library/gen_x12_837.inc.php

   1 <?php
   2 // Copyright (C) 2007-2011 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 require_once("Claim.class.php");
  10 function stripZipCode($zip)
  11 {
  12     return str_replace('-','',$zip);
  13 }
  14 function gen_x12_837($pid, $encounter, &$log, $encounter_claim=false) {
  15
  16   $today = time();
  17   $out = '';
  18   $claim = new Claim($pid, $encounter);
  19   $edicount = 0;
  20
  21   // This is true for the 5010 standard, false for 4010.
  22   // x12gsversionstring() should be "005010X222A1" or "004010X098A1".
  23   $CMS_5010 = strpos($claim->x12gsversionstring(), '5010') !== false;
  24
  25   $log .= "Generating claim $pid-$encounter for " .
  26     $claim->patientFirstName()  . ' ' .
  27     $claim->patientMiddleName() . ' ' .
  28     $claim->patientLastName()   . ' on ' .
  29     date('Y-m-d H:i', $today) . ".\n";
  30
  31   $out .= "ISA" .
  32     "*00" .
  33     "*          " .
  34     "*00" .
  35     "*          " .
  36     "*" . $claim->x12gsisa05() .
  37     "*" . $claim->x12gssenderid() .
  38     "*" . $claim->x12gsisa07() .
  39     "*" . $claim->x12gsreceiverid() .
  40     "*030911" .
  41     "*1630" .
  42     "*" . ($CMS_5010 ? "^"     : "U"    ) .
  43     "*" . ($CMS_5010 ? "00501" : "00401") .
  44     "*000000001" .
  45     "*" . $claim->x12gsisa14() .
  46     "*" . $claim->x12gsisa15() .
  47     "*:" .
  48     "~\n";
  49
  50   $out .= "GS" .
  51     "*HC" .
  52     "*" . $claim->x12gsgs02() .
  53     "*" . trim($claim->x12gs03()) .
  54     "*" . date('Ymd', $today) .
  55     "*" . date('Hi', $today) .
  56     "*1" .
  57     "*X" .
  58     "*" . $claim->x12gsversionstring() .
  59     "~\n";
  60
  61   ++$edicount;
  62   $out .= "ST" .
  63     "*837" .
  64     "*0021" .
  65     // Spec says the following is optional, so should be able to leave it out.
  66     ($CMS_5010 ? ("*" . $claim->x12gsversionstring()) : "") .
  67     "~\n";
  68
  69   ++$edicount;
  70   $out .= "BHT" .
  71     "*0019" .                             // 0019 is required here
  72     "*00" .                               // 00 = original transmission
  73     "*0123" .                             // reference identification
  74     "*" . date('Ymd', $today) .           // transaction creation date
  75     "*" . date('Hi', $today) .            // transaction creation time
  76     ($encounter_claim ? "*RP" : "*CH") .  // RP = reporting, CH = chargeable
  77     "~\n";
  78
  79   if (!$CMS_5010) {
  80     // This segment was deleted for 5010.
  81     ++$edicount;
  82     $out .= "REF" .
  83       "*87" .
  84       "*" . $claim->x12gsversionstring() .
  85       "~\n";
  86   }
  87
  88   ++$edicount;
  89   //Field length is limited to 35. See nucc dataset page 63 www.nucc.org
  90   $billingFacilityName = substr($claim->billingFacilityName(), 0, $CMS_5010 ? 60 : 35);
  91   $out .= "NM1" .       // Loop 1000A Submitter
  92     "*41" .
  93     "*2" .
  94     "*" . $billingFacilityName .
  95     "*" .
  96     "*" .
  97     "*" .
  98     "*" .
  99     "*46";
 100    if (trim($claim->x12gsreceiverid()) == '470819582') { // if ECLAIMS EDI
 101     $out  .=  "*" . $claim->clearingHouseETIN();
 102    } else {
 103     $out  .=  "*" . $claim->billingFacilityETIN();
 104    }
 105     $out .= "~\n";
 106
 107   ++$edicount;
 108   $out .= "PER" .
 109     "*IC" .
 110     "*" . $claim->billingContactName() .
 111     "*TE" .
 112     "*" . $claim->billingContactPhone();
 113   if (!$CMS_5010 && $claim->x12gsper06()) {
 114     $out .= "*ED*" . $claim->x12gsper06();
 115   }
 116   $out .= "~\n";
 117
 118   ++$edicount;
 119   $out .= "NM1" .       // Loop 1000B Receiver
 120     "*40" .
 121     "*2" .
 122     "*" . $claim->clearingHouseName() .
 123     "*" .
 124     "*" .
 125     "*" .
 126     "*" .
 127     "*46" .
 128     "*" . $claim->clearingHouseETIN() .
 129     "~\n";
 130
 131   $HLcount = 1;
 132
 133   ++$edicount;
 134   $out .= "HL" .        // Loop 2000A Billing/Pay-To Provider HL Loop
 135     "*$HLcount" .
 136     "*" .
 137     "*20" .
 138     "*1" .              // 1 indicates there are child segments
 139     "~\n";
 140
 141   $HLBillingPayToProvider = $HLcount++;
 142
 143   // Situational PRV segment (for provider taxonomy code) omitted here.
 144   // Situational CUR segment (foreign currency information) omitted here.
 145
 146   ++$edicount;
 147   //Field length is limited to 35. See nucc dataset page 63 www.nucc.org
 148   $billingFacilityName = substr($claim->billingFacilityName(), 0, $CMS_5010 ? 60 : 35);
 149   $out .= "NM1" .       // Loop 2010AA Billing Provider
 150     "*85" .
 151     "*2" .
 152     "*" . $billingFacilityName .
 153     "*" .
 154     "*" .
 155     "*" .
