:root{--purple-900:#3d1a78;--purple-800:#5b2ea6;--purple-700:#7c4dd6;--purple-100:#f2ecfb;--ink:#2b2140;--ink-soft:#6b6280;--line:#ded4f2;--card:#fff;--success:#1f7a54;--error:#a33636;--surface:#faf8ff;--shadow:0 18px 34px #3d1a7824}*{box-sizing:border-box}body{min-height:100vh;color:var(--ink);background:linear-gradient(180deg, #7c4dd61a 0, #7c4dd600 240px), var(--surface);margin:0;font-family:Helvetica Neue,Helvetica,Arial,sans-serif}h1,h2,h3,p{margin:0}#app{min-height:100vh}.portal-shell{width:min(980px,100% - 28px);margin:0 auto;padding:18px 0 56px}.site-header{text-align:center;background:#fff;border:1px solid #cfc0ef;border-radius:16px;margin-bottom:18px;overflow:hidden;box-shadow:0 8px 20px #3d1a781a}.brand-row{background:radial-gradient(circle,#7c4dd624,#0000 45%),#fff;padding:18px 16px}.brand-title{color:var(--purple-900);font-size:clamp(24px,4vw,32px);font-weight:800}.card{background:var(--card);border:1px solid var(--line);box-shadow:var(--shadow);border-radius:16px;margin-bottom:18px;padding:28px 26px;position:relative}.card:before{content:"";background:linear-gradient(90deg, var(--purple-800) 0%, var(--purple-700) 100%);border-radius:16px 16px 0 0;height:6px;position:absolute;top:0;left:0;right:0}.card h1{color:var(--purple-900);margin-bottom:10px;font-size:clamp(22px,3.4vw,30px)}.card p{color:var(--ink-soft);line-height:1.55}.centered{text-align:center}.error-text{color:var(--error);font-weight:600}.card p.verification-error{border:1px solid #e1a5a5;border-left:4px solid var(--error);color:#7e2020;background:#fff1f1;border-radius:6px;margin:0;padding:12px 14px;font-weight:700}.placeholder-text{color:#b06a10;font-style:italic}.claim-type-options{border:0;min-width:0;margin:0;padding:0}.claim-type-options legend{margin-bottom:12px;font-weight:700}.claim-type-option{border-bottom:1px solid var(--line);cursor:pointer;align-items:flex-start;gap:12px;padding:18px 0;font-size:16px;display:flex}.claim-type-option input{width:18px;height:18px;accent-color:var(--purple-800);flex:0 0 18px;margin:2px 0 0}.claim-type-help{color:var(--ink-soft);margin-top:8px;font-size:14px;font-weight:400;line-height:1.55;display:block}#claim-type-form .form-actions{flex-wrap:wrap}.form-grid{gap:14px;margin-top:20px;display:grid}.form-grid.two-col{grid-template-columns:repeat(2,minmax(0,1fr))}@media (width<=640px){.form-grid.two-col{grid-template-columns:1fr}}label{color:var(--purple-800);gap:6px;font-size:13px;font-weight:700;display:grid}input[type=text],input[type=tel],input[type=email],input[type=date],select{color:var(--ink);background:#fff;border:1px solid #c7b8ea;border-radius:10px;padding:10px 12px;font-size:15px}input:disabled,select:disabled{color:#948aad;background:#f1eef8}input:focus,select:focus{outline-offset:1px;border-color:var(--purple-700);outline:3px solid #7c4dd633}.section-heading{color:var(--purple-900);border-bottom:1px solid var(--line);grid-column:1/-1;margin-top:10px;padding-bottom:6px;font-size:17px}.full-width{grid-column:1/-1}.form-actions{grid-column:1/-1;justify-content:space-between;gap:12px;margin-top:8px;display:flex}.form-actions>:only-child{margin-left:auto}.btn{cursor:pointer;letter-spacing:.3px;border:0;border-radius:999px;padding:11px 22px;font-size:14px;font-weight:700}.btn:disabled{opacity:.45;cursor:not-allowed}.btn-primary{color:#fff;background:linear-gradient(180deg, #8b5be0 0%, var(--purple-700) 100%);box-shadow:0 8px 18px #5b2ea64d}.btn-secondary{color:var(--purple-800);background:linear-gradient(#f8f5fd 0%,#ece3fb 100%);border:1px solid #c7b8ea}.banner-grid{grid-template-columns:repeat(auto-fit,minmax(160px,1fr));gap:14px;display:grid}.banner-label{color:var(--ink-soft);text-transform:uppercase;margin-bottom:4px;font-size:12px;font-weight:700;display:block}.status-pill{color:var(--success);background:#e2f6ea;border-radius:999px;padding:3px 10px;font-size:12px;font-weight:700;display:inline-block}.consent-list{gap:14px;margin-top:18px;display:grid}.consent-item{border:1px