MedSecure Verify

<!-- transaction-interface.html -->
<form>
  <label>Patient Information:</label>
  <input type="text" id="patient-name" />
  <br />
  <label>Billing Details:</label>
  <input type="text" id="billing-details" />
  <br />
  <label>Insurance Claims:</label>
  <input type="text" id="insurance-claims" />
  <br />
  <button id="submit-transaction">Submit Transaction</button>
</form>

<script>
  const submitTransactionButton = document.getElementById('submit-transaction');
  submitTransactionButton.addEventListener('click', async () => {
    const patientName = document.getElementById('patient-name').value;
    const billingDetails = document.getElementById('billing-details').value;
    const insuranceClaims = document.getElementById('insurance-claims').value;
    // Call API to submit transaction
    await fetch('/submit-transaction', {
      method: 'POST',
      headers: { 'Content-Type': 'application/json' },
      body: JSON.stringify({ patientName, billingDetails, insuranceClaims }),
    });
  });
</script>