library/invoice_summary.inc.php

   1 <?php
   2 // Copyright (C) 2005-2008 Rod Roark <rod@sunsetsystems.com>
   3 //
   4 // This program is free software; you can redistribute it and/or
   5 // modify it under the terms of the GNU General Public License
   6 // as published by the Free Software Foundation; either version 2
   7 // of the License, or (at your option) any later version.
   8
   9 // This returns an associative array keyed on procedure code, representing
  10 // all charge items for one invoice.  This array's values are themselves
  11 // associative arrays having the following keys:
  12 //
  13 //  chg - the sum of line items, including adjustments, for the code
  14 //  bal - the unpaid balance
  15 //  adj - the (positive) sum of inverted adjustments
  16 //  ins - the id of the insurance company that was billed (obsolete)
  17 //  dtl - associative array of details, if requested
  18 //
  19 // Where details are requested, each dtl array is keyed on a string
  20 // beginning with a date in yyyy-mm-dd format, or blanks in the case
  21 // of the original charge items.  The value array is:
  22 //
  23 //  pmt - payment amount as a positive number, only for payments
  24 //  src - check number or other source, only for payments
  25 //  chg - invoice line item amount amount, only for charges or
  26 //        adjustments (adjustments may be zero)
  27 //  rsn - adjustment reason, only for adjustments
  28 //  plv - provided for "integrated A/R" only: 0=pt, 1=Ins1, etc.
  29 //  dsc - for tax charges, a description of the tax
  30
  31 require_once("sl_eob.inc.php");
  32
  33 function get_invoice_summary($trans_id, $with_detail = false) {
  34   global $sl_err, $sl_cash_acc;
  35
  36   $codes = array();
  37
  38   $chart_id_cash = SLQueryValue("select id from chart where accno = '$sl_cash_acc'");
  39   if ($sl_err) die($sl_err);
  40   if (! $chart_id_cash) die("There is no COA entry for cash account '$sl_cash_acc'");
  41
  42   // Request all cash entries belonging to the invoice.
  43   $atres = SLQuery("select * from acc_trans where trans_id = $trans_id and chart_id = $chart_id_cash");
  44   if ($sl_err) die($sl_err);
  45
  46   // Deduct payments for each procedure code from the respective balance owed.
  47   $keysuffix = 5000;
  48   for ($irow = 0; $irow < SLRowCount($atres); ++$irow) {
  49     $row = SLGetRow($atres, $irow);
  50     $code = strtoupper($row['memo']);
  51     $ins_id = $row['project_id'];
  52     if (! $code) $code = "Unknown";
  53     $amount = $row['amount'];
  54     $codes[$code]['bal'] += $amount; // amount is negative for a payment
  55     if ($ins_id)
  56       $codes[$code]['ins'] = $ins_id;
  57
  58     // Add the details if they want 'em.
  59     if ($with_detail) {
  60       if (! $codes[$code]['dtl']) $codes[$code]['dtl'] = array();
  61       $tmpkey = $row['transdate'] . $keysuffix++;
  62       $tmp = array();
  63       $tmp['pmt'] = 0 - $amount;
  64       $tmp['src'] = $row['source'];
  65       if ($ins_id) $tmp['ins'] = $ins_id;
  66       $codes[$code]['dtl'][$tmpkey] = $tmp;
  67     }
  68   }
  69
  70   // Request all line items with money or adjustment reasons belonging
  71   // to the invoice.
  72   $inres = SLQuery("SELECT * FROM invoice WHERE trans_id = $trans_id AND " .
  73     "( sellprice != 0 OR description LIKE 'Adjustment%' OR serialnumber = 'Claim' )");
  74   if ($sl_err) die($sl_err);
  75
  76   // Add charges and adjustments for each procedure code into its total and balance.
  77   $keysuffix = 1000;
  78   for ($irow = 0; $irow < SLRowCount($inres); ++$irow) {
  79     $row = SLGetRow($inres, $irow);
  80     // $amount = $row['sellprice'];
  81     $amount = sprintf('%01.2f', $row['sellprice'] * $row['qty']);
  82     $ins_id = $row['project_id'];
  83
  84     $code = "Unknown";
  85     if ($row['serialnumber'] == 'Claim') {
  86       $code = 'Claim';
  87     }
  88     else if (preg_match("/([A-Za-z0-9]\d\d\S*)/", $row['serialnumber'], $matches)) {
  89       $code = strtoupper($matches[1]);
  90     }
  91     else if (preg_match("/([A-Za-z0-9]\d\d\S*)/", $row['description'], $matches)) {
  92       $code = strtoupper($matches[1]);
  93     }
  94     else if (preg_match("/^TAX:/", $row['description'])) {
  95       $code = 'TAX';
  96     }
  97
  98     $codes[$code]['chg'] += $amount;
  99     $codes[$code]['bal'] += $amount;
 100     if ($amount < 0) $codes[$code]['adj'] -= $amount;
 101
 102     if ($ins_id)
 103       $codes[$code]['ins'] = $ins_id;
 104
 105     // Add the details if they want 'em.
