739 lines
30 KiB
XML
739 lines
30 KiB
XML
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<jasperReport xmlns="http://jasperreports.sourceforge.net/jasperreports" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://jasperreports.sourceforge.net/jasperreports http://jasperreports.sourceforge.net/xsd/jasperreport.xsd" name="IDCard" pageWidth="612" pageHeight="792" columnWidth="572" leftMargin="20" rightMargin="20" topMargin="20" bottomMargin="20" uuid="477346fd-960f-44d2-84f5-bd25202741fc">
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<parameter name="BackImage" class="java.lang.String">
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<defaultValueExpression><![CDATA["C:\\images\\All_3_Logo.png"]]></defaultValueExpression>
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</parameter>
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<queryString>
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<![CDATA[Select * From HLIDCardEggData Where FamilyId = $P{FamilyId}]]>
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<field name="Ben1" class="java.lang.String"/>
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<field name="Ben3" class="java.lang.String"/>
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<field name="Ben5" class="java.lang.String"/>
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<field name="BenDesc6" class="java.lang.String"/>
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<field name="Ben6" class="java.lang.String"/>
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<field name="BenDesc7" class="java.lang.String"/>
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<field name="Ben7" class="java.lang.String"/>
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<textElement>
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<font size="6" isUnderline="false"/>
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</textElement>
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<text><![CDATA[Eligibility]]></text>
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<textElement>
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<font size="6" isUnderline="false" isPdfEmbedded="false"/>
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<text><![CDATA[Utilization / Pre-Cert]]></text>
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<font size="6" isUnderline="false" isPdfEmbedded="false"/>
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<text><![CDATA[Claims Submission]]></text>
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<font size="6" isBold="true" isItalic="false"/>
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<text><![CDATA[Administered by:
|
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Britton Benefit Services, LLC
|
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1.800.676.1182]]></text>
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<font size="6" isBold="false" isItalic="false"/>
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<text><![CDATA[To confirm eligibility, verify benefits,
|
||
or check claim:
|
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]]></text>
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<text><![CDATA[Call:
|
||
1.800.676.1182 (8am – 5pm)
|
||
Online:
|
||
www.bbstpa.com (24/7)
|
||
This card does not guarantee
|
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eligibility or payment
|
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]]></text>
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