interface/billing/billing_process.php

   1 <?php
   2 // This program is free software; you can redistribute it and/or
   3 // modify it under the terms of the GNU General Public License
   4 // as published by the Free Software Foundation; either version 2
   5 // of the License, or (at your option) any later version.
   6
   7 include_once("../globals.php");
   8 include_once("$srcdir/patient.inc");
   9 include_once("$srcdir/billrep.inc");
  10 include_once("$srcdir/billing.inc");
  11 include_once("$srcdir/gen_x12_837.inc.php");
  12 include_once("$srcdir/gen_hcfa_1500.inc.php");
  13 include_once(dirname(__FILE__) . "/../../library/classes/WSClaim.class.php");
  14 require_once("$srcdir/classes/class.ezpdf.php");
  15
  16 $EXPORT_INC = "$webserver_root/custom/BillingExport.php";
  17 if (file_exists($EXPORT_INC)) {
  18   include_once($EXPORT_INC);
  19   $BILLING_EXPORT = true;
  20 }
  21
  22 $fconfig = $GLOBALS['oer_config']['freeb'];
  23 $bill_info = array();
  24
  25 $bat_type     = ''; // will be edi or hcfa
  26 $bat_sendid   = '';
  27 $bat_recvid   = '';
  28 $bat_content  = '';
  29 $bat_gscount  = 0;
  30 $bat_stcount  = 0;
  31 $bat_time     = time();
  32 $bat_hhmm     = date('Hi' , $bat_time);
  33 $bat_yymmdd   = date('ymd', $bat_time);
  34 $bat_yyyymmdd = date('Ymd', $bat_time);
  35 // Minutes since 1/1/1970 00:00:00 GMT will be our interchange control number:
  36 $bat_icn = sprintf('%09.0f', $bat_time/60);
  37 $bat_filename = date("Y-m-d-Hi", $bat_time) . "-batch.";
  38 $bat_filename .= isset($_POST['bn_process_hcfa']) ? 'pdf' : 'txt';
  39
  40 if (isset($_POST['bn_process_hcfa'])) {
  41   $pdf =& new Cezpdf('LETTER');
  42   $pdf->ezSetMargins(trim($_POST['top_margin'])+0,0,trim($_POST['left_margin'])+0,0);
  43   $pdf->selectFont($GLOBALS['fileroot'] . "/library/fonts/Courier.afm");
  44 }
  45
  46 function append_claim(&$segs) {
  47   global $bat_content, $bat_sendid, $bat_recvid, $bat_sender, $bat_stcount;
  48   global $bat_gscount, $bat_yymmdd, $bat_yyyymmdd, $bat_hhmm, $bat_icn;
  49
  50   foreach ($segs as $seg) {
  51     if (!$seg) continue;
  52     $elems = explode('*', $seg);
  53     if ($elems[0] == 'ISA') {
  54       if (!$bat_content) {
  55         $bat_sendid = trim($elems[6]);
  56         $bat_recvid = trim($elems[8]);
  57         $bat_sender = $GS02 ? $GS02 : $bat_sendid;
  58         $bat_content = substr($seg, 0, 70) .
  59           "$bat_yymmdd*$bat_hhmm*" . $elems[11] . "*" . $elems[12] . "*$bat_icn*" .
  60           $elems[14] . "*" . $elems[15] . "*:~";
  61       }
  62       continue;
  63     } else if (!$bat_content) {
  64       die("Error:<br>\nInput must begin with 'ISA'; " .
  65         "found '" . htmlentities($elems[0]) . "' instead");
  66     }
  67     if ($elems[0] == 'GS') {
  68       if ($bat_gscount == 0) {
  69         ++$bat_gscount;
  70         $bat_content .= "GS*HC*" . $elems[2] . "*" . $elems[3] .
  71           "*$bat_yyyymmdd*$bat_hhmm*1*X*" . $elems[8] . "~";
  72       }
  73       continue;
  74     }
  75     if ($elems[0] == 'ST') {
  76       ++$bat_stcount;
  77       $bat_content .= sprintf("ST*837*%04d", $bat_stcount);
  78       if (!empty($elems[3])) $bat_content .= "*" . $elems[3];
  79       $bat_content .= "~";
  80       continue;
  81     }
  82     if ($elems[0] == 'SE') {
  83       $bat_content .= sprintf("SE*%d*%04d~", $elems[1], $bat_stcount);
  84       continue;
  85     }
  86     if ($elems[0] == 'GE' || $elems[0] == 'IEA') continue;
  87     $bat_content .= $seg . '~';
  88   }
  89 }
  90
  91 function append_claim_close() {
  92   global $bat_content, $bat_stcount, $bat_gscount, $bat_icn;
  93   if ($bat_gscount) $bat_content .= "GE*$bat_stcount*1~";
  94   $bat_content .= "IEA*$bat_gscount*$bat_icn~";
  95 }
  96
  97 function send_batch() {
  98   global $bat_content, $bat_filename, $webserver_root;
  99   // If a writable edi directory exists, log the batch to it.