 156     "*";
 157   if ($claim->billingFacilityNPI()) {
 158     $out .= "*XX*" . $claim->billingFacilityNPI();
 159   }
 160   else {
 161     $log .= "*** Billing facility has no NPI.\n";
 162     if ($CMS_5010) {
 163       $out .= "*XX*";
 164     }
 165     else {
 166       $out .= "*24*" . $claim->billingFacilityETIN();
 167     }
 168   }
 169   $out .= "~\n";
 170
 171   ++$edicount;
 172   $out .= "N3" .
 173     "*" . $claim->billingFacilityStreet() .
 174     "~\n";
 175
 176   ++$edicount;
 177   $out .= "N4" .
 178     "*" . $claim->billingFacilityCity() .
 179     "*" . $claim->billingFacilityState() .
 180     "*" . stripZipCode($claim->billingFacilityZip()) .
 181     "~\n";
 182
 183   if ($CMS_5010 || ($claim->billingFacilityNPI() && $claim->billingFacilityETIN())) {
 184     ++$edicount;
 185     $out .= "REF" ;
 186     if($claim->federalIdType()){
 187       $out .= "*" . $claim->federalIdType();
 188     }
 189     else{
 190       $out .= "*EI"; // For dealing with the situation before adding TaxId type In facility.
 191     }
 192     $out .=  "*" . $claim->billingFacilityETIN() .
 193       "~\n";
 194   }
 195
 196   if ($claim->providerNumberType() && $claim->providerNumber() &&
 197       !($CMS_5010 && $claim->billingFacilityNPI()))
 198   {
 199     ++$edicount;
 200     $out .= "REF" .
 201       "*" . $claim->providerNumberType() .
 202       "*" . $claim->providerNumber() .
 203       "~\n";
 204   }
 205   else if ($claim->providerNumber() && !$claim->providerNumberType()) {
 206     $log .= "*** Payer-specific provider insurance number is present but has no type assigned.\n";
 207   }
 208
 209   // Situational PER*1C segment omitted.
 210
 211   // Pay-To Address defaults to billing provider and is no longer required in 5010.
 212   if (!$CMS_5010) {
 213     ++$edicount;
 214     // Field length is limited to 35. See nucc dataset page 63 www.nucc.org
 215     $billingFacilityName = substr($claim->billingFacilityName(), 0, $CMS_5010 ? 60 : 35);
 216     $out .= "NM1" .       // Loop 2010AB Pay-To Provider
 217       "*87" .
 218       "*2" .
 219       "*" . $billingFacilityName .
 220       "*" .
 221       "*" .
 222       "*" .
 223       "*";
 224     if ($claim->billingFacilityNPI())
 225       $out .= "*XX*" . $claim->billingFacilityNPI();
 226     else
 227       $out .= "*24*" . $claim->billingFacilityETIN();
 228     $out .= "~\n";
 229
 230     ++$edicount;
 231     $out .= "N3" .
 232       "*" . $claim->billingFacilityStreet() .
 233       "~\n";
 234
 235     ++$edicount;
 236     $out .= "N4" .
 237       "*" . $claim->billingFacilityCity() .
 238       "*" . $claim->billingFacilityState() .
 239       "*" . stripZipCode($claim->billingFacilityZip()) .
 240       "~\n";
 241
 242     if ($claim->billingFacilityNPI() && $claim->billingFacilityETIN()) {
 243       ++$edicount;
 244       $out .= "REF" .
 245         "*EI" .
 246         "*" . $claim->billingFacilityETIN() .
 247         "~\n";
 248     }
 249   }
 250
 251   // Loop 2010AC Pay-To Plan Name omitted.  Includes:
 252   // NM1*PE, N3, N4, REF*2U, REF*EI
 253
 254   $PatientHL = $claim->isSelfOfInsured() ? 0 : 1;
 255   $HLSubscriber = $HLcount++;
 256
 257   ++$edicount;
 258   $out .= "HL" .        // Loop 2000B Subscriber HL Loop
 259     "*$HLSubscriber" .
 260     "*$HLBillingPayToProvider" .
 261     "*22" .
 262     "*$PatientHL" .
 263     "~\n";
 264
 265   if (!$claim->payerSequence()) {
 266     $log .= "*** Error: Insurance information is missing!\n";
 267   }
 268
 269   ++$edicount;
 270   $out .= "SBR" .       // Subscriber Information
 271     "*" . $claim->payerSequence() .
 272     "*" . ($claim->isSelfOfInsured() ? '18' : '') .
 273     "*" . $claim->groupNumber() .
 274     "*" . (($CMS_5010 && $claim->groupNumber()) ? '' : $claim->groupName()) .
 275     "*" . $claim->insuredTypeCode() . // applies for secondary medicare
 276     "*" .
 277     "*" .
 278     "*" .
 279     "*" . $claim->claimType() . // Zirmed replaces this
 280     "~\n";
 281
 282   // Segment PAT omitted.
 283
 284   ++$edicount;
 285   $out .= "NM1" .       // Loop 2010BA Subscriber
 286     "*IL" .
 287     "*1" . // 1 = person, 2 = non-person
 288     "*" . $claim->insuredLastName() .
 289     "*" . $claim->insuredFirstName() .
 290     "*" . $claim->insuredMiddleName() .
 291     "*" .
 292     "*" . // Name Suffix
 293     "*MI" .
 294     // "MI" = Member Identification Number
 295     // "II" = Standard Unique Health Identifier, "Required if the
 296     //        HIPAA Individual Patient Identifier is mandated use."
 297     //        Here we presume that is not true yet.
 298     "*" . $claim->policyNumber() .
 299     "~\n";
 300
 301   // For 5010, further subscriber info is sent only if they are the patient.
 302   if (!$CMS_5010 || $claim->isSelfOfInsured()) {
 303     ++$edicount;
 304     $out .= "N3" .
 305       "*" . $claim->insuredStreet() .
 306       "~\n";
 307
 308     ++$edicount;
 309     $out .= "N4" .
 310       "*" . $claim->insuredCity() .
 311       "*" . $claim->insuredState() .
 312       "*" . stripZipCode($claim->insuredZip()) .
 313       "~\n";
 314
 315     ++$edicount;
 316     $out .= "DMG" .
