<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="container">
<div class="row">
<a href="#claim_optOut" role="button" data-toggle="modal">test</a>
<div id="claim_optOut" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true">
<div class="modal-dialog">
<div class="modal-content">
<div class="cross">
<div>
<a href="#" class="icon_cross" data-dismiss="modal"></a>
</div>
</div>
<div class="modal-header">
<h3>Pay from your if possible</h3>
</div>
<div class="modal-body">
<div id="optOutAccount" class="claim-label">
Pay from your ${optOutAccount} if possible:
</div>
<div id="optOut" class="claim-value">
<input id="origOptOut" type="hidden" value="${claim.optOut}"/>
<div id="optOut" class="claim-value">
<input id="origOptOut" type="hidden" value="false">
Yes <input id="optOutYes" name="claim.optOut" type="radio" value="false" checked="checked">
No <input id="optOutNo" name="claim.optOut" type="radio" value="true">
</div>
</div>
</div>
<div class="modal-footer">
<input type="button" data-dismiss="modal" id="optOut_cancel" value="Cancel" class="btn btn-default" onclick="javascript:hideOptOutEdit();">
<input type="submit" value="Save" name="_eventId_saveClaimDesc" class="btn btn-primary" style="margin-left:10px;">
</div>
</div>