 100   // I guarantee you'll be glad we did this.  :-)
 101   $fh = @fopen($GLOBALS['OE_SITE_DIR'] . "/edi/$bat_filename", 'a');
 102   if ($fh) {
 103     fwrite($fh, $bat_content);
 104     fclose($fh);
 105   }
 106   header("Pragma: public");
 107   header("Expires: 0");
 108   header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
 109   header("Content-Type: application/force-download");
 110   header("Content-Disposition: attachment; filename=$bat_filename");
 111   header("Content-Description: File Transfer");
 112   header("Content-Length: " . strlen($bat_content));
 113   echo $bat_content;
 114 }
 115
 116 process_form($_POST);
 117
 118 function process_form($ar) {
 119   global $bill_info, $webserver_root, $bat_filename, $pdf;
 120
 121   if (isset($ar['bn_x12']) || isset($ar['bn_x12_encounter']) || isset($ar['bn_process_hcfa']) || isset($ar['bn_hcfa_txt_file'])) {
 122     $hlog = fopen("$webserver_root/library/freeb/process_bills.log", 'w');
 123   }
 124
 125   if (isset($ar['bn_external'])) {
 126     // Open external billing file for output.
 127     $be = new BillingExport();
 128   }
 129
 130   $db = $GLOBALS['adodb']['db'];
 131
 132   if (empty($ar['claims'])) {
 133     $ar['claims'] = array();
 134   }
 135   $claim_count = 0;
 136   foreach ($ar['claims'] as $claimid => $claim_array) {
 137
 138     $ta = split("-",$claimid);
 139     $patient_id = $ta[0];
 140     $encounter  = $ta[1];
 141     $payer_id   = substr($claim_array['payer'], 1);
 142     $payer_type = substr($claim_array['payer'], 0, 1);
 143     $payer_type = $payer_type == 'T' ? 3 : $payer_type == 'S' ? 2 : 1;
 144
 145     if (isset($claim_array['bill'])) {
 146
 147       if (isset($ar['bn_external'])) {
 148         // Write external claim.
 149         $be->addClaim($patient_id, $encounter);
 150       }
 151       else {
 152         $sql = "SELECT x.processing_format from x12_partners as x where x.id =" .
 153           $db->qstr($claim_array['partner']);
 154         $result = $db->Execute($sql);
 155         $target = "x12";
 156         if ($result && !$result->EOF) {
 157             $target = $result->fields['processing_format'];
 158         }
 159       }
 160
 161       $tmp = 1;
 162       if (isset($ar['HiddenMarkAsCleared']) && $ar['HiddenMarkAsCleared']=='yes')
 163        {
 164         $tmp = updateClaim(true, $patient_id, $encounter, $payer_id, $payer_type, 2);// $sql .= " billed = 1, ";
 165        }
 166       if (isset($ar['bn_x12']) || isset($ar['bn_x12_encounter'])) {
 167         $tmp = updateClaim(true, $patient_id, $encounter, $payer_id, $payer_type, 1, 1, '', $target, $claim_array['partner']);
 168       } else if (isset($ar['bn_process_hcfa']) || isset($ar['bn_hcfa_txt_file'])) {
 169         $tmp = updateClaim(true, $patient_id, $encounter, $payer_id, $payer_type, 1, 1, '', 'hcfa');
 170       } else if (isset($ar['bn_mark'])) {
 171         // $sql .= " billed = 1, ";
 172         $tmp = updateClaim(true, $patient_id, $encounter, $payer_id, $payer_type, 2);
 173       } else if (isset($ar['bn_reopen'])) {
 174         $tmp = updateClaim(true, $patient_id, $encounter, $payer_id, $payer_type, 1, 0);
 175       } else if (isset($ar['bn_external'])) {
 176         // $sql .= " billed = 1, ";
 177         $tmp = updateClaim(true, $patient_id, $encounter, $payer_id, $payer_type, 2);
 178       }
 179
 180       if (!$tmp) {
 181         die(xl("Claim ") . $claimid . xl(" update failed, not in database?"));
 182       }
 183       else {
 184         if(isset($ar['bn_mark'])) {
 185           $bill_info[] = xl("Claim ") . $claimid . xl(" was marked as billed only.") . "\n";
 186         }
 187
 188         else if (isset($ar['bn_reopen'])) {
 189           $bill_info[] = xl("Claim ") . $claimid . xl(" has been re-opened.") . "\n";
 190         }
 191
 192         else if (isset($ar['bn_x12']) || isset($ar['bn_x12_encounter'])) {
