rendered paste body<form id="searchform" target="" action="" method="post" name="searchform" style="background-color: rgb(102, 102, 102);"> <table cellspacing="0" border="1" style="float: left; display: inline;"> <tbody> <tr> <td align="left" colspan="2"> <b> Search: </b> Sort by: <select id="sortby" name="sortby"> <option value="sort.ImagesDetail.FormNumber" selected="1">MC400 Frm Num</option> <option value="sort.EClaimQueue.ScanedClaimID">Microfilm #</option> <option value="sort.EClaimQueue.InsuredID">Insured ID</option> <option value="sort.EClaimQueue.InsuredLastName">Insured Last Nm</option> <option value="sort.EClaimQueue.InsuredFirstName">Insured First Nm</option> <option value="sort.EClaimQueue.PatientLastName">Pat Last Nm</option> <option value="sort.EClaimQueue.PatientFirstName">Pat First Nm</option> <option value="sort.EClaimQueue.ProviderTaxID">Provider ID</option> <option value="sort.EClaimQueue.BillingProviderLastName">Provider Last Name</option> <option value="sort.EClaimQueue.BillingProviderFirstName">Provider First Name</option> <option value="sort.EClaimQueue.PatientDOB">Patient DOB</option> <option value="sort.EClaimQueue.DateofServiceStart">DOS</option> <option value="sort.EClaimQueue.Diagnosiscode1">Dx Cd #1</option> <option value="sort.EClaimQueue.IsVerified">Verified ?</option> <option value="sort.EClaimQueue.IsExportedMC400">Exported ?</option> <option value="sort.ImagesDetail.pageScanDate">Scan Date</option> <option value="sort.Category.name">Doc Type</option> <option value="sort.EClaimQueue.DateReceived">Date Recieved</option> </select> <input type="checkbox" checked="" value="1" name="desc"/> Reverse </td> </tr> <tr> <td> <table width="100%" cellspacing="0"> <tbody id="searchtable"> <tr> <td align="center">MC400 Frm Num</td> <td> <input id="search.ImagesDetail.FormNumber" type="text" name="search.ImagesDetail.FormNumber" value="a" size="25"/> </td> </tr> <tr> <td align="center">Microfilm #</td> <td> <input id="search.EClaimQueue.ScanedClaimID" type="text" name="search.EClaimQueue.ScanedClaimID" value="asf" size="25"/> </td> </tr> <tr> <td align="center">Insured ID</td> <td> <input id="search.EClaimQueue.InsuredID" type="text" name="search.EClaimQueue.InsuredID" value="" size="25"/> </td> </tr> <tr> <td align="center">Insured Last Nm</td> <td> <input id="search.EClaimQueue.InsuredLastName" type="text" name="search.EClaimQueue.InsuredLastName" value="" size="25"/> </td> </tr> <tr> <td align="center">Insured First Nm</td> <td> <input id="search.EClaimQueue.InsuredFirstName" type="text" name="search.EClaimQueue.InsuredFirstName" value="" size="25"/> </td> </tr> <tr> <td align="center">Pat Last Nm</td> <td> <input id="search.EClaimQueue.PatientLastName" type="text" name="search.EClaimQueue.PatientLastName" value="" size="25"/> </td> </tr> <tr> <td align="center">Pat First Nm</td> <td> <input id="search.EClaimQueue.PatientFirstName" type="text" name="search.EClaimQueue.PatientFirstName" value="" size="25"/> </td> </tr> <tr> <td align="center">Provider ID</td> <td> <input id="search.EClaimQueue.ProviderTaxID" type="text" name="search.EClaimQueue.ProviderTaxID" value="" size="25"/> </td> </tr> <tr> <td align="center">Provider Last Name</td> <td> <input id="search.EClaimQueue.BillingProviderLastName" type="text" name="search.EClaimQueue.BillingProviderLastName" value="" size="25"/> </td> </tr> <tr> <td align="center">Provider First Name</td> <td> <input id="search.EClaimQueue.BillingProviderFirstName" type="text" name="search.EClaimQueue.BillingProviderFirstName" value="" size="25"/> </td> </tr> <tr> <td align="center">Patient DOB</td> <td> <input id="search.EClaimQueue.PatientDOB" type="text" name="search.EClaimQueue.PatientDOB" value="" size="25"/> </td> </tr> <tr> <td align="center">DOS</td> <td> <input id="search.EClaimQueue.DateofServiceStart" type="text" name="search.EClaimQueue.DateofServiceStart" value="" size="25"/> </td> </tr> <tr> <td align="center">Dx Cd #1</td> <td> <input id="search.EClaimQueue.Diagnosiscode1" type="text" name="search.EClaimQueue.Diagnosiscode1" value="" size="25"/> </td> </tr> <tr> <td align="center">Verified ?</td> <td> <input id="search.EClaimQueue.IsVerified" type="text" name="search.EClaimQueue.IsVerified" value="" size="25"/> </td> </tr> <tr> <td align="center">Exported ?</td> <td> <input id="search.EClaimQueue.IsExportedMC400" type="text" name="search.EClaimQueue.IsExportedMC400" value="" size="25"/> </td> </tr> <tr> <td align="center">Scan Date</td> <td> <input id="search.ImagesDetail.pageScanDate" type="text" name="search.ImagesDetail.pageScanDate" value="" size="25"/> </td> </tr> <tr> <td align="center">Doc Type</td> <td> <input id="search.Category.name" type="text" name="search.Category.name" value="" size="25"/> </td> </tr> <tr> <td align="center">Date Recieved</td> <td> <input id="search.EClaimQueue.DateReceived" type="text" name="search.EClaimQueue.DateReceived" value="" size="25"/> </td> </tr> </tbody> </table> </td> <td width="32" valign="top" align="center"> <input type="image" onclick="parent.clearframe('docframe');parent.hidepages();parent.sendpost('getvals.py','treeframe');return false;" src="../Static_Resource/search.png"/> <input type="image" onclick="searchform.reset();return false;" src="../Static_Resource/clear.png"/> </td> </tr> </tbody> </table></form>