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

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

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

@endisset

@csrf

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

{{--

--}} {{-- Claim Payment Number--}} {{-- claimPayment)value="{{$vars['claim']->claimPayment->claim_payment_number}}"--}} {{-- @endisset name="claim_payment_number" id="claim_payment_number"--}} {{-- placeholder="Claim Payment Number" readonly required>--}} {{--

--}} {{--

--}} {{-- Claim Intimation Number--}} {{-- claimPayment)value="{{$vars['claim']->claimPayment->claim_intimation_number}}"--}} {{-- @endisset name="claim_intimation_number" id="Claim Intimation Number"--}} {{-- placeholder="claim_intimation_number" readonly required>--}} {{--

--}}

Payment Date

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

Paid Amount

Tsh

claimPayment)value="{{$vars['claim']->claimPayment->paid_amount}}" @endisset name="paid_amount" id="paid_amount" placeholder="Paid Amount" required>

Mode Of Payment

Parties Notified

Net Premium Earned

Tsh

claimPayment)value="{{$vars['claim']->claimPayment->net_premium_earned}}" @endisset name="net_premium_earned" id="net_premium_earned" placeholder="Net Premium Earned" required>

Claim Resulted Litigation

Litigation Reason claimPayment)value="{{$vars['claim']->claimPayment->litigation_reason}}" @endisset name="litigation_reason" id="litigation_reason" placeholder="Litigation Reason" required>