General Edit

{** * Pharmacy edit * * @package OpenEMR * @link https://www.open-emr.org * @author Brady Miller * @copyright Copyright (c) 2017 Brady Miller * @license https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3 *} {if isset($ERROR)} {$ERROR|text} {else}

| {$provider->get_name_display()|text} |

{xlt t='Company Name'}	{xlt t='Provider Number'}	{xlt t='Rendering Provider Number'}	{xlt t='Group Number'}
{foreach name=inums item=num_set from=$provider->get_insurance_numbers()}	[{$num_set->get_insurance_company_name()	text}]({$CURRENT_ACTION}action=edit&id={$num_set->get_id()	attr_url}&showform=true)
{foreachelse}	{xlt t='No entries found, use the form below to add an entry.'}
{/foreach}	[{xlt t='Add New'}]({$CURRENT_ACTION}action=edit&id=&provider_id={$provider->get_id()	attr_url}&showform=true)

{if $show_edit_gui} {if $ins->get_id() eq ""} {xlt t='Add Provider Number'} {else} {xlt t='Update Provider Number'} {/if}

{xlt t='Insurance Company'} {if $ins->get_id() eq ""} {html_options options=$ic_array values=$ic_array selected=$ins->get_insurance_company_id()} {else} {$ins->get_insurance_company_name()|text} {/if}

{xlt t='Provider Number'}

{xlt t='Provider Number (Type)'} {html_options options=$ic_type_options_array values=$ins->provider_number_type_array selected=$ins->get_provider_number_type()}

{xlt t='Rendering Provider Number'}

{xlt t='Rendering Provider Number (Type)'} {html_options options=$ic_rendering_type_options_array values=$ins->rendering_provider_number_type_array selected=$ins->get_rendering_provider_number_type()}

{xlt t='Group Number'}

{if $ins->get_id() eq ""} {xlt t='Save'} {else} {xlt t='Save'} {/if} {xlt t='Cancel'} {else} {/if} {/if}