solid var(--line);background:var(--purple-100);color:var(--ink);border-radius:12px;flex-direction:column;align-items:flex-start;gap:12px;padding:12px;font-weight:400;display:flex}.consent-divider{border:0;border-top:1px solid var(--line);width:100%;margin:0}.consent-options{gap:20px;display:flex}.consent-options label{cursor:pointer;align-items:center;gap:6px;padding:2px 1px;font-size:1.02em;display:flex}.consent-options input[type=radio]{cursor:pointer;width:17px;height:17px;margin:0}.reimbursement-type-grid{grid-template-columns:repeat(auto-fit,minmax(260px,1fr));gap:16px;margin-top:20px;display:grid}.reimbursement-type-card{text-align:left;border:1px solid var(--line);cursor:pointer;background:#fff;border-radius:14px;padding:18px}.reimbursement-type-card:hover{border-color:var(--purple-700);box-shadow:0 8px 18px #5b2ea624}.reimbursement-type-card h3{color:var(--purple-900);margin-bottom:8px}.reimbursement-type-card p{font-size:14px}.upload-list{gap:12px;margin:20px 0;padding:0;list-style:none;display:grid}.upload-item{border:1px solid var(--line);background:#fdfcff;border-radius:12px;flex-wrap:wrap;justify-content:space-between;align-items:center;gap:14px;padding:12px;display:flex}.upload-item.complete{background:#eefaf2;border-color:#b7e5c8}.upload-copy{gap:4px;display:grid}.upload-file-name{overflow-wrap:anywhere}.upload-success{color:var(--success);font-size:13px;font-weight:700}.upload-error{color:var(--error);font-size:13px}.terms-box{background:var(--purple-100);border:1px solid var(--line);white-space:pre-wrap;color:var(--ink-soft);border-radius:12px;margin-top:16px;padding:16px;font-size:14px}.review-section{border-top:1px solid var(--line);margin-top:18px;padding-top:14px}.terms-signature{border-bottom:1px solid var(--line);align-items:center;gap:12px;min-width:0;min-height:80px;display:flex}.signature-image{width:min(440px,75%);min-width:0;height:auto;display:block}.terms-signature .review-edit-btn{opacity:1;pointer-events:auto;flex-shrink:0;margin-left:auto}.signature-dialog{text-align:left;max-height:90vh;overflow-y:auto}.signature-dialog .form-grid,.signature-dialog label,.signature-dialog input[type=text]{min-width:0}.signature-dialog .form-actions{flex-wrap:wrap}.signature-preview{border-bottom:1px solid var(--line);align-items:center;height:100px;display:flex}.signature-preview img{width:100%;height:auto}.signed-agreement{border:1px solid var(--line);background:#fff;margin:12px 0 20px;box-shadow:0 4px 14px #2b214014}.signed-agreement img{width:100%;height:auto;display:block}.visually-hidden{clip-path:inset(50%);white-space:nowrap;border:0;width:1px;height:1px;margin:-1px;padding:0;position:absolute;overflow:hidden}.review-section h3{color:var(--purple-900);margin-bottom:8px}.review-section-header{justify-content:space-between;align-items:center;gap:12px;display:flex}.review-section-header h3{margin-bottom:8px}.review-edit-btn{opacity:0;pointer-events:none;border:1px solid var(--line);background:var(--purple-100);color:var(--purple-900);cursor:pointer;border-radius:999px;padding:4px 12px;font-size:12px;font-weight:600;transition:opacity .12s ease-in-out}.review-section:hover .review-edit-btn,.review-edit-btn:focus-visible{opacity:1;pointer-events:auto}.review-edit-btn:disabled{cursor:not-allowed;opacity:.5}.review-section ul{gap:4px;margin:0;padding-left:20px;display:grid}.modal-overlay{z-index:50;background:#2b21408c;justify-content:center;align-items:center;display:flex;position:fixed;inset:0}.modal-box{width:min(420px,90vw);max-width:420px;box-shadow:var(--shadow);text-align:center;background:#fff;border-radius:16px;gap:14px;padding:26px;display:grid}.modal-box h2{color:var(--purple-900)}.modal-box-large{gap:22px;width:min(680px,94vw);max-width:680px;padding:42px 38px}.modal-box-large h2{font-size:30px}.modal-box-large p{font-size:18px;line-height:1.6}.support-footer{text-align:center;color:var(--ink-soft);margin-top:24px;font-size:13px}