{% extends 'mbaApp_base.html' %} {% block content %}
PAYER ANALYSIS INPUTS
{% csrf_token %} {% if submit_data %} {% for dat in submit_data %}
INSURANCE ANALYSIS SELECTIONS {{file_id}}
Payer 1 Section
Your Payer ID
Fee Files Available
Your Payer Label
Select Fee File
Payer 2 Section
Your Payer ID
Fee Files Available
Your Payer Label
Select Fee File
Payer 3 Section
Your Payer ID
Fee Files Available
Your Payer Label
Select Fee File
Payer 4 Section
Your Payer ID
Fee Files Available
Your Payer Label
Select Fee File
Payer 5 Section
Your Payer ID
Fee Files Available
Your Payer Label
Select Fee File
FINANCIAL DATA
Provider Costs
Overhead Costs
Liability Costs
OR
Total Operating Costs
Total Collections
Collaboration
Principal Provider
Secondary Provider
{% endfor %} {% endif %}
{% endblock content %}