@isset($vars['claim']->dischargeVoucher->claimResponse)

RequestId: {{$vars['claim']?->dischargeVoucher?->claimResponse?->RequestId}}

{{$vars['claim']?->dischargeVoucher?->claimResponse?->TiraStatusCode}} {{$vars['claim']?->dischargeVoucher?->claimResponse?->TiraStatusDesc}}

@endisset

@csrf

dischargeVoucher)value="{{$vars['claim']->dischargeVoucher->id}}"@endisset >

{{--

--}} {{-- Discharge Voucher Number--}} {{-- dischargeVoucher)value="{{$vars['claim']->dischargeVoucher->discharge_voucher_number}}"--}} {{-- @endisset name="discharge_voucher_number" id="discharge_voucher_number"--}} {{-- placeholder="Discharge Voucher Number" required>--}} {{--

--}} dischargeVoucher)value="{{$vars['claim']->dischargeVoucher->discharge_voucher_number}}" @endisset name="discharge_voucher_number" id="discharge_voucher_number" placeholder="Discharge Voucher Number" required> {{--

--}} {{-- Assessment Received Date--}} {{--

--}} {{--

--}} {{-- --}} {{--

--}} {{-- dischargeVoucher) value="{{Carbon\Carbon::parse($vars['claim']->dischargeVoucher->assessment_received_date)->format('Y-m-d\TH:i')}}"--}} {{-- @endisset name="assessment_received_date" id="assessment_received_date" required>--}} {{--

--}} {{--

--}}

{{--

--}} {{-- Claimant Response Date--}} {{--

--}} {{--

--}} {{-- --}} {{--

--}} {{-- dischargeVoucher)value="{{Carbon\Carbon::parse($vars['claim']->dischargeVoucher->claimant_response_date)->format('Y-m-d\TH:i')}}"--}} {{-- @endisset name="claimant_response_date" id="claimant_response_date" required>--}} {{--

--}} {{--

--}} dischargeVoucher)value="{{Carbon\Carbon::parse($vars['claim']->dischargeVoucher->claimant_response_date)->format('Y-m-d\TH:i')}}" @endisset name="claimant_response_date" id="claimant_response_date" required>

Discharge Voucher Date

dischargeVoucher) value="{{\Carbon\Carbon::parse($vars['claim']->dischargeVoucher->discharge_voucher_date)->format('Y-m-d\TH:i')}}" @endisset name="discharge_voucher_date" id="discharge_voucher_date" required>

Claim Offer Communication Date

dischargeVoucher) value="{{\Carbon\Carbon::parse($vars['claim']->dischargeVoucher->claim_offer_communication_date)->format('Y-m-d\TH:i')}}" @endisset name="claim_offer_communication_date" id="claim_offer_communication_date" required>

Claim Offer Amount

Tsh

dischargeVoucher)value="{{$vars['claim']->dischargeVoucher->claim_offer_amount}}" @endisset name="claim_offer_amount" id="claim_offer_amount" placeholder="Claim Offer Amount" required>

Adjustment Date

dischargeVoucher)) value="{{Carbon\Carbon::parse($vars['claim']->dischargeVoucher->adjustment_date)->format('Y-m-d\TH:i')}}" @else value="{{now()->format('Y-m-d\TH:i')}}" @endif name="adjustment_date">

Adjustment Amount

Tsh

dischargeVoucher)) value="{{$vars['claim']->dischargeVoucher->adjustment_amount}}" @else value="0" @endif name="adjustment_amount" id="adjustment_amount" placeholder="Adjustment Amount" required>

Adjustment Reason dischargeVoucher->adjustment_reason)) value="{{$vars['claim']->dischargeVoucher->adjustment_reason}}" @else value="None" @endif name="adjustment_reason" id="adjustment_reason" placeholder="Adjustment Reason" required>

Reconciled Date

dischargeVoucher)) value="{{Carbon\Carbon::parse($vars['claim']->dischargeVoucher->reconciliation_date)->format('Y-m-d\TH:i')}}" @else value="{{now()->format('Y-m-d\TH:i')}}" @endif name="reconciliation_date" id="reconciliation_date">

Reconciled Amount

Tsh

dischargeVoucher)) value="{{$vars['claim']->dischargeVoucher->reconciled_amount}}" @else value="0" @endif name="reconciled_amount" id="reconciled_amount" placeholder="Reconciled Amount" required>

Reconciled Summary dischargeVoucher->reconciliation_summary)) value="{{$vars['claim']->dischargeVoucher->reconciliation_summary}}" @else value="None" @endif name="reconciliation_summary" id="reconciliation_summary" placeholder="Reconciled Summary" required>

{{-- @if(isset($vars['claim']->dischargeVoucher) && $vars['claim']->dischargeVoucher->status !== 'Success')@endif--}}