No. Klaim	:	{{ wordwrap($request_logs->code,15," \n")}}	Tanggal	:	{{ \Carbon\Carbon::parse($request_logs->submission_date)->format('d M Y') }}
Kepada	:	{{ $rumahSakit->nama_rumahsakit }}	Plan Polis	:	{{ $dataMember->code_plan }}

Jenis Surat Jaminan	:	SURAT JAMINAN AKHIR	Penjamin	:	{{ $dataMember->penjamin }}
Nama Peserta	:	{{ $dataMember->name }}	Nama Perusahaan	:	{{ $dataMember->nama_perusahaan }}
Nama Karyawan	:	{{ $namaKaryawan }}	Phone Perusahaan	:
Tanggal Lahir	:	{{ \Carbon\Carbon::parse($dataMember->birth_date)->format('d M Y') }}	No. Polis	:	{{ $dataMember->no_polis }}
Jenis Kelamin	:	{{ $dataMember->gender == 'male' ? 'Laki-Laki' : 'Perempuan' }}	Tipe	:	{{ $dataMember->limit_rules == '999999999' ? 'As Charge' : 'Max Amount, Rp '.number_format($dataMember->limit_rules, 2, ',', '.') }}
Member ID (BN)	:	{{ $dataMember->member_id }}	Status Polis	:	{{ $dataMember->status_polis == 'active' ? 'Aktif' : 'Tidak Aktif' }}
Identitas Peserta	:	{{ $dataMember->nik }}	Periode Jaminan	:	{{ \Carbon\Carbon::parse($request_logs->submission_date)->format('d M Y') }}
Hak Kamar Pasien	:		Mata Uang	:	{{ $dataMember->mata_uang }}
Penempatan Kamar	:		Alamat Provider	:	{{ $rumahSakit->alamat_rumahsakit }}
No. Rekam Medis	:
Jenis Perawatan	:	{{ $dataMember->jenis_perwatan }}

@php $No = 1; $total_claim = 0; $total_disetujui = 0; $total_selisih = 0; @endphp @foreach($dataClaimLog as $claimLog) @php $total_claim += $claimLog->amount_incurred; $total_disetujui += $claimLog->amount_approved; $total_selisih += $claimLog->excess_paid; @endphp @endforeach

No.	Item Layanan	Total Klaim	Total Disetujui	Total Selisih	Keterangan
{{ $No++ }}	{{ $claimLog->benfit}}	{{ number_format($claimLog->amount_incurred, 2, ',', '.') }}	{{ number_format($claimLog->amount_approved, 2, ',', '.') }}	{{ number_format($claimLog->excess_paid, 2, ',', '.') }}	{{ $claimLog->keterangan}}
Total		{{ number_format($total_claim, 2, ',', '.') }}	{{ number_format($total_disetujui, 2, ',', '.') }}	{{ number_format($total_selisih, 2, ',', '.') }}

CATATAN