 317       "*D8" .
 318       "*" . $claim->insuredDOB() .
 319       "*" . $claim->insuredSex() .
 320       "~\n";
 321   }
 322
 323   // Segment REF*SY (Subscriber Secondary Identification) omitted.
 324   // Segment REF*Y4 (Property and Casualty Claim Number) omitted.
 325   // Segment PER*IC (Property and Casualty Subscriber Contact Information) omitted.
 326
 327   ++$edicount;
 328   //Field length is limited to 35. See nucc dataset page 81 www.nucc.org
 329   $payerName = substr($claim->payerName(), 0, $CMS_5010 ? 60 : 35);
 330   $out .= "NM1" .       // Loop 2010BB Payer
 331     "*PR" .
 332     "*2" .
 333     "*" . $payerName .
 334     "*" .
 335     "*" .
 336     "*" .
 337     "*" .
 338     // The 5010 spec says:
 339     // "On or after the mandated implementation date for the HIPAA
 340     // National Plan Identifier (National Plan ID), XV must be sent.
 341     // Prior to the mandated implementation date and prior to any phase-
 342     // in period identified by Federal regulation, PI must be sent."
 343     // *************** Anybody know what that date is? ***************
 344     "*PI" .
 345     // Zirmed ignores this if using payer name matching:
 346     "*" . ($encounter_claim ? $claim->payerAltID() : $claim->payerID()) .
 347     "~\n";
 348
 349   // if (!$claim->payerID()) {
 350   //   $log .= "*** CMS ID is missing for payer '" . $claim->payerName() . "'.\n";
 351   // }
 352
 353   if (true) { // !$CMS_5010
 354     // The 5010 spec says:
 355     // "Required when the payer address is available and the submitter intends
 356     // for the claim to be printed on paper at the next EDI location (for example, a
 357     // clearinghouse). If not required by this implementation guide, do not send."
 358
 359     ++$edicount;
 360     $out .= "N3" .
 361       "*" . $claim->payerStreet() .
 362       "~\n";
 363
 364     ++$edicount;
 365     $out .= "N4" .
 366       "*" . $claim->payerCity() .
 367       "*" . $claim->payerState() .
 368       "*" . stripZipCode($claim->payerZip()) .
 369       "~\n";
 370   }
 371
 372   // Segment REF (Payer Secondary Identification) omitted.
 373   // Segment REF (Billing Provider Secondary Identification) omitted.
 374
 375   if (! $claim->isSelfOfInsured()) {
 376     ++$edicount;
 377     $out .= "HL" .        // Loop 2000C Patient Information
 378       "*$HLcount" .
 379       "*$HLSubscriber" .
 380       "*23" .
 381       "*0" .
 382       "~\n";
 383
 384     $HLcount++;
 385
 386     ++$edicount;
 387     $out .= "PAT" .
 388       "*" . $claim->insuredRelationship() .
 389       "~\n";
 390
 391     ++$edicount;
 392     $out .= "NM1" .       // Loop 2010CA Patient
 393       "*QC" .
 394       "*1" .
 395       "*" . $claim->patientLastName() .
 396       "*" . $claim->patientFirstName() .
 397       "*" . $claim->patientMiddleName() .
 398       "~\n";
 399
 400     ++$edicount;
 401     $out .= "N3" .
 402       "*" . $claim->patientStreet() .
 403       "~\n";
 404
 405     ++$edicount;
 406     $out .= "N4" .
 407       "*" . $claim->patientCity() .
 408       "*" . $claim->patientState() .
 409       "*" . stripZipCode($claim->patientZip()) .
 410       "~\n";
 411
 412     ++$edicount;
 413     $out .= "DMG" .
 414       "*D8" .
 415       "*" . $claim->patientDOB() .
 416       "*" . $claim->patientSex() .
 417       "~\n";
 418
 419     // Segment REF*Y4 (Property and Casualty Claim Number) omitted.
 420     // Segment REF (Property and Casualty Patient Identifier) omitted.
 421     // Segment PER (Property and Casualty Patient Contact Information) omitted.
 422
 423   } // end of patient different from insured
 424
 425   $proccount = $claim->procCount();
 426
 427   $clm_total_charges = 0;
 428   for ($prockey = 0; $prockey < $proccount; ++$prockey) {
 429     $clm_total_charges += $claim->cptCharges($prockey);
 430   }
 431
 432   if (!$clm_total_charges) {
 433     $log .= "*** This claim has no charges!\n";
 434   }
 435
 436   ++$edicount;
 437   $out .= "CLM" .       // Loop 2300 Claim
 438     "*$pid-$encounter" .
 439     "*"  . sprintf("%.2f",$clm_total_charges) . // Zirmed computes and replaces this
 440     "*"  .
 441     "*"  .
 442     "*"  . sprintf('%02d', $claim->facilityPOS()) . ":" .
 443            ($CMS_5010 ? "B" : "") . ":" .
 444            $claim->frequencyTypeCode() . // Changed to correct single digit output
 445     "*Y" .
 446     "*A" .
 447     "*"  . ($claim->billingFacilityAssignment() ? 'Y' : 'N') .
 448     "*Y" .
 449     ($CMS_5010 ? "" : "*C") .
 450     "~\n";
 451
 452   if ($claim->onsetDate() &&
 453       ($claim->onsetDate()!== $claim->serviceDate()) &&
 454       ($claim->onsetDateValid())
 455      ) {
 456     ++$edicount;
 457     $out .= "DTP" .       // Date of Onset
 458       "*431" .
 459       "*D8" .
 460       "*" . $claim->onsetDate() .
 461       "~\n";
 462   }
 463
 464   if ($claim->dateInitialTreatment() && ($claim->onsetDateValid())) {
 465     ++$edicount;
 466     $out .= "DTP" .       // Date of Initial Treatment
 467       "*454" .
 468       "*D8" .
 469       "*" . $claim->dateInitialTreatment() .
 470       "~\n";
 471   }
 472
 473   // Segment DTP*304 (Last Seen Date) omitted.
