Datastar Medical Claims Web Application

Develop a web application from a conceptual prototype using FastHtml, DaisyUI, and Datastar / HTMX. The project involves creating an interactive form with conditional logic, real-time validation, and field-level change tracking. This form is for editing and resubmitting US medical claims for laboratory services.

## Application Stack
- Front End & Backend : FastHtml https://fastht.ml/docs/
- CSS Framework : Tailwind CSS https://tailwindcss.com/ + DaisyUI https://daisyui.com/
- Reactivity : Datastar https://data-star.dev/ / HTMX https://htmx.org/
- User Authentication : Auth0 https://auth0.com/
- User Settings Db: Firebase https://firebase.google.com/
- Internal Database: SQLite (built-in with FastHtml) https://fastht.ml/docs/explains/minidataapi.html
- Application Errors and Logs: Sentry https://sentry.io/

## TO DO List
- Create interactive form (see `form_837.md` ) using FastHtml and DaisyUI (Design will be provided)
- Implement showing value field changes
- Implement conditional logic for form fields
- Implement dictionary lookups for form fields
- Integrate with data model and API
- Add form validation and error handling
- Implement user authentication and settings
- Add app error logging and monitoring

Provide your time and budget estimate for the project
Scope Document: https://gist.github.com/Kvit/44da455ef0db3dcb70f5a40147f68265
Form Specification: https://gist.github.com/Kvit/f99186485ba924202c6386a3626f0f63