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This commit is contained in:
Jason Jordan
2026-06-23 08:14:48 -04:00
parent 2229df3787
commit 4e7d7730c7
8 changed files with 372 additions and 239 deletions
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web/reports/idcards/TandemlocIDCard/TandemlocIDCardBack.jrxml
+30 -30
View File
@@ -53,12 +53,12 @@
<reportElement x="1" y="10" width="111" height="90" uuid="e762ee84-c013-417b-a78f-54f6f1f6a1a3"/>
</rectangle>
<rectangle>
<reportElement x="1" y="112" width="111" height="37" uuid="66e1721c-c7fd-40cf-8f45-10b5f6b4c22d">
<reportElement x="1" y="112" width="111" height="32" uuid="66e1721c-c7fd-40cf-8f45-10b5f6b4c22d">
<property name="com.jaspersoft.studio.unit.height" value="px"/>
</reportElement>
</rectangle>
<rectangle>
<reportElement x="125" y="10" width="106" height="140" uuid="ad8b04e0-5993-4f1c-b6b1-f2c11320be29">
<reportElement x="125" y="10" width="106" height="134" uuid="ad8b04e0-5993-4f1c-b6b1-f2c11320be29">
<property name="com.jaspersoft.studio.unit.height" value="px"/>
<property name="com.jaspersoft.studio.unit.width" value="px"/>
<property name="com.jaspersoft.studio.unit.x" value="px"/>
@@ -103,7 +103,7 @@
<staticText>
<reportElement x="1" y="11" width="111" height="17" uuid="75aa6426-2374-4c07-9556-63dab683cb11"/>
<textElement textAlignment="Center" verticalAlignment="Middle">
<font size="6" isBold="false" isItalic="false"/>
<font size="6" isBold="true" isItalic="false"/>
</textElement>
<text><![CDATA[To confirm eligibility, verify benefits,
or check claim:
@@ -112,14 +112,14 @@ or check claim:
<staticText>
<reportElement x="1" y="28" width="111" height="17" uuid="8307c61b-9927-4bcc-a825-fec29b5ba605"/>
<textElement textAlignment="Center" verticalAlignment="Middle">
<font size="6" isBold="false" isItalic="false"/>
<font size="6" isBold="true" isItalic="false"/>
</textElement>
<text><![CDATA[Britton Benefit Services, LLC]]></text>
</staticText>
<staticText>
<reportElement x="1" y="45" width="111" height="50" uuid="46c394a4-7df2-4f23-b17e-d8e186e99f5e"/>
<textElement textAlignment="Center" verticalAlignment="Middle">
<font size="6" isBold="false" isItalic="false"/>
<font size="6" isBold="true" isItalic="false"/>
</textElement>
<text><![CDATA[Call:
1.800.676.1182 (8am – 5pm)
@@ -132,49 +132,49 @@ eligibility or payment
<textField>
<reportElement x="127" y="11" width="37" height="7" uuid="10b2b729-cb2f-4507-99d4-d3286e5ca8ed"/>
<textElement verticalAlignment="Middle">
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_1}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="16" width="37" height="7" uuid="0f23b912-da97-4297-b142-8c47d3332037"/>
<textElement verticalAlignment="Middle">
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_2}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="21" width="37" height="7" uuid="6664081c-30df-4e12-a563-e286fb71935a"/>
<textElement verticalAlignment="Middle">
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_3}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="26" width="37" height="7" uuid="e957833e-54e9-4145-b41b-1a72d0ddadf3"/>
<textElement verticalAlignment="Middle">
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_4}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="35" width="37" height="7" uuid="a49dbbb0-791e-4930-b99a-dfa39ee3e3d9"/>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_5}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="40" width="37" height="7" uuid="0b0c6791-76a7-4a76-9695-59fff6544f8f"/>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_6}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="45" width="37" height="7" uuid="f1ce64f0-b5fd-499e-a419-e0ef4b1e32e0"/>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_7}]]></textFieldExpression>
</textField>
@@ -183,28 +183,28 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_8}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="59" width="37" height="7" uuid="ed2733a7-5906-4544-a4a6-1e4465c94f70"/>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_9}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="65" width="37" height="7" uuid="cc95f964-4572-46b1-b092-964c9f19e7f6"/>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_10}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="127" y="71" width="37" height="7" uuid="6becfb6d-cb5b-4262-991d-e8d5bc9153c1"/>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{claim_to_11}]]></textFieldExpression>
</textField>
@@ -231,7 +231,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_1}]]></textFieldExpression>
</textField>
@@ -241,7 +241,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_2}]]></textFieldExpression>
</textField>
@@ -251,7 +251,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_3}]]></textFieldExpression>
</textField>
@@ -261,7 +261,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_4}]]></textFieldExpression>
</textField>
@@ -271,7 +271,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_5}]]></textFieldExpression>
</textField>
@@ -281,17 +281,17 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.x" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_6}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="166" y="45" width="64" height="7" uuid="b8bd2df8-9ad2-4cde-9c67-b0e32425c00b">
<reportElement x="166" y="45" width="68" height="7" uuid="b8bd2df8-9ad2-4cde-9c67-b0e32425c00b">
<property name="com.jaspersoft.studio.unit.x" value="px"/>
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_7}]]></textFieldExpression>
</textField>
@@ -301,7 +301,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_8}]]></textFieldExpression>
</textField>
@@ -311,7 +311,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_9}]]></textFieldExpression>
</textField>
@@ -321,17 +321,17 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_10}]]></textFieldExpression>
</textField>
<textField>
<reportElement x="166" y="71" width="64" height="7" uuid="d30067fe-8185-4854-a4da-615d8bb59f4a">
<reportElement x="166" y="71" width="70" height="7" uuid="d30067fe-8185-4854-a4da-615d8bb59f4a">
<property name="com.jaspersoft.studio.unit.x" value="px"/>
<property name="com.jaspersoft.studio.unit.width" value="px"/>
</reportElement>
<textElement>
<font size="5"/>
<font size="5" isBold="true"/>
</textElement>
<textFieldExpression><![CDATA[$F{provider_line_11}]]></textFieldExpression>
</textField>
@@ -340,7 +340,7 @@ eligibility or payment
<property name="com.jaspersoft.studio.unit.height" value="px"/>
</reportElement>
<textElement textAlignment="Center">
<font size="6"/>
<font size="6" isBold="true"/>
</textElement>
<text><![CDATA[Pre-certification is required for
Inpatient Hospitalization.