Current Claim

Claim ID:	{{hcc.curClaim.claimID}}
Patient:	{{hcc.curClaim.patientName}}
Status:	{{hcc.curClaim.statusCode}}
Claim date:	{{hcc.curClaim.claimDate | date}}
Amount claimed:	{{hcc.curClaim.amountClaimed | currency}}
Amount paid:	{{hcc.curClaim.amountPaid | currency}}
Notes:	{{hcc.curClaim.notes}}

Modify Claim

Patient:	Name is required
Status code:	Status code is required Status code must begin with XQ followed by four digits Status code must be compatible with internal document #7656
Claim date:	Claim date is required Claim date must be a valid date
Claim amount:	Claim amount is required Claim amount must be a number Claim amount must be greater than zero
Amount paid:	Amount paid is required Amount paid must be a number Amount paid must be greater than zero Amount paid must be less than amount claimed
Notes: