/* ═══════════════════════════════════════════════════════
   CMS-1500 (02/12) Health Insurance Claim Form Styles
   Flint OCR Red (J6983) ≈ #ED1C24
   Data: Black, 10pt Times New Roman
   ═══════════════════════════════════════════════════════ */

/* ─── Variables ─── */
:root {
    --cms-red: #ED1C24;          /* Flint OCR Red (J6983) */
    --cms-red-light: #f8d7d9;    /* Light tint for header backgrounds */
    --cms-red-border: #ED1C24;
    --cms-black: #000;
    --cms-font: 'Times New Roman', Times, serif;
}

/* ─── Container ─── */

.container.cms-container {
    max-width: 1200px;
    padding: 8px;
}

/* ─── Form Wrapper ─── */

.cms-form {
    position: relative;
    background: #fff;
    border: 2px solid var(--cms-red);
    font-family: var(--cms-font);
    font-size: 7pt;
    color: var(--cms-red);
    box-shadow: 0 2px 8px rgba(0,0,0,0.15);
    margin-bottom: 20px;
}

/* ─── Page Wrapper (for page-break control) ─── */

.cms-page {
    position: relative;
    background: #fff;
    page-break-after: always;
    page-break-inside: avoid;
}
.cms-page:last-child {
    page-break-after: auto;
}

/* ─── Form Header ─── */

.cms-header {
    display: flex;
    justify-content: space-between;
    align-items: center;
    padding: 3px 8px;
    border-bottom: 2px solid var(--cms-red);
    background: #fff;
}
.cms-hw {
    font-weight: bold;
    font-size: 10pt;
    letter-spacing: 0.5px;
    color: var(--cms-red);
}
.cms-hw-small {
    font-size: 6.5pt;
    color: var(--cms-red);
    text-align: right;
}

/* ─── PICA Markers & Carrier Block ─── */

.cms-pica-row {
    display: flex;
    justify-content: space-between;
    border-bottom: 1px solid var(--cms-red);
    padding: 1px 8px;
    font-size: 6pt;
    color: var(--cms-red);
    font-weight: bold;
}

.cms-carrier-block {
    border-bottom: 2px solid var(--cms-red);
    padding: 2px 8px;
}
.cms-carrier-label {
    font-size: 6pt;
    color: var(--cms-red);
    text-align: right;
    margin-bottom: 1px;
    font-weight: bold;
}
.cms-carrier-block .cms-field-row {
    display: flex;
    align-items: center;
    gap: 4px;
    margin-bottom: 1px;
}
.cms-carrier-block .cms-sm {
    font-weight: bold;
    font-size: 6pt;
    min-width: 50px;
    color: var(--cms-red);
}
.cms-carrier-block input {
    flex: 1;
    border: none;
    border-bottom: 1px solid var(--cms-red);
    font-size: 10pt;
    font-family: var(--cms-font);
    color: var(--cms-black);
    padding: 1px 3px;
    background: var(--input-bg);
    outline: none;
}
.cms-carrier-block input:focus {
    border-bottom: 2px solid var(--accent, #3498db);
    background: var(--input-focus);
}

/* ─── Section Wrapper (with vertical side label) ─── */

.cms-section-wrapper {
    position: relative;
    display: flex;
}
.cms-section-content {
    flex: 1;
    min-width: 0;
}
.cms-section-side-label {
    width: 20px;
    min-width: 20px;
    background: var(--cms-red);
    display: flex;
    align-items: center;
    justify-content: center;
    writing-mode: vertical-rl;
    text-orientation: mixed;
    color: #fff;
    font-size: 6.5pt;
    font-weight: bold;
    letter-spacing: 1.5px;
    text-transform: uppercase;
    padding: 4px 0;
    white-space: nowrap;
}

/* ─── Section Divider ─── */

.cms-section-divider {
    background: var(--cms-red);
    color: #fff;
    text-align: center;
    font-weight: bold;
    font-size: 8pt;
    padding: 2px 4px;
    letter-spacing: 1px;
    text-transform: uppercase;
    font-family: var(--cms-font);
}

/* ─── Rows & Cells ─── */

.cms-row {
    display: flex;
    border-bottom: 1px solid var(--cms-red);
}
.cms-row:last-child {
    border-bottom: none;
}
.cms-cell {
    flex: 1;
    padding: 2px 4px;
    border-right: 1px solid var(--cms-red);
    min-height: 28px;
}
.cms-cell:last-child {
    border-right: none;
}
.cms-cell-half {
    flex: 1;
}