 193           $log = '';
 194           $segs = explode("~\n", gen_x12_837($patient_id, $encounter, $log,
 195             isset($ar['bn_x12_encounter'])));
 196           fwrite($hlog, $log);
 197           append_claim($segs);
 198           if (!updateClaim(false, $patient_id, $encounter, -1, -1, 2, 2, $bat_filename)) {
 199             $bill_info[] = xl("Internal error: claim ") . $claimid . xl(" not found!") . "\n";
 200           }
 201
 202         }
 203
 204         else if (isset($ar['bn_process_hcfa'])) {
 205           $log = '';
 206           $lines = gen_hcfa_1500($patient_id, $encounter, $log);
 207           fwrite($hlog, $log);
 208           $alines = explode("\014", $lines); // form feeds may separate pages
 209           foreach ($alines as $tmplines) {
 210             if ($claim_count++) $pdf->ezNewPage();
 211             $pdf->ezSetY($pdf->ez['pageHeight'] - $pdf->ez['topMargin']);
 212             $pdf->ezText($tmplines, 12, array('justification' => 'left', 'leading' => 12));
 213           }
 214           if (!updateClaim(false, $patient_id, $encounter, -1, -1, 2, 2, $bat_filename)) {
 215             $bill_info[] = xl("Internal error: claim ") . $claimid . xl(" not found!") . "\n";
 216           }
 217         }
 218
 219         else if (isset($ar['bn_hcfa_txt_file'])) {
 220           $log = '';
 221           $lines = gen_hcfa_1500($patient_id, $encounter, $log);
 222           fwrite($hlog, $log);
 223           $bat_content .= $lines;
 224           if (!updateClaim(false, $patient_id, $encounter, -1, -1, 2, 2, $bat_filename)) {
 225             $bill_info[] = xl("Internal error: claim ") . $claimid . xl(" not found!") . "\n";
 226           }
 227         }
 228
 229         else {
 230           $bill_info[] = xl("Claim ") . $claimid . xl(" was queued successfully.") . "\n";
 231         }
 232
 233       }
 234
 235     } // end if this claim has billing
 236
 237   } // end foreach
 238
 239   if (isset($ar['bn_x12']) || isset($ar['bn_x12_encounter'])) {
 240     append_claim_close();
 241     fclose($hlog);
 242     send_batch();
 243     exit;
 244   }
 245
 246   if (isset($ar['bn_process_hcfa'])) {
 247     fclose($hlog);
 248     // If a writable edi directory exists (and it should), write the pdf to it.
 249     $fh = @fopen($GLOBALS['OE_SITE_DIR'] . "/edi/$bat_filename", 'a');
 250     if ($fh) {
 251       fwrite($fh, $pdf->ezOutput());
 252       fclose($fh);
 253     }
 254     // Send the PDF download.
 255     $pdf->ezStream(array('Content-Disposition' => $bat_filename));
 256     exit;
 257   }
 258
 259   if (isset($ar['bn_hcfa_txt_file'])) {
 260     fclose($hlog);
 261     $fh = @fopen($GLOBALS['OE_SITE_DIR'] . "/edi/$bat_filename", 'a');
 262     if ($fh) {
 263       fwrite($fh, $bat_content);
 264       fclose($fh);
 265     }
 266     header("Pragma: public");
 267     header("Expires: 0");
 268     header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
 269     header("Content-Type: application/force-download");
 270     header("Content-Disposition: attachment; filename=$bat_filename");
 271     header("Content-Description: File Transfer");
 272     header("Content-Length: " . strlen($bat_content));
 273     echo $bat_content;
 274     exit;
 275   }
 276
 277   if (isset($ar['bn_external'])) {
 278     // Close external billing file.
 279     $be->close();
 280   }
 281 }
 282 ?>
 283 <html>
 284 <head>
 285 <?php if (function_exists(html_header_show)) html_header_show(); ?>
 286
 287 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 288
 289 </head>
 290 <body class="body_top">
 291 <br><p><h3><?php xl('Billing queue results:','e'); ?></h3><a href="billing_report.php">back</a><ul>
 292 <?php
 293 foreach ($bill_info as $infoline) {
 294   echo nl2br($infoline);
 295 }
 296 ?>
 297 </ul></p>
 298 </body>
 299 </html>