 106     if ($with_detail) {
 107       if (! $codes[$code]['dtl']) $codes[$code]['dtl'] = array();
 108       if (preg_match("/^Adjustment\s*(\S*)\s*(.*)/", $row['description'], $matches)) {
 109         $tmpkey = str_pad($matches[1], 10) . $keysuffix++;
 110         $tmp = array();
 111         $tmp['chg'] = $amount;
 112         $tmp['rsn'] = $matches[2];
 113         if ($ins_id) $tmp['ins'] = $ins_id;
 114         $codes[$code]['dtl'][$tmpkey] = $tmp;
 115       }
 116       else {
 117         $tmpkey = "          " . $keysuffix++;
 118         $tmp = array();
 119         $tmp['chg'] = $amount;
 120         if ($code == 'TAX') $tmp['dsc'] = substr($row['description'], 4);
 121         $codes[$code]['dtl'][$tmpkey] = $tmp;
 122       }
 123     }
 124   }
 125
 126   return $codes;
 127 }
 128
 129 // Like the above, but for Integrated A/R.
 130 //
 131 function ar_get_invoice_summary($patient_id, $encounter_id, $with_detail = false) {
 132   $codes = array();
 133   $keysuff1 = 1000;
 134   $keysuff2 = 5000;
 135
 136   // Get charges from services.
 137   $res = sqlStatement("SELECT " .
 138     "date, code_type, code, modifier, code_text, fee " .
 139     "FROM billing WHERE " .
 140     "pid = '$patient_id' AND encounter = '$encounter_id' AND " .
 141     "activity = 1 AND fee != 0.00 ORDER BY id");
 142
 143   while ($row = sqlFetchArray($res)) {
 144     $amount = sprintf('%01.2f', $row['fee']);
 145
 146     if ($row['code_type'] == 'COPAY') {
 147       $code = 'CO-PAY';
 148       $codes[$code]['bal'] += $amount;
 149     }
 150     else {
 151       $code = strtoupper($row['code']);
 152       if (! $code) $code = "Unknown";
 153       if ($row['modifier']) $code .= ':' . strtoupper($row['modifier']);
 154       $codes[$code]['chg'] += $amount;
 155       $codes[$code]['bal'] += $amount;
 156     }
 157     // Add the details if they want 'em.
 158     if ($with_detail) {
 159       if (! $codes[$code]['dtl']) $codes[$code]['dtl'] = array();
 160       $tmp = array();
 161       if ($row['code_type'] == 'COPAY') {
 162         $tmp['pmt'] = 0 - $amount;
 163         $tmp['src'] = 'Pt Paid';
 164         $tmp['plv'] = 0;
 165         $tmpkey = substr($row['date'], 0, 10) . $keysuff2++;
 166       }
 167       else {
 168         $tmp['chg'] = $amount;
 169         $tmpkey = "          " . $keysuff1++;
 170       }
 171       $codes[$code]['dtl'][$tmpkey] = $tmp;
 172     }
 173   }
 174
 175   // Get charges from product sales.
 176   $query = "SELECT s.drug_id, s.sale_date, s.fee, s.quantity " .
 177     "FROM drug_sales AS s " .
 178     "WHERE " .
 179     "s.pid = '$patient_id' AND s.encounter = '$encounter_id' AND s.fee != 0 " .
 180     "ORDER BY s.sale_id";
 181   $res = sqlStatement($query);
 182   while ($row = sqlFetchArray($res)) {
 183     $amount = sprintf('%01.2f', $row['fee']);
 184     $code = 'PROD:' . $row['drug_id'];
 185     $codes[$code]['chg'] += $amount;
 186     $codes[$code]['bal'] += $amount;
 187     // Add the details if they want 'em.
 188     if ($with_detail) {
 189       if (! $codes[$code]['dtl']) $codes[$code]['dtl'] = array();
 190       $tmp = array();
 191       $tmp['chg'] = $amount;
 192       $tmpkey = "          " . $keysuff1++;
 193       $codes[$code]['dtl'][$tmpkey] = $tmp;
 194     }
 195   }
 196
 197   // Get payments and adjustments.
 198   $res = sqlStatement("SELECT " .