 474   // Segment DTP*453 (Acute Manifestation Date) omitted.
 475   // Segment DTP*439 (Accident Date) omitted.
 476   // Segment DTP*484 (Last Menstrual Period Date) omitted.
 477   // Segment DTP*455 (Last X-Ray Date) omitted.
 478   // Segment DTP*471 (Hearing and Vision Prescription Date) omitted.
 479   // Segments DTP (Disability Dates) omitted.
 480   // Segment DTP*297 (Last Worked Date) omitted.
 481   // Segment DTP*296 (Authorized Return to Work Date) omitted.
 482
 483   if (strcmp($claim->facilityPOS(),'21') == 0 && $claim->onsetDateValid() ) {
 484     ++$edicount;
 485     $out .= "DTP" .     // Date of Hospitalization
 486       "*435" .
 487       "*D8" .
 488       "*" . $claim->onsetDate() .
 489       "~\n";
 490   }
 491
 492   // Segment DTP*096 (Discharge Date) omitted.
 493   // Segments DTP (Assumed and Relinquished Care Dates) omitted.
 494   // Segment DTP*444 (Property and Casualty Date of First Contact) omitted.
 495   // Segment DTP*050 (Repricer Received Date) omitted.
 496   // Segment PWK (Claim Supplemental Information) omitted.
 497   // Segment CN1 (Contract Information) omitted.
 498
 499   $patientpaid = $claim->patientPaidAmount();
 500   if ($patientpaid != 0) {
 501     ++$edicount;
 502     $out .= "AMT" .     // Patient paid amount. Page 190/220.
 503       "*F5" .
 504       "*" . $patientpaid .
 505       "~\n";
 506   }
 507
 508   // Segment REF*4N (Service Authorization Exception Code) omitted.
 509   // Segment REF*F5 (Mandatory Medicare Crossover Indicator) omitted.
 510   // Segment REF*EW (Mammography Certification Number) omitted.
 511   // Segment REF*9F (Referral Number) omitted.
 512
 513   if ($claim->priorAuth()) {
 514     ++$edicount;
 515     $out .= "REF" .     // Prior Authorization Number
 516       "*G1" .
 517       "*" . $claim->priorAuth() .
 518       "~\n";
 519   }
 520
 521   // Segment REF*F8 (Payer Claim Control Number) omitted.
 522
 523   if ($claim->cliaCode() && ($CMS_5010 || $claim->claimType() === 'MB')) {
 524     // Required by Medicare when in-house labs are done.
 525     ++$edicount;
 526     $out .= "REF" .     // Clinical Laboratory Improvement Amendment Number
 527       "*X4" .
 528       "*" . $claim->cliaCode() .
 529       "~\n";
 530   }
 531
 532   // Segment REF*9A (Repriced Claim Number) omitted.
 533   // Segment REF*9C (Adjusted Repriced Claim Number) omitted.
 534   // Segment REF*LX (Investigational Device Exemption Number) omitted.
 535   // Segment REF*D9 (Claim Identifier for Transmission Intermediaries) omitted.
 536   // Segment REF*EA (Medical Record Number) omitted.
 537   // Segment REF*P4 (Demonstration Project Identifier) omitted.
 538   // Segment REF*1J (Care Plan Oversight) omitted.
 539   // Segment K3 (File Information) omitted.
 540
 541   if ($claim->additionalNotes()) {
 542     // Claim note.
 543     ++$edicount;
 544     $out .= "NTE" .     // comments box 19
 545       "*" . ($CMS_5010 ? "ADD" : "") .
 546       "*" . $claim->additionalNotes() .
 547       "~\n";
 548   }
 549
 550   // Segment CR1 (Ambulance Transport Information) omitted.
 551   // Segment CR2 (Spinal Manipulation Service Information) omitted.
 552   // Segment CRC (Ambulance Certification) omitted.
 553   // Segment CRC (Patient Condition Information: Vision) omitted.
 554   // Segment CRC (Homebound Indicator) omitted.
 555   // Segment CRC (EPSDT Referral) omitted.
 556
 557   // Diagnoses, up to $max_per_seg per HI segment.
 558   $max_per_seg = $CMS_5010 ? 12 : 8;
 559   $da = $claim->diagArray();
 560   $diag_type_code = 'BK';
 561   $tmp = 0;
 562   foreach ($da as $diag) {
 563     if ($tmp % $max_per_seg == 0) {
 564       if ($tmp) $out .= "~\n";
 565       ++$edicount;
 566       $out .= "HI";         // Health Diagnosis Codes
 567     }
 568     $out .= "*$diag_type_code:" . $diag;
 569     $diag_type_code = 'BF';
 570     ++$tmp;
 571   }
 572   if ($tmp) $out .= "~\n";
 573
 574   // Segment HI*BP (Anesthesia Related Procedure) omitted.
 575   // Segment HI*BG (Condition Information) omitted.
 576   // Segment HCP (Claim Pricing/Repricing Information) omitted.
 577
 578   if ($claim->referrerLastName()) {
 579     // Medicare requires referring provider's name and UPIN.
 580     ++$edicount;
 581     $out .= "NM1" .     // Loop 2310A Referring Provider
 582       "*DN" .
 583       "*1" .
 584       "*" . $claim->referrerLastName() .
 585       "*" . $claim->referrerFirstName() .
 586       "*" . $claim->referrerMiddleName() .
 587       "*" .
 588       "*";
 589     if ($CMS_5010 || $claim->referrerNPI()) { $out .=
 590       "*XX" .
 591       "*" . $claim->referrerNPI();
 592     } else { $out .=
 593       "*34" .                           // not allowed for 5010
 594       "*" . $claim->referrerSSN();
 595     }
 596     $out .= "~\n";
 597
 598     if (!$CMS_5010 && $claim->referrerTaxonomy()) {
 599       ++$edicount;
 600       $out .= "PRV" .
 601         "*RF" . // ReFerring provider
 602         "*ZZ" .