/* ─── Box Labels (all in red) ─── */

.cms-box-label {
    font-weight: bold;
    font-size: 5.5pt;
    color: var(--cms-red);
    text-transform: uppercase;
    margin-bottom: 1px;
    line-height: 1.3;
    font-family: Arial, Helvetica, sans-serif;
}
.cms-box-label-inner {
    font-weight: bold;
    font-size: 5.5pt;
    color: var(--cms-red);
    text-transform: uppercase;
    font-family: Arial, Helvetica, sans-serif;
}
.cms-req {
    font-weight: normal;
    font-size: 5pt;
    color: var(--cms-red);
    text-transform: none;
    opacity: 0.8;
}
.cms-note {
    font-weight: normal;
    font-size: 5.5pt;
    color: var(--cms-red);
    font-style: italic;
    opacity: 0.8;
}

/* ─── Box Numbers ─── */

.cms-box-num {
    font-weight: bold;
    font-size: 7pt;
    color: var(--cms-red);
    font-family: Arial, Helvetica, sans-serif;
}

/* ─── Inputs (data typed in black Times New Roman) ─── */

.cms-input {
    width: 100%;
    border: none;
    border-bottom: 1px solid var(--cms-red);
    padding: 2px 3px;
    font-size: 10pt;
    font-family: var(--cms-font);
    color: var(--cms-black);
    background: var(--input-bg);
    outline: none;
}
.cms-input:focus {
    border-bottom: 2px solid var(--accent, #3498db);
    background: var(--input-focus);
}

.cms-input-sm {
    width: 30px;
    border: none;
    border-bottom: 1px solid var(--cms-red);
    padding: 2px 2px;
    font-size: 10pt;
    font-family: var(--cms-font);
    color: var(--cms-black);
    background: var(--input-bg);
    outline: none;
    text-align: center;
}
.cms-input-sm:focus {
    border-bottom: 2px solid var(--accent, #3498db);
    background: var(--input-focus);
}

/* ─── Inline layout ─── */

.cms-inline {
    display: flex;
    align-items: center;
    gap: 3px;
    flex-wrap: wrap;
}
.cms-sep {
    font-weight: bold;
    font-size: 6.5pt;
    color: var(--cms-red);
    margin: 0 2px;
    font-family: Arial, Helvetica, sans-serif;
}

/* ─── Radio rows ─── */

.cms-radio-row {
    display: flex;
    align-items: center;
    gap: 6px;
    flex-wrap: wrap;
    padding: 1px 0;
}
.cms-radio-row label,
.cms-inline label {
    display: flex;
    align-items: center;
    gap: 2px;
    font-size: 6.5pt;
    cursor: pointer;
    white-space: nowrap;
    color: var(--cms-red);
    font-family: Arial, Helvetica, sans-serif;
}
.cms-radio-row input[type="radio"],
.cms-inline input[type="radio"] {
    margin: 0;
    width: 10px;
    height: 10px;
    accent-color: var(--cms-red);
}

/* ─── Checkboxes ─── */

.cms-checkbox-row {
    display: flex;
    align-items: center;
    gap: 4px;
    flex-wrap: wrap;
    padding: 1px 0;
}
.cms-checkbox-row label {
    display: flex;
    align-items: center;
    gap: 2px;
    font-size: 6pt;
    color: var(--cms-red);
    cursor: pointer;
    white-space: nowrap;
    font-family: Arial, Helvetica, sans-serif;
}
.cms-checkbox-row input[type="checkbox"] {
    width: 9px;
    height: 9px;
    accent-color: var(--cms-red);
}

/* ─── Sub-rows ─── */

.cms-sub-row {
    display: flex;
    align-items: center;
    gap: 4px;
    padding: 1px 0;
    flex-wrap: wrap;
}

/* ─── Diagnosis Grid (Box 21) ─── */

.cms-diag-grid {
    display: grid;
    grid-template-columns: repeat(4, 1fr);
    gap: 2px 6px;
    padding: 2px 0;
}
.cms-diag-cell {
    display: flex;
    align-items: center;
    gap: 2px;
}
.cms-diag-cell span {
    font-weight: bold;
    font-size: 6.5pt;
    min-width: 14px;
    color: var(--cms-red);
    font-family: Arial, Helvetica, sans-serif;
}
.cms-diag-cell input {
    flex: 1;
    border: none;
    border-bottom: 1px solid var(--cms-red);
    font-size: 10pt;
    font-family: var(--cms-font);
    color: var(--cms-black);
    padding: 1px 2px;
    background: var(--input-bg);
    outline: none;
}
.cms-diag-cell input:focus {
    border-bottom: 2px solid var(--accent, #3498db);
    background: var(--input-focus);
}

