280 lines
8.6 KiB
HTML
280 lines
8.6 KiB
HTML
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>Health Insurance E-Card</title>
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<style>
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* {
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margin: 0;
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padding: 0;
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box-sizing: border-box;
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}
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body {
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/* font-family: 'Lato', sans-serif; */
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background-color: #fff;
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padding: 5px;
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}
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.card-container {
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display: table;
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width: 100%;
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max-width: 750px;
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margin: 0 auto;
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table-layout: fixed;
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border-spacing: 5px 0;
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margin-bottom: 5px;
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}
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.card {
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display: table-cell;
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background: white;
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width: 50%;
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padding: 10px;
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border: 1px solid #ddd;
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vertical-align: top;
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}
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.card-header {
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display: table;
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width: 100%;
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margin-bottom: 10px;
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table-layout: fixed;
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}
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.logo-left {
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display: table-cell;
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width: 35px;
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vertical-align: middle;
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}
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.logo-left img {
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width: 48px;
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height: 32px;
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}
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.logo-right {
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display: table-cell;
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text-align: right;
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vertical-align: middle;
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}
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.logo-right img {
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width: 65px;
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height: 32px;
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}
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.card-body {
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position: relative;
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padding-left: 65px;
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min-height: 80px;
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}
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.n-logo {
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position: absolute;
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left: 5px;
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top: 30px;
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width: 55px;
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}
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.n-logo img {
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width: 55px;
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height: auto;
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}
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.details {
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width: 100%;
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margin-left: 16px;
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}
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.details-table {
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width: 100%;
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border-collapse: collapse;
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font-size: 10px;
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line-height: 1.4;
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}
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.details-table td {
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padding: 1px 1px;
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vertical-align: top;
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}
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.detail-label {
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width: 65px;
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font-weight: 600;
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color: #333;
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white-space: nowrap;
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}
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.detail-separator {
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width: 8px;
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text-align: center;
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color: #666;
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}
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.detail-value {
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color: #333;
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word-break: break-word;
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white-space: normal;
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font-weight: 300;
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}
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.support-section {
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font-size: 7.5px;
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}
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.support-title {
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color: #ff6b35;
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font-weight: 600;
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margin-bottom: 6px;
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font-size: 10px;
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}
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.support-details {
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font-size: 8px;
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font-weight: 500;
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line-height: 1.4;
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color: #333;
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margin-top: 0px;
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}
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.level-title {
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font-weight: 500;
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margin-top: 4px;
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margin-bottom: 2px;
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}
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.cashless-title {
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color: #ff6b35;
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font-weight: 600;
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margin-top: 0px;
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margin-bottom: 3px;
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font-size: 10px;
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}
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.footer-note {
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text-align: center;
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margin-top: 8px;
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font-size: 8px;
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color: #666;
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}
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.card-header img[src=""],
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.card-header img:not([src]) {
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opacity: 0;
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visibility: hidden;
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display: none;
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}
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</style>
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</head>
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<body>
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<div class="card-container">
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<!-- Front Card -->
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<div class="card">
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<div class="card-header">
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<div class="logo-left">
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<img src="{INSURER_LOGO}" alt=" " onerror="this.style.visibility='hidden';">
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</div>
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<div class="logo-right">
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<img src="{TPA_LOGO}" alt=" " onerror="this.style.visibility='hidden';">
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</div>
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</div>
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<div class="card-body">
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<div class="n-logo">
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<img src="{NHANCE_N_LOGO}" alt=" " onerror="this.style.visibility='hidden';">
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</div>
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<div class="details">
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<table class="details-table">
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<tbody>
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<tr>
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<td class="detail-label">Policy Holder</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{CLIENT_NAME}</td>
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</tr>
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<tr>
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<td class="detail-label">Insurer</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{INSURER_NAME}</td>
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</tr>
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<tr>
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<td class="detail-label">TPA</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{TPA_NAME}</td>
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</tr>
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<tr>
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<td class="detail-label">Primary Insured</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{SELF_NAME}</td>
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</tr>
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<tr>
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<td class="detail-label">Beneficiary Name</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{NAME}</td>
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</tr>
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<tr>
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<td class="detail-label">Member ID</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{TPA_ID}</td>
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</tr>
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<tr>
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<td class="detail-label">Employee Code</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{EMP_ID}</td>
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</tr>
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<tr>
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<td class="detail-label">Relation</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{RELATION}</td>
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</tr>
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<tr>
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<td class="detail-label">Policy Period</td>
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<td class="detail-separator">:</td>
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<td class="detail-value">{POLICY_START_DATE} to {POLICY_DATE}</td>
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</tr>
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</tbody>
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</table>
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</div>
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</div>
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</div>
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<!-- Back Card -->
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<div class="card">
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<div class="card-header">
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<div class="logo-left">
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<img src="{INSURER_LOGO}" alt=" " onerror="this.style.visibility='hidden';">
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</div>
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<div class="logo-right">
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<img src="{TPA_LOGO}" alt=" " onerror="this.style.visibility='hidden';">
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</div>
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</div>
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<div class="card-body">
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<div class="n-logo">
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<img src="{NHANCE_N_LOGO}" alt=" " onerror="this.style.visibility='hidden';">
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</div>
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<div class="details">
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<div class="support-section">
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<div class="support-title">For support :</div>
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<div class="support-details">
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{LEVELS}
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<div class="cashless-title">For cashless claims:</div>
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<div>Share a valid ID with this E-card at the Hospital Insurance Desk.</div>
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{NETWORK_HOSPITAL}
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</div>
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</div>
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</div>
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</div>
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<div class="footer-note">
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This E-Card is non-transferable and valid only at network (cashless) hospitals
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</div>
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</div>
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</div>
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</body>
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</html> |