 603         "*" . $claim->referrerTaxonomy() .
 604         "~\n";
 605     }
 606
 607     if (!CMS_5010 && $claim->referrerUPIN()) {
 608       ++$edicount;
 609       $out .= "REF" .   // Referring Provider Secondary Identification
 610         "*1G" .
 611         "*" . $claim->referrerUPIN() .
 612         "~\n";
 613     }
 614   }
 615
 616   ++$edicount;
 617   $out .= "NM1" .       // Loop 2310B Rendering Provider
 618     "*82" .
 619     "*1" .
 620     "*" . $claim->providerLastName() .
 621     "*" . $claim->providerFirstName() .
 622     "*" . $claim->providerMiddleName() .
 623     "*" .
 624     "*";
 625   if ($CMS_5010 || $claim->providerNPI()) { $out .=
 626     "*XX" .
 627     "*" . $claim->providerNPI();
 628   } else { $out .=
 629     "*34" .                             // not allowed for 5010
 630     "*" . $claim->providerSSN();
 631     $log .= "*** Rendering provider has no NPI.\n";
 632   }
 633   $out .= "~\n";
 634
 635   if ($claim->providerTaxonomy()) {
 636     ++$edicount;
 637     $out .= "PRV" .
 638       "*PE" . // PErforming provider
 639       "*" . ($CMS_5010 ? "PXC" : "ZZ") .
 640       "*" . $claim->providerTaxonomy() .
 641       "~\n";
 642   }
 643
 644   // 4010: REF*1C is required here for the Medicare provider number if NPI was
 645   // specified in NM109.  Not sure if other payers require anything here.
 646   // --- apparently ECLAIMS, INC wants the data in 2010 but NOT in 2310B - tony@mi-squared.com
 647   //
 648   // 5010 spec says nothing here if NPI was specified.
 649   //
 650   if (($CMS_5010 && !$claim->providerNPI() && in_array($claim->providerNumberType(), array('0B','1G','G2','LU')))
 651       || (!$CMS_5010 && trim($claim->x12gsreceiverid()) != '470819582')) // if NOT ECLAIMS EDI
 652   {
 653     if ($claim->providerNumber()) {
 654       ++$edicount;
 655       $out .= "REF" .
 656         "*" . $claim->providerNumberType() .
 657         "*" . $claim->providerNumber() .
 658         "~\n";
 659     }
 660   }
 661
 662   // Loop 2310D is omitted in the case of home visits (POS=12).
 663   if ($claim->facilityPOS() != 12 &&
 664       (!$CMS_5010 || $claim->facilityNPI() != $claim->billingFacilityNPI()))
 665     {
 666     ++$edicount;
 667     $out .= "NM1" .       // Loop 2310D Service Location
 668       "*77" .
 669       "*2";
 670     //Field length is limited to 35. See nucc dataset page 77 www.nucc.org
 671     $facilityName = substr($claim->facilityName(), 0, $CMS_5010 ? 60 : 35);
 672     if ($claim->facilityName() || $claim->facilityNPI() || $claim->facilityETIN()) { $out .=
 673       "*" . $facilityName;
 674     }
 675     if ($claim->facilityNPI() || $claim->facilityETIN()) { $out .=
 676       "*" .
 677       "*" .
 678       "*" .
 679       "*";
 680       if ($CMS_5010 || $claim->facilityNPI()) { $out .=
 681         "*XX*" . $claim->facilityNPI();
 682       } else { $out .=
 683         "*24*" . $claim->facilityETIN();
 684       }
 685       if (!$claim->facilityNPI()) {
 686         $log .= "*** Service location has no NPI.\n";
 687       }
 688     }
 689     $out .= "~\n";
 690     if ($claim->facilityStreet()) {
 691       ++$edicount;
 692       $out .= "N3" .
 693         "*" . $claim->facilityStreet() .
 694         "~\n";
 695     }
 696     if ($claim->facilityState()) {
 697       ++$edicount;
 698       $out .= "N4" .
 699         "*" . $claim->facilityCity() .
 700         "*" . $claim->facilityState() .
 701         "*" . stripZipCode($claim->facilityZip()) .
 702         "~\n";
 703     }
 704   }
 705
 706   // Segment REF (Service Facility Location Secondary Identification) omitted.
 707   // Segment PER (Service Facility Contact Information) omitted.
 708
 709   // Loop 2310E, Supervising Provider
 710   //
 711   if ($claim->supervisorLastName()) {
 712     ++$edicount;
 713     $out .= "NM1" .
 714       "*DQ" . // Supervising Physician
 715       "*1" .  // Person
 716       "*" . $claim->supervisorLastName() .
 717       "*" . $claim->supervisorFirstName() .
 718       "*" . $claim->supervisorMiddleName() .
 719       "*" .   // NM106 not used
 720       "*";    // Name Suffix
 721     if ($CMS_5010 || $claim->supervisorNPI()) { $out .=
 722       "*XX" .
 723       "*" . $claim->supervisorNPI();
 724     } else { $out .=
 725       "*34" .
 726       "*" . $claim->supervisorSSN();
 727     }
 728     if (!$claim->supervisorNPI()) {
 729       $log .= "*** Supervising Provider has no NPI.\n";
 730     }
 731     $out .= "~\n";
 732
 733     if ($claim->supervisorNumber()) {
 734       ++$edicount;
 735       $out .= "REF" .
 736         "*" . $claim->supervisorNumberType() .
 737         "*" . $claim->supervisorNumber() .
 738         "~\n";
 739     }
 740   }
 741
 742   // Segments NM1*PW, N3, N4 (Ambulance Pick-Up Location) omitted.
 743   // Segments NM1*45, N3, N4 (Ambulance Drop-Off Location) omitted.
 744
 745   $prev_pt_resp = $clm_total_charges; // for computation below
 746
 747   // Loops 2320 and 2330*, other subscriber/payer information.
 748   // Remember that insurance index 0 is always for the payer being billed
 749   // by this claim, and 1 and above are always for the "other" payers.
