.claim-form{margin:28px 0}.claim-provider{background:#f6f8f5;border:1px solid #cbd8ce;border-radius:8px;padding:18px}.claim-provider p{overflow-wrap:anywhere;margin:5px 0}.claim-form fieldset{border:1px solid #cbd8ce;border-radius:8px;margin:24px 0;padding:18px}.claim-form legend{padding:0 8px;font-weight:650}.claim-grid{grid-template-columns:1fr 1fr;gap:18px;display:grid}.claim-field{flex-direction:column;gap:6px;font-size:14px;display:flex}.claim-field input,.claim-field select,.claim-field textarea{color:#18372b;min-width:0;font:inherit;background:#fff;border:1px solid #9bae9e;border-radius:6px;padding:10px}.claim-field textarea{resize:vertical}.claim-wide{grid-column:1/-1}.claim-form button{color:#fff;font:inherit;cursor:pointer;background:#245b39;border:1px solid #245b39;border-radius:6px;padding:11px 16px}.claim-form button:disabled{opacity:.5;cursor:default}.claim-form :is(input,select,textarea,button):focus-visible{outline-offset:3px;outline:3px solid #5d9d70}.claim-actions{flex-wrap:wrap;gap:10px;margin:20px 0;display:flex}.claim-error{border-left:3px solid #b32720;padding:12px;color:#861e1e!important}.claim-preview{background:#fff;border:1px solid #cbd8ce;border-radius:6px;width:100%;height:1000px}@media (max-width:640px){.claim-grid{grid-template-columns:1fr}.claim-form fieldset{padding:14px}.claim-actions button{width:100%}}@media print{.claim-form form,.claim-actions{display:none}}