Referral Id :
{{hesClaimDetail.referralId ? hesClaimDetail.referralId : 'NA'}}
Claim Number :
{{hesClaimDetail.claimNumber ? hesClaimDetail.claimNumber : 'NA'}}
Insurance Payer :
{{hesClaimDetail.insurancePayer ? hesClaimDetail.insurancePayer : 'NA'}}
Account Id :
{{hesClaimDetail.accountId ? hesClaimDetail.accountId : 'NA'}}
Service Type :
{{hesClaimDetail.serviceType ? hesClaimDetail.serviceType : 'NA'}}
Active :
Yes
No
Authorization Type :
{{hesClaimDetail.authorizationType ? hesClaimDetail.authorizationType : 'NA'}}
Rush :
Yes
No
PATIENT DETAIL
Patient Name :
{{hesClaimDetail.claimantFirstName}} {{hesClaimDetail.claimantLastName}}
Email :
{{hesClaimDetail.claimantEmail ? hesClaimDetail.claimantEmail : 'NA'}}
Phone Number :
{{hesClaimDetail.claimantPhoneNumber ? hesClaimDetail.claimantPhoneNumber : ''}}
Height :
{{hesClaimDetail.claimantHeight ? hesClaimDetail.claimantHeight!='0' ? hesClaimDetail.claimantHeight : 'NA' : 'NA'}}
Weight :
{{hesClaimDetail.claimantWeight ? hesClaimDetail.claimantWeight!='0' ? hesClaimDetail.claimantWeight : 'NA' : 'NA'}}
Date Of Birth :
{{hesClaimDetail.claimantDateOfBirth ? hesClaimDetail.claimantDateOfBirth : 'NA'}}
Gender :
{{hesClaimDetail.claimantGender ? hesClaimDetail.claimantGender : 'NA'}}
Injury Description :
{{hesClaimDetail.injuryDescription ? hesClaimDetail.injuryDescription : 'NA'}}
Date Of Injury :
{{hesClaimDetail.injuryDate ? hesClaimDetail.injuryDate : 'NA'}}
PATIENT ADDRESS
Address Line1 :
{{hesClaimDetail.claimantAddressLine1 ? hesClaimDetail.claimantAddressLine1 : 'NA'}}
City :
{{hesClaimDetail.claimantCity ? hesClaimDetail.claimantCity : 'NA'}}
State :
{{hesClaimDetail.claimantState ? hesClaimDetail.claimantState : 'NA'}}
Zipcode :
{{hesClaimDetail.claimantZipcode ? hesClaimDetail.claimantZipcode : 'NA'}}
ADJUSTER DETAIL
Adjuster Name :
{{hesClaimDetail.adjusterFirstName}} {{hesClaimDetail.adjusterLastName}}
Email :
{{hesClaimDetail.adjusterEmail ? hesClaimDetail.adjusterEmail : 'NA'}}
Phone Number :
{{hesClaimDetail.adjusterPhoneNumber ? hesClaimDetail.adjusterPhoneNumber : 'NA'}}
({{hesClaimDetail.adjusterMobileExtension}})
CASE MANAGER DETAIL
Case Manager Name :
{{hesClaimDetail.caseManagerFirstName}} {{hesClaimDetail.caseManagerLastName}}
Email :
{{hesClaimDetail.caseManagerEmail ? hesClaimDetail.caseManagerEmail : 'NA'}}
Phone Number :
{{hesClaimDetail.caseManagerPhoneNumber ? hesClaimDetail.caseManagerPhoneNumber : 'NA'}}
({{hesClaimDetail.caseManagerMobileExtension}})
OTHER MANAGER DETAIL
Other Manager Type :
{{hesClaimDetail.otherManagerType? hesClaimDetail.otherManagerType : 'NA'}}
Other Manager Name :
{{hesClaimDetail.otherManagerFirstName}} {{hesClaimDetail.otherManagerLastName}}
Email :
{{hesClaimDetail.otherManagerEmail ? hesClaimDetail.otherManagerEmail : 'NA'}}
Phone Number :
{{hesClaimDetail.otherManagerPhoneNumber ? hesClaimDetail.otherManagerPhoneNumber : 'NA'}}
({{hesClaimDetail.otherManagerMobileExtension}})
{{unreadMessageCount.hesNotification==0 ? '' : unreadMessageCount.hesNotification}}