 750   //
 751   for ($ins = 1; $ins < $claim->payerCount(); ++$ins) {
 752
 753     $tmp1 = $claim->claimType($ins);
 754     $tmp2 = 'C1'; // Here a kludge. See page 321.
 755     if ($tmp1 === 'CI') $tmp2 = 'C1';
 756     if ($tmp1 === 'AM') $tmp2 = 'AP';
 757     if ($tmp1 === 'HM') $tmp2 = 'HM';
 758     if ($tmp1 === 'MB') $tmp2 = 'MB';
 759     if ($tmp1 === 'MC') $tmp2 = 'MC';
 760     if ($tmp1 === '09') $tmp2 = 'PP';
 761     ++$edicount;
 762     $out .= "SBR" . // Loop 2320, Subscriber Information - page 297/318
 763       "*" . $claim->payerSequence($ins) .
 764       "*" . $claim->insuredRelationship($ins) .
 765       "*" . $claim->groupNumber($ins) .
 766       "*" . (($CMS_5010 && $claim->groupNumber($ins)) ? '' : $claim->groupName($ins)) .
 767       "*" . ($CMS_5010 ? $claim->insuredTypeCode($ins) : $tmp2) .
 768       "*" .
 769       "*" .
 770       "*" .
 771       "*" . $claim->claimType($ins) .
 772       "~\n";
 773
 774     // Things that apply only to previous payers, not future payers.
 775     //
 776     if ($claim->payerSequence($ins) < $claim->payerSequence()) {
 777
 778       // Generate claim-level adjustments.
 779       $aarr = $claim->payerAdjustments($ins);
 780       foreach ($aarr as $a) {
 781         ++$edicount;
 782         $out .= "CAS" . // Previous payer's claim-level adjustments. Page 301/323.
 783           "*" . $a[1] .
 784           "*" . $a[2] .
 785           "*" . $a[3] .
 786           "~\n";
 787       }
 788
 789       $payerpaid = $claim->payerTotals($ins);
 790       ++$edicount;
 791       $out .= "AMT" . // Previous payer's paid amount. Page 307/332.
 792         "*D" .
 793         "*" . $payerpaid[1] .
 794         "~\n";
 795
 796       // Segment AMT*A8 (COB Total Non-Covered Amount) omitted.
 797       // Segment AMT*EAF (Remaining Patient Liability) omitted.
 798
 799       if (!$CMS_5010) {
 800         // Patient responsibility amount as of this previous payer.
 801         $prev_pt_resp -= $payerpaid[1]; // reduce by payments
 802         $prev_pt_resp -= $payerpaid[2]; // reduce by adjustments
 803
 804         ++$edicount;
 805         $out .= "AMT" . // Allowed amount per previous payer. Page 334.
 806           "*B6" .
 807           "*" . sprintf('%.2f', $payerpaid[1] + $prev_pt_resp) .
 808           "~\n";
 809
 810         ++$edicount;
 811         $out .= "AMT" . // Patient responsibility amount per previous payer. Page 335.
 812           "*F2" .
 813           "*" . sprintf('%.2f', $prev_pt_resp) .
 814           "~\n";
 815       }
 816     } // End of things that apply only to previous payers.
 817
 818     if (!$CMS_5010) {
 819       ++$edicount;
 820       $out .= "DMG" . // Other subscriber demographic information. Page 342.
 821         "*D8" .
 822         "*" . $claim->insuredDOB($ins) .
 823         "*" . $claim->insuredSex($ins) .
 824         "~\n";
 825     }
 826
 827     ++$edicount;
 828     $out .= "OI" .  // Other Insurance Coverage Information. Page 310/344.
 829       "*" .
 830       "*" .
 831       "*" . ($claim->billingFacilityAssignment($ins) ? 'Y' : 'N') .
 832       // For this next item, the 5010 example in the spec does not match its
 833       // description.  So this might be wrong.
 834       "*" . ($CMS_5010 ? '' : 'B') .
 835       "*" .
 836       "*Y" .
 837       "~\n";
 838
 839     // Segment MOA (Medicare Outpatient Adjudication) omitted.
 840
 841     ++$edicount;
 842     $out .= "NM1" . // Loop 2330A Subscriber info for other insco. Page 315/350.
 843       "*IL" .
 844       "*1" .
 845       "*" . $claim->insuredLastName($ins) .
 846       "*" . $claim->insuredFirstName($ins) .
 847       "*" . $claim->insuredMiddleName($ins) .
 848       "*" .
 849       "*" .
 850       "*MI" .
 851       "*" . $claim->policyNumber($ins) .
 852       "~\n";
 853
 854     ++$edicount;
 855     $out .= "N3" .
 856       "*" . $claim->insuredStreet($ins) .
 857       "~\n";
 858
 859     ++$edicount;
 860     $out .= "N4" .
 861       "*" . $claim->insuredCity($ins) .
 862       "*" . $claim->insuredState($ins) .
 863       "*" . stripZipCode($claim->insuredZip($ins)) .
 864       "~\n";
 865
 866     // Segment REF (Other Subscriber Secondary Identification) omitted.
 867
 868     ++$edicount;
 869     //Field length is limited to 35. See nucc dataset page 81 www.nucc.org
 870     $payerName = substr($claim->payerName($ins), 0, $CMS_5010 ? 60 : 35);
 871     $out .= "NM1" . // Loop 2330B Payer info for other insco. Page 322/359.
 872       "*PR" .
 873       "*2" .
 874       "*" . $payerName .
 875       "*" .
 876       "*" .
 877       "*" .
 878       "*" .
 879       "*PI" .
 880       "*" . $claim->payerID($ins) .
 881       "~\n";
 882
 883     // if (!$claim->payerID($ins)) {
 884     //   $log .= "*** CMS ID is missing for payer '" . $claim->payerName($ins) . "'.\n";
 885     // }
 886
 887     // Payer address (N3 and N4) are added below so that Gateway EDI can
 888     // auto-generate secondary claims.  These do NOT appear in my copy of
 889     // the spec!  -- Rod 2008-06-12
 890
 891     if ($CMS_5010 || trim($claim->x12gsreceiverid()) == '431420764') { // if Gateway EDI
 892       ++$edicount;
 893       $out .= "N3" .