/* ─── Service Table (Box 24) ─── */

.cms-service-header {
    background: var(--cms-red);
    color: #fff;
    padding: 2px 4px;
    border-bottom: 1px solid var(--cms-red);
    font-family: Arial, Helvetica, sans-serif;
}
.cms-service-header .cms-box-label {
    color: #fff;
}

.cms-service-table {
    width: 100%;
    border-collapse: collapse;
    font-size: 6.5pt;
}
.cms-service-table th {
    background: #fff;
    border: 1px solid var(--cms-red);
    padding: 1px 2px;
    font-size: 5.5pt;
    font-weight: bold;
    text-align: center;
    white-space: nowrap;
    color: var(--cms-red);
    font-family: Arial, Helvetica, sans-serif;
}
.cms-service-table .cms-subhead th {
    font-size: 5pt;
    color: var(--cms-red);
    padding: 0 1px;
    background: #fff;
    opacity: 0.8;
}
.cms-service-table td {
    border: 1px solid var(--cms-red);
    padding: 0;
}
.cms-service-table td input {
    width: 100%;
    border: none;
    padding: 2px 2px;
    font-size: 10pt;
    font-family: var(--cms-font);
    color: var(--cms-black);
    background: var(--input-bg);
    outline: none;
    text-align: center;
}
.cms-service-table td input:focus {
    background: var(--input-focus);
}
.cms-service-table .cms-charge {
    text-align: right;
    padding-right: 3px;
}
.cms-service-table .cms-npi-row td {
    font-size: 5pt;
    color: var(--cms-red);
    font-weight: bold;
    text-align: center;
    font-family: Arial, Helvetica, sans-serif;
    padding: 0 2px;
}
.cms-service-table .cms-npi-row input {
    font-size: 8pt;
}

/* ─── Form Footer ─── */

.cms-footer {
    display: flex;
    justify-content: space-between;
    align-items: center;
    padding: 2px 8px;
    border-top: 2px solid var(--cms-red);
    font-size: 6pt;
    color: var(--cms-red);
    font-family: Arial, Helvetica, sans-serif;
    font-weight: bold;
}
.cms-footer a {
    color: var(--cms-red);
    text-decoration: underline;
}

/* ─── Page 2 Styles ─── */

.cms-page2 {
    background: #fff;
    border: 2px solid var(--cms-red);
    font-family: var(--cms-font);
    font-size: 8pt;
    color: var(--cms-black);
    padding: 20px 30px;
    margin-top: 20px;
    box-shadow: 0 2px 8px rgba(0,0,0,0.15);
    page-break-before: always;
}
.cms-page2 h2 {
    color: var(--cms-red);
    font-size: 11pt;
    text-align: center;
    margin-bottom: 12px;
    text-transform: uppercase;
    letter-spacing: 1px;
    border-bottom: 2px solid var(--cms-red);
    padding-bottom: 6px;
}
.cms-page2 h3 {
    color: var(--cms-red);
    font-size: 9pt;
    margin: 10px 0 4px;
    text-transform: uppercase;
}
.cms-page2 p {
    margin-bottom: 6px;
    line-height: 1.5;
    text-align: justify;
}
.cms-page2 .notice-block {
    border: 1px solid var(--cms-red);
    padding: 8px 12px;
    margin: 8px 0;
    background: #fef9f9;
}
.cms-page2 .notice-block strong {
    color: var(--cms-red);
}
.cms-page2 .cms-page2-footer {
    text-align: center;
    font-size: 7pt;
    color: var(--cms-red);
    margin-top: 16px;
    padding-top: 8px;
    border-top: 1px solid var(--cms-red);
}

/* ─── Form Picker Bar ─── */

.form-picker-bar {
    display: flex;
    gap: 8px;
    margin-bottom: 10px;
    padding: 10px;
    background: #fff;
    border: 1px solid var(--border);
    border-radius: var(--radius);
    flex-wrap: wrap;
    align-items: center;
}
.form-picker-bar .picker-label {
    font-weight: bold;
    font-size: 9pt;
    color: var(--text);
    margin-right: 4px;
}
.form-picker-bar a {
    text-decoration: none;
}

/* ═══════════════════════════════════════════════════════
   PDF VIEWER STYLES — CMS-1500 fillable-PDF mode
   ═══════════════════════════════════════════════════════ */

/* ─── Toolbar ─── */

.pdf-toolbar {
    display: flex;
    justify-content: space-between;
    align-items: center;
    flex-wrap: wrap;
    gap: 8px;
    padding: 10px 12px;
    background: #fff;
    border: 1px solid var(--border, #ddd);
    border-radius: var(--radius, 6px);
    margin-bottom: 10px;
    box-shadow: 0 1px 3px rgba(0,0,0,0.08);
}

