField>
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<textField>
|
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<reportElement x="168" y="50" width="64" height="7" uuid="e5d86062-d78f-42b5-b578-cd14dcc071ca">
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<reportElement x="166" y="50" width="70" height="7" uuid="e5d86062-d78f-42b5-b578-cd14dcc071ca">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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||||
</reportElement>
|
||||
<textElement>
|
||||
<font size="5"/>
|
||||
<font size="5" isBold="true"/>
|
||||
</textElement>
|
||||
<textFieldExpression><![CDATA[$F{provider_line_8}]]></textFieldExpression>
|
||||
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|
||||
<textField>
|
||||
<reportElement x="168" y="59" width="64" height="7" uuid="8b542cf4-f0e7-4019-90cf-4b3a826184bf">
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<reportElement x="166" y="59" width="64" height="7" uuid="8b542cf4-f0e7-4019-90cf-4b3a826184bf">
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<property name="com.jaspersoft.studio.unit.x" value="px"/>
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
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</reportElement>
|
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<textElement>
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<font size="5"/>
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<font size="5" isBold="true"/>
|
||||
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|
||||
<textFieldExpression><![CDATA[$F{provider_line_9}]]></textFieldExpression>
|
||||
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||||
<textField>
|
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<reportElement x="168" y="64" width="64" height="7" uuid="b154a117-b385-4eac-b53a-51f349d2e9a6">
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<reportElement x="166" y="64" width="64" height="7" uuid="b154a117-b385-4eac-b53a-51f349d2e9a6">
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<property name="com.jaspersoft.studio.unit.width" value="px"/>
|
||||
</reportElement>
|
||||
<textElement>
|
||||
<font size="5"/>
|
||||
<font size="5" isBold="true"/>
|
||||
</textElement>
|
||||
<textFieldExpression><![CDATA[$F{provider_line_10}]]></textFieldExpression>
|
||||
</textField>
|
||||
<textField>
|
||||
<reportElement x="168" y="71" width="64" height="7" uuid="d30067fe-8185-4854-a4da-615d8bb59f4a">
|
||||
<reportElement x="166" y="71" width="64" height="7" uuid="d30067fe-8185-4854-a4da-615d8bb59f4a">
|
||||
<property name="com.jaspersoft.studio.unit.x" value="px"/>
|
||||
<property name="com.jaspersoft.studio.unit.width" value="px"/>
|
||||
</reportElement>
|
||||
<textElement>
|
||||
<font size="5"/>
|
||||
<font size="5" isBold="true"/>
|
||||
</textElement>
|
||||
<textFieldExpression><![CDATA[$F{provider_line_11}]]></textFieldExpression>
|
||||
</textField>
|
||||
<staticText>
|
||||
<reportElement x="3" y="114" width="120" height="33" uuid="3c43b93c-3234-4df3-8deb-cd743c45bee5"/>
|
||||
<reportElement x="1" y="114" width="120" height="33" uuid="3c43b93c-3234-4df3-8deb-cd743c45bee5">
|
||||
<property name="com.jaspersoft.studio.unit.width" value="px"/>
|
||||
</reportElement>
|
||||
<textElement textAlignment="Center">
|
||||
<font size="6"/>
|
||||
<font size="6" isBold="true"/>
|
||||
</textElement>
|
||||
<text><![CDATA[Pre-certification is required for
|
||||
Inpatient Hospitalization
|
||||
@@ -344,11 +356,11 @@ Call MedCost 1.800.722.2157
|
||||
]]></text>
|
||||
</staticText>
|
||||
<staticText>
|
||||
<reportElement x="130" y="82" width="100" height="20" uuid="92607fc5-eae8-472b-95ce-fa64bf7f19fb">
|
||||
<reportElement x="128" y="82" width="100" height="20" uuid="92607fc5-eae8-472b-95ce-fa64bf7f19fb">
|
||||
<property name="com.jaspersoft.studio.unit.width" value="px"/>
|
||||
</reportElement>
|
||||
<textElement textAlignment="Center">
|
||||
<font size="5"/>
|
||||
<font size="5" isBold="true"/>
|
||||
</textElement>
|
||||
<text><![CDATA[(800-824-7406) for provider look-up
|
||||
www.medcost.com]]></text>
|
||||
|
||||
Reference in New Issue
Block a user