.history-print-access{display:none}
.provider-notice{padding:16px;border:1px solid #bac5d0;background:#f0f4f7;color:#182432;font-size:14px;line-height:1.6}.history-allowance{display:block;margin-top:12px;font-size:14px}.history-allowance select{display:block;max-width:100%;padding:8px}.sample-table td{vertical-align:top;min-width:150px}.sample-table .button{white-space:normal;text-align:left}.sample-table small{font-size:14px}.sample-table{font-size:16px}
@media print{.history-print-access{display:block!important}.sample-actions,.nav,[data-history-message],button,.history-allowance{display:none!important}.provider-notice{display:block!important;break-inside:avoid}body,.sample-wrap{width:auto!important;max-width:none!important;margin:0!important}.table-scroll{overflow:visible!important}.sample-table td{min-width:0;font-size:11pt}.sample-card{overflow:visible}tr{break-inside:avoid}}

.sample-table{table-layout:fixed;width:100%}.sample-table th:nth-child(1){width:18%}.sample-table th:nth-child(2){width:42%}.sample-table th:nth-child(3){width:25%}.sample-table th:nth-child(4){width:15%}.sample-table td{overflow-wrap:anywhere}