.pdf-toolbar-left {
    display: flex;
    gap: 6px;
    align-items: center;
    flex-wrap: wrap;
}

.pdf-toolbar-right {
    display: flex;
    gap: 8px;
    align-items: center;
}

.pdf-zoom-label {
    font-size: 0.85em;
    color: var(--text, #333);
    font-weight: 600;
}

.pdf-toolbar-right select {
    padding: 4px 6px;
    border: 1px solid var(--border, #ddd);
    border-radius: 4px;
    font-size: 0.85em;
    background: #fff;
}

.pdf-page-info {
    font-size: 0.82em;
    color: #666;
    white-space: nowrap;
}

/* ─── Status Bar ─── */

.pdf-status {
    padding: 6px 12px;
    background: #e8f5e9;
    border: 1px solid #c8e6c9;
    border-radius: var(--radius, 6px);
    font-size: 0.85em;
    color: #2e7d32;
    margin-bottom: 10px;
    transition: background 0.3s, color 0.3s;
}

/* ─── Viewer Container ─── */

.pdf-viewer-wrapper {
    background: #e0e0e0;
    border: 1px solid var(--border, #ddd);
    border-radius: var(--radius, 6px);
    padding: 20px;
    display: flex;
    justify-content: center;
    overflow-x: auto;
}

.pdf-viewer {
    display: flex;
    flex-direction: column;
    align-items: center;
    gap: 24px;
}

/* ─── Individual PDF Page ─── */

.pdf-page {
    position: relative;
    background: #fff;
    box-shadow: 0 2px 12px rgba(0,0,0,0.2);
    border-radius: 2px;
    overflow: hidden;
}

.pdf-page canvas {
    display: block;
}

/* ─── Page Label (below each page) ─── */

.pdf-page-label {
    position: absolute;
    bottom: -22px;
    left: 50%;
    transform: translateX(-50%);
    font-size: 0.75em;
    color: #888;
    white-space: nowrap;
    background: #e0e0e0;
    padding: 2px 10px;
    border-radius: 3px;
}

/* ═══════════════════════════════════════════
   PDF Form-Field Overlays
   ═══════════════════════════════════════════ */

/* Shared base for all overlay fields */
.pdf-field {
    box-sizing: border-box;
    margin: 0;
    border: 1px solid transparent;
    background: rgba(255, 255, 220, 0.35);
    font-family: 'Times New Roman', Times, serif;
    color: #000;
    padding: 0 2px;
    outline: none;
    transition: border-color 0.15s, background 0.15s;
    z-index: 1;
}

.pdf-field:hover {
    border-color: rgba(52,152,219,0.45);
    background: rgba(255, 255, 220, 0.55);
}

.pdf-field:focus {
    border-color: #3498db;
    background: rgba(255, 255, 220, 0.7);
    box-shadow: 0 0 0 1px rgba(52,152,219,0.3);
    z-index: 2;
}

/* Text inputs & textareas */
input[type="text"].pdf-field,
textarea.pdf-field {
    line-height: 1.15;
    overflow: hidden;
    resize: none;
}

textarea.pdf-field {
    padding: 1px 2px;
}

/* Checkboxes & radios — center within their bounding box */
input[type="checkbox"].pdf-field,
input[type="radio"].pdf-field {
    appearance: auto;
    -webkit-appearance: auto;
    background: transparent;
    cursor: pointer;
    padding: 0;
    /* Center the control within its positioned box */
    display: flex;
    align-items: center;
    justify-content: center;
}

input[type="checkbox"].pdf-field:checked,
input[type="radio"].pdf-field:checked {
    accent-color: #000;
}

/* Dropdowns */
select.pdf-field {
    cursor: pointer;
    padding: 0 1px;
}

/* ═══════════════════════════════════════════
   PRINT STYLES
   ═══════════════════════════════════════════ */

@media print {
    body {
        background: #fff !important;
    }

    /* ─── HTML-form print ─── */
    .cms-container {
        padding: 0;
        max-width: 100%;
    }
    .cms-form {
        box-shadow: none;
        max-width: 100%;
    }
    .cms-page {
        page-break-after: always;
        page-break-inside: avoid;
    }
    .cms-page:last-child {
        page-break-after: auto;
    }
    .cms-page2 {
        box-shadow: none;
        margin-top: 0;
        page-break-before: always;
    }

    .cms-form,
    .cms-row,
    .cms-cell,
    .cms-service-table th,
    .cms-service-table td {
        border-color: var(--cms-red) !important;
    }

