{if $ERROR} {$ERROR} {else}
{foreach name=inums item=num_set from=$provider->get_insurance_numbers()} {if $smarty.foreach.inums.last} {/if} {foreachelse} {/foreach}
{xl t='Provider'} {$provider->get_name_display()}
{$num_set->get_insurance_company_name()} {xl t='Provider'} # {$num_set->get_provider_number()}
{xl t='Rendering Provider'} # {$num_set->get_rendering_provider_number()}
{xl t='Group'} # {$num_set->get_group_number()}
{xl t='Add New'}...
{xl t='No entries found, use the form below to add an entry.'}



{xl t='Insurance Company'} {if $ins->get_id() eq ""} {html_options name="insurance_company_id" options=$ic_array values=$ic_array selected=$ins->get_insurance_company_id()} {else} {$ins->get_insurance_company_name()} {/if}
{xl t='Provider Number'}  Type:  {html_options name="provider_number_type" options=$ic_type_options_array values=$ins->provider_number_type_array selected=$ins->get_provider_number_type()}
{xl t='Rendering Provider Number'}  Type:  {html_options name="rendering_provider_number_type" options=$ic_rendering_type_options_array values=$ins->rendering_provider_number_type_array selected=$ins->get_rendering_provider_number_type()}
{xl t='Group Number'}

{if $ins->get_id() eq ""} {else} {/if}
{/if}