diff --git a/apps/Frontend/src/components/claims/claim-form.tsx b/apps/Frontend/src/components/claims/claim-form.tsx index e450dd2..3842a4a 100644 --- a/apps/Frontend/src/components/claims/claim-form.tsx +++ b/apps/Frontend/src/components/claims/claim-form.tsx @@ -492,6 +492,7 @@ export function ClaimForm({

Service Lines

+
{/* Service Date */}
@@ -554,11 +555,20 @@ export function ClaimForm({ })} + + {/* Map Price Button */} +
{/* Header */} -
+
Procedure Code @@ -762,12 +772,6 @@ export function ClaimForm({
))} - -
- -