    .cms-input, .cms-input-sm, .cms-diag-cell input,
    .cms-carrier-block input, .cms-service-table td input {
        border-bottom: none !important;
        background: transparent !important;
        color: #000 !important;
        font-family: 'Times New Roman', Times, serif !important;
        font-size: 10pt !important;
    }

    .cms-row {
        break-inside: avoid;
    }

    .cms-section-side-label {
        -webkit-print-color-adjust: exact;
        print-color-adjust: exact;
    }
    .cms-section-divider,
    .cms-service-header {
        -webkit-print-color-adjust: exact;
        print-color-adjust: exact;
    }
    .cms-footer {
        -webkit-print-color-adjust: exact;
        print-color-adjust: exact;
    }

    /* ─── PDF-viewer print ─── */
    .pdf-toolbar,
    .pdf-status,
    .pdf-page-label {
        display: none !important;
    }
    .pdf-viewer-wrapper {
        overflow: visible;
        max-height: none;
        background: #fff;
        border: none;
        padding: 0;
    }
    .pdf-page {
        box-shadow: none;
        page-break-after: always;
        page-break-inside: avoid;
    }
    .pdf-page:last-child {
        page-break-after: auto;
    }
    .pdf-field {
        border: none !important;
        background: transparent !important;
        box-shadow: none !important;
    }
}

/* ═══════════════════════════════════════════════════════
   ICD-10 Autocomplete Dropdown
   ═══════════════════════════════════════════════════════ */

.icd-dropdown {
    display: none;
    position: fixed;
    z-index: 1000;
    width: 480px;
    max-width: calc(100vw - 16px);
    background: #fff;
    border: 1px solid var(--border, #ddd);
    border-radius: 8px;
    box-shadow: 0 8px 32px rgba(0,0,0,0.25);
    font-family: Arial, Helvetica, sans-serif;
    font-size: 9pt;
    overflow: hidden;
}

.icd-dropdown.open {
    display: block;
}

.icd-dropdown-header {
    display: flex;
    align-items: center;
    gap: 6px;
    padding: 8px 10px;
    border-bottom: 1px solid #eee;
    background: #f8f9fa;
}

.icd-dropdown-header input {
    flex: 1;
    padding: 6px 10px;
    border: 1px solid #ccc;
    border-radius: 4px;
    font-size: 10pt;
    outline: none;
    font-family: Arial, Helvetica, sans-serif;
}

.icd-dropdown-header input:focus {
    border-color: var(--accent, #3498db);
    box-shadow: 0 0 0 2px rgba(52,152,219,0.2);
}

.icd-close-btn {
    background: none;
    border: none;
    font-size: 18px;
    cursor: pointer;
    color: #999;
    padding: 2px 6px;
    border-radius: 4px;
    line-height: 1;
}

.icd-close-btn:hover {
    background: #eee;
    color: #333;
}

.icd-results {
    list-style: none;
    margin: 0;
    padding: 0;
    max-height: 320px;
    overflow-y: auto;
}

.icd-item {
    display: flex;
    align-items: baseline;
    gap: 10px;
    padding: 6px 12px;
    cursor: pointer;
    border-bottom: 1px solid #f0f0f0;
    transition: background 0.1s;
}

.icd-item:hover,
.icd-item.active {
    background: #e8f4fd;
}

.icd-item:last-child {
    border-bottom: none;
}

.icd-code {
    font-weight: bold;
    color: var(--accent, #3498db);
    min-width: 70px;
    font-family: 'Courier New', Courier, monospace;
    font-size: 9.5pt;
    white-space: nowrap;
}

.icd-desc {
    color: var(--text, #333);
    font-size: 8.5pt;
    line-height: 1.3;
}

.icd-desc mark,
.icd-code mark {
    background: #fff3cd;
    color: inherit;
    padding: 0;
    border-radius: 2px;
}

.icd-no-results {
    padding: 16px;
    text-align: center;
    color: #999;
    font-style: italic;
}

.icd-footer {
    padding: 5px 12px;
    font-size: 7.5pt;
    color: #999;
    background: #f8f9fa;
    border-top: 1px solid #eee;
    text-align: center;
}

/* Indicator on diagnosis fields */
.pdf-field.icd-enabled {
    border-color: rgba(52,152,219,0.3);
    background: rgba(232,244,253,0.4);
}

.pdf-field.icd-enabled:hover {
    border-color: rgba(52,152,219,0.6);
    background: rgba(232,244,253,0.6);
}

.pdf-field.icd-enabled:focus {
    border-color: var(--accent, #3498db);
    background: rgba(232,244,253,0.7);
    box-shadow: 0 0 0 2px rgba(52,152,219,0.25);
}