 894         "*" . $claim->payerStreet($ins) .
 895         "~\n";
 896       //
 897       ++$edicount;
 898       $out .= "N4" .
 899         "*" . $claim->payerCity($ins) .
 900         "*" . $claim->payerState($ins) .
 901         "*" . stripZipCode($claim->payerZip($ins)) .
 902         "~\n";
 903     } // end Gateway EDI
 904
 905     // Segment DTP*573 (Claim Check or Remittance Date) omitted.
 906     // Segment REF (Other Payer Secondary Identifier) omitted.
 907     // Segment REF*G1 (Other Payer Prior Authorization Number) omitted.
 908     // Segment REF*9F (Other Payer Referral Number) omitted.
 909     // Segment REF*T4 (Other Payer Claim Adjustment Indicator) omitted.
 910     // Segment REF*F8 (Other Payer Claim Control Number) omitted.
 911     // Segment NM1 (Other Payer Referring Provider) omitted.
 912     // Segment REF (Other Payer Referring Provider Secondary Identification) omitted.
 913     // Segment NM1 (Other Payer Rendering Provider) omitted.
 914     // Segment REF (Other Payer Rendering Provider Secondary Identification) omitted.
 915     // Segment NM1 (Other Payer Service Facility Location) omitted.
 916     // Segment REF (Other Payer Service Facility Location Secondary Identification) omitted.
 917     // Segment NM1 (Other Payer Supervising Provider) omitted.
 918     // Segment REF (Other Payer Supervising Provider Secondary Identification) omitted.
 919     // Segment NM1 (Other Payer Billing Provider) omitted.
 920     // Segment REF (Other Payer Billing Provider Secondary Identification) omitted.
 921
 922   } // End loops 2320/2330*.
 923
 924   $loopcount = 0;
 925
 926   // Procedure loop starts here.
 927   //
 928   for ($prockey = 0; $prockey < $proccount; ++$prockey) {
 929     ++$loopcount;
 930
 931     ++$edicount;
 932     $out .= "LX" .      // Loop 2400 LX Service Line. Page 398.
 933       "*$loopcount" .
 934       "~\n";
 935
 936     ++$edicount;
 937     $out .= "SV1" .     // Professional Service. Page 400.
 938       "*HC:" . $claim->cptKey($prockey) .
 939       "*" . sprintf('%.2f', $claim->cptCharges($prockey)) .
 940       "*UN" .
 941       "*" . $claim->cptUnits($prockey) .
 942       "*" .
 943       "*" .
 944       "*";
 945     $dia = $claim->diagIndexArray($prockey);
 946     $i = 0;
 947     foreach ($dia as $dindex) {
 948       if ($i) $out .= ':';
 949       $out .= $dindex;
 950       if (++$i >= 4) break;
 951     }
 952     $out .= "~\n";
 953
 954     if (!$claim->cptCharges($prockey)) {
 955       $log .= "*** Procedure '" . $claim->cptKey($prockey) . "' has no charges!\n";
 956     }
 957
 958     if (empty($dia)) {
 959       $log .= "*** Procedure '" . $claim->cptKey($prockey) . "' is not justified!\n";
 960     }
 961
 962     // Segment SV5 (Durable Medical Equipment Service) omitted.
 963     // Segment PWK (Line Supplemental Information) omitted.
 964     // Segment PWK (Durable Medical Equipment Certificate of Medical Necessity Indicator) omitted.
 965     // Segment CR1 (Ambulance Transport Information) omitted.
 966     // Segment CR3 (Durable Medical Equipment Certification) omitted.
 967     // Segment CRC (Ambulance Certification) omitted.
 968     // Segment CRC (Hospice Employee Indicator) omitted.
 969     // Segment CRC (Condition Indicator / Durable Medical Equipment) omitted.
 970
 971     ++$edicount;
 972     $out .= "DTP" .     // Date of Service. Page 435.
 973       "*472" .
 974       "*D8" .
 975       "*" . $claim->serviceDate() .
 976       "~\n";
 977
 978     $testnote = rtrim($claim->cptNotecodes($prockey));
 979     if (!empty($testnote)) {
 980       ++$edicount;
 981       $out .= "NTE" .     // Explain Unusual Circumstances.
 982         "*ADD" .
 983         "*" . $claim->cptNotecodes($prockey) .
 984         "~\n";
 985     }
 986
 987     // Segment DTP*471 (Prescription Date) omitted.
 988     // Segment DTP*607 (Revision/Recertification Date) omitted.
 989     // Segment DTP*463 (Begin Therapy Date) omitted.
 990     // Segment DTP*461 (Last Certification Date) omitted.
 991     // Segment DTP*304 (Last Seen Date) omitted.
 992     // Segment DTP (Test Date) omitted.
 993     // Segment DTP*011 (Shipped Date) omitted.
 994     // Segment DTP*455 (Last X-Ray Date) omitted.
 995     // Segment DTP*454 (Initial Treatment Date) omitted.
 996     // Segment QTY (Ambulance Patient Count) omitted.
 997     // Segment QTY (Obstetric Anesthesia Additional Units) omitted.
 998     // Segment MEA (Test Result) omitted.
 999     // Segment CN1 (Contract Information) omitted.
1000     // Segment REF*9B (Repriced Line Item Reference Number) omitted.
1001     // Segment REF*9D (Adjusted Repriced Line Item Reference Number) omitted.
1002     // Segment REF*G1 (Prior Authorization) omitted.
1003     // Segment REF*6R (Line Item Control Number) omitted.
1004     //   (Really oughta have this for robust 835 posting!)
1005     // Segment REF*EW (Mammography Certification Number) omitted.
1006     // Segment REF*X4 (CLIA Number) omitted.