 199     "a.code, a.modifier, a.memo, a.payer_type, a.adj_amount, a.pay_amount, " .
 200     "a.post_time, a.session_id, " .
 201     "s.payer_id, s.reference, s.check_date, s.deposit_date " .
 202     "FROM ar_activity AS a " .
 203     "LEFT OUTER JOIN ar_session AS s ON s.session_id = a.session_id " .
 204     "WHERE a.pid = '$patient_id' AND a.encounter = '$encounter_id' " .
 205     "ORDER BY s.check_date, a.sequence_no");
 206   while ($row = sqlFetchArray($res)) {
 207     $code = strtoupper($row['code']);
 208     if (! $code) $code = "Unknown";
 209     if ($row['modifier']) $code .= ':' . strtoupper($row['modifier']);
 210     $ins_id = 0 + $row['payer_id'];
 211     $codes[$code]['bal'] -= $row['pay_amount'];
 212     $codes[$code]['bal'] -= $row['adj_amount'];
 213     $codes[$code]['chg'] -= $row['adj_amount'];
 214     $codes[$code]['adj'] += $row['adj_amount'];
 215     if ($ins_id) $codes[$code]['ins'] = $ins_id;
 216     // Add the details if they want 'em.
 217     if ($with_detail) {
 218       if (! $codes[$code]['dtl']) $codes[$code]['dtl'] = array();
 219       $tmp = array();
 220       $paydate = empty($row['deposit_date']) ? substr($row['post_time'], 0, 10) : $row['deposit_date'];
 221       if ($row['pay_amount'] != 0) $tmp['pmt'] = $row['pay_amount'];
 222       if ($row['adj_amount'] != 0 || $row['pay_amount'] == 0) {
 223         $tmp['chg'] = 0 - $row['adj_amount'];
 224         $tmp['rsn'] = (empty($row['memo']) || empty($row['session_id'])) ? 'Unknown adjustment' : $row['memo'];
 225         $tmpkey = $paydate . $keysuff1++;
 226       }
 227       else {
 228         $tmpkey = $paydate . $keysuff2++;
 229       }
 230       $tmp['src'] = empty($row['session_id']) ? $row['memo'] : $row['reference'];
 231       if ($ins_id) $tmp['ins'] = $ins_id;
 232       $tmp['plv'] = $row['payer_type'];
 233       $codes[$code]['dtl'][$tmpkey] = $tmp;
 234     }
 235   }
 236   return $codes;
 237 }
 238
 239 // This determines the party from whom payment is currently expected.
 240 // Returns: -1=Nobody, 0=Patient, 1=Ins1, 2=Ins2, 3=Ins3.
 241 //
 242 function responsible_party($trans_id) {
 243   global $sl_err;
 244   $arres = SLQuery("select * from ar where id = $trans_id");
 245   if ($sl_err) die($sl_err);
 246   $arrow = SLGetRow($arres, 0);
 247   if (! $arrow) die(xl("There is no match for invoice id = ") . $trans_id);
 248   if ($arrow['paid'] >= $arrow['netamount']) return -1;
 249   $insgot  = strtolower($arrow['notes']);
 250   $insdone = strtolower($arrow['shipvia']);
 251   for ($i = 1; $i <= 3; ++$i) {
 252     $lcvalue = "ins$i";
 253     if (strpos($insgot, $lcvalue) !== false && strpos($insdone, $lcvalue) === false)
 254       return $i;
 255   }
 256   return 0;
 257 }
 258
 259 // As above but for Integrated A/R.
 260 //
 261 function ar_responsible_party($patient_id, $encounter_id) {
 262   $row = sqlQuery("SELECT date, last_level_billed, last_level_closed " .
 263     "FROM form_encounter WHERE " .
 264     "pid = '$patient_id' AND encounter = '$encounter_id' " .
 265     "ORDER BY id DESC LIMIT 1");
 266   if (empty($row)) return -1;
 267   $next_level = $row['last_level_closed'] + 1;
 268   if ($next_level <= $row['last_level_billed'])
 269     return $next_level;
 270   if (arGetPayerID($patient_id, substr($row['date'], 0, 10), $payer_type))
 271     return $next_level;
 272   // There is no unclosed insurance, so see if there is an unpaid balance.
 273   // Currently hoping that form_encounter.balance_due can be discarded.
 274   $balance = 0;
 275   $codes = ar_get_invoice_summary($patient_id, $encounter_id);
 276   foreach ($codes as $cdata) $balance += $cdata['bal'];
 277   if ($balance > 0) return 0;
 278   return -1;
 279 }
 280 ?>