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(max-width:425px){div[lang=fr] .amountField[data-v-ce6a5940],div[lang=fr] .dobField[data-v-ce6a5940],div[lang=fr] .dosField[data-v-ce6a5940],div[lang=fr] .faxNumberTypeField[data-v-ce6a5940],div[lang=fr] .firstNameField[data-v-ce6a5940],div[lang=fr] .itemToVoidField[data-v-ce6a5940],div[lang=fr] .lastNameField[data-v-ce6a5940],div[lang=fr] .phoneNumberTypeField[data-v-ce6a5940],div[lang=fr] .providerNameField[data-v-ce6a5940],div[lang=fr] .regNumberClaimIdField[data-v-ce6a5940]{min-width:100%}}@media only screen and (min-width:425px){div[lang=fr] .amountField[data-v-ce6a5940],div[lang=fr] .dobField[data-v-ce6a5940],div[lang=fr] .dosField[data-v-ce6a5940],div[lang=fr] .faxNumberTypeField[data-v-ce6a5940],div[lang=fr] .firstNameField[data-v-ce6a5940],div[lang=fr] .itemToVoidField[data-v-ce6a5940],div[lang=fr] .lastNameField[data-v-ce6a5940],div[lang=fr] .phoneNumberTypeField[data-v-ce6a5940],div[lang=fr] .providerNameField[data-v-ce6a5940],div[lang=fr] .regNumberClaimIdField[data-v-ce6a5940]{min-width:260px}}@media only screen and (max-width:425px){div[lang=fr] .providerIdField[data-v-ce6a5940]{min-width:100%}}@media only screen and (min-width:425px){div[lang=fr] .providerIdField[data-v-ce6a5940]{min-width:290px}}@media only screen and (max-width:425px){div[lang=en] .amountField[data-v-ce6a5940],div[lang=en] .dobField[data-v-ce6a5940],div[lang=en] .dosField[data-v-ce6a5940],div[lang=en] .faxNumberTypeField[data-v-ce6a5940],div[lang=en] .firstNameField[data-v-ce6a5940],div[lang=en] .itemToVoidField[data-v-ce6a5940],div[lang=en] .lastNameField[data-v-ce6a5940],div[lang=en] .phoneNumberTypeField[data-v-ce6a5940],div[lang=en] .providerIdField[data-v-ce6a5940],div[lang=en] .providerNameField[data-v-ce6a5940],div[lang=en] .regNumberClaimIdField[data-v-ce6a5940]{min-width:100%}}@media only screen and (min-width:425px){div[lang=en] .amountField[data-v-ce6a5940],div[lang=en] .dobField[data-v-ce6a5940],div[lang=en] .dosField[data-v-ce6a5940],div[lang=en] .faxNumberTypeField[data-v-ce6a5940],div[lang=en] .firstNameField[data-v-ce6a5940],div[lang=en] .itemToVoidField[data-v-ce6a5940],div[lang=en] .lastNameField[data-v-ce6a5940],div[lang=en] .phoneNumberTypeField[data-v-ce6a5940],div[lang=en] .providerIdField[data-v-ce6a5940],div[lang=en] .providerNameField[data-v-ce6a5940],div[lang=en] .regNumberClaimIdField[data-v-ce6a5940]{min-width:180px}}@media only screen and (max-width:425px){div[lang=fr] .faxNumberTypeField[data-v-173c404d],div[lang=fr] .phoneNumberTypeField[data-v-173c404d],div[lang=fr] .providerNameField[data-v-173c404d]{min-width:100%}}@media only screen and (min-width:425px){div[lang=fr] .faxNumberTypeField[data-v-173c404d],div[lang=fr] .phoneNumberTypeField[data-v-173c404d],div[lang=fr] .providerNameField[data-v-173c404d]{min-width:260px}}@media only screen and (max-width:425px){div[lang=fr] .providerIdField[data-v-173c404d]{min-width:100%}}@media only screen and (min-width:425px){div[lang=fr] .providerIdField[data-v-173c404d]{min-width:290px}}@media only screen and (max-width:425px){div[lang=en] .faxNumberTypeField[data-v-173c404d],div[lang=en] .phoneNumberTypeField[data-v-173c404d],div[lang=en] .providerIdField[data-v-173c404d],div[lang=en] .providerNameField[data-v-173c404d]{min-width:100%}}@media only screen and (min-width:425px){div[lang=en] .faxNumberTypeField[data-v-173c404d],div[lang=en] .phoneNumberTypeField[data-v-173c404d],div[lang=en] .providerIdField[data-v-173c404d],div[lang=en] .providerNameField[data-v-173c404d]{min-width:180px}}[data-v-016961a2] .highlight{color:#0079ad}