Circumstances

Optional address, deceased and transfer details.

This screen answersUS-15 US-38

Acceptance criteria

US-15 Patient-Form Segregation MEDIUM

As a user working across Eligibility, Pre-Auth, and Claims, I want a consistent patient-intake structure and required-field rules, so that I don't have to relearn the form per module.

All three modules use the same patient-intake step structure.
Marital Status/Occupation required-status standardized across modules.
No regression in any module.

US-38 Wizard Navigability LOW

As a user filling long wizards, I want to save a draft and resume, plus jump between completed steps, so that I don't lose work on long forms.

Persistent step indicator with jump-to-completed-step.
Save-as-draft + resume across Eligibility, Pre-Auth, Claims.
No partial submission to NPHIES from a draft.

Address

Address (optional)

City (optional)

Country (optional)

Deceased patient

Patient is deceased (optional)Patient is deceased

Deceased Date (optional)

Optional. The date the patient died. Shown when the switch is on.

Transfer

Patient is being transferred (optional)Patient is being transferred

Transferring From Provider License (optional)

Shown when the switch is on.

All three cards are optional. A card opens by itself when it already holds data.

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