1007     // Segment REF*F4 (Referring CLIA Facility Identification) omitted.
1008     // Segment REF*BT (Immunization Batch Number) omitted.
1009     // Segment REF*9F (Referral Number) omitted.
1010     // Segment AMT*T (Sales Tax Amount) omitted.
1011     // Segment AMT*F4 (Postage Claimed Amount) omitted.
1012     // Segment K3 (File Information) omitted.
1013     // Segment NTE (Line Note) omitted.
1014     // Segment NTE (Third Party Organization Notes) omitted.
1015     // Segment PS1 (Purchased Service Information) omitted.
1016     // Segment HCP (Line Pricing/Repricing Information) omitted.
1017
1018     if (!$CMS_5010) {
1019       // This segment was deleted for 5010.
1020       //
1021       // AMT*AAE segment for Approved Amount from previous payer.
1022       // Medicare secondaries seem to require this.
1023       //
1024       for ($ins = $claim->payerCount() - 1; $ins > 0; --$ins) {
1025         if ($claim->payerSequence($ins) > $claim->payerSequence())
1026           continue; // payer is future, not previous
1027         $payerpaid = $claim->payerTotals($ins, $claim->cptKey($prockey));
1028         ++$edicount;
1029         $out .= "AMT" . // Approved amount per previous payer. Page 485.
1030           "*AAE" .
1031           "*" . sprintf('%.2f', $claim->cptCharges($prockey) - $payerpaid[2]) .
1032           "~\n";
1033         break;
1034       }
1035     }
1036
1037     // Loop 2410, Drug Information. Medicaid insurers seem to want this
1038     // with HCPCS codes.
1039     //
1040     $ndc = $claim->cptNDCID($prockey);
1041     if ($ndc) {
1042       ++$edicount;
1043       $out .= "LIN" . // Drug Identification. Page 500+ (Addendum pg 71).
1044         "*" .         // Per addendum, LIN01 is not used.
1045         "*N4" .
1046         "*" . $ndc .
1047         "~\n";
1048
1049       if (!preg_match('/^\d\d\d\d\d-\d\d\d\d-\d\d$/', $ndc, $tmp) && !preg_match('/^\d{11}$/', $ndc)) {
1050         $log .= "*** NDC code '$ndc' has invalid format!\n";
1051       }
1052
1053       ++$edicount;
1054       $tmpunits = $claim->cptNDCQuantity($prockey) * $claim->cptUnits($prockey);
1055       if (!$tmpunits) $tmpunits = 1;
1056       $out .= "CTP" . // Drug Pricing. Page 500+ (Addendum pg 74).
1057         "*" .
1058         "*" .
1059         "*" . ($CMS_5010 ? '' : sprintf('%.2f', $claim->cptCharges($prockey) / $tmpunits)) .
1060         "*" . $claim->cptNDCQuantity($prockey) .
1061         "*" . $claim->cptNDCUOM($prockey) .
1062         // Note: 5010 documents "ME" (Milligrams) as an additional unit of measure.
1063         "~\n";
1064     }
1065
1066     // Segment REF (Prescription or Compound Drug Association Number) omitted.
1067
1068     // Loop 2420A, Rendering Provider (service-specific).
1069     // Used if the rendering provider for this service line is different
1070     // from that in loop 2310B.
1071     //
1072     if ($claim->providerNPI() != $claim->providerNPI($prockey)) {
1073       ++$edicount;
1074       $out .= "NM1" .       // Loop 2310B Rendering Provider
1075         "*82" .
1076         "*1" .
1077         "*" . $claim->providerLastName($prockey) .
1078         "*" . $claim->providerFirstName($prockey) .
1079         "*" . $claim->providerMiddleName($prockey) .
1080         "*" .
1081         "*";
1082       if ($CMS_5010 || $claim->providerNPI($prockey)) { $out .=
1083         "*XX" .
1084         "*" . $claim->providerNPI($prockey);
1085       } else { $out .=
1086         "*34" .                         // Not allowed for 5010
1087         "*" . $claim->providerSSN($prockey);
1088       }
1089       if (!$claim->providerNPI($prockey)) {
1090         $log .= "*** Rendering provider has no NPI.\n";
1091       }
1092       $out .= "~\n";
1093
1094       if ($claim->providerTaxonomy($prockey)) {
1095         ++$edicount;
1096         $out .= "PRV" .
1097           "*PE" . // PErforming provider
1098           "*" . ($CMS_5010 ? "PXC" : "ZZ") .
1099           "*" . $claim->providerTaxonomy($prockey) .
1100           "~\n";
1101       }
1102
1103       // Segment PRV*PE (Rendering Provider Specialty Information) omitted.
1104       // Segment REF (Rendering Provider Secondary Identification) omitted.
1105       // Segment NM1 (Purchased Service Provider Name) omitted.
1106       // Segment REF (Purchased Service Provider Secondary Identification) omitted.
1107       // Segment NM1,N3,N4 (Service Facility Location) omitted.
1108       // Segment REF (Service Facility Location Secondary Identification) omitted.
1109       // Segment NM1 (Supervising Provider Name) omitted.
1110       // Segment REF (Supervising Provider Secondary Identification) omitted.
1111       // Segment NM1,N3,N4 (Ordering Provider) omitted.
1112       // Segment REF (Ordering Provider Secondary Identification) omitted.
1113       // Segment PER (Ordering Provider Contact Information) omitted.
1114       // Segment NM1 (Referring Provider Name) omitted.
1115       // Segment REF (Referring Provider Secondary Identification) omitted.
1116       // Segments NM1*PW, N3, N4 (Ambulance Pick-Up Location) omitted.
1117       // Segments NM1*45, N3, N4 (Ambulance Drop-Off Location) omitted.
1118
1119       // REF*1C is required here for the Medicare provider number if NPI was
1120       // specified in NM109.  Not sure if other payers require anything here.
1121       if (!$CMS_5010 && $claim->providerNumber($prockey)) {
1122         ++$edicount;
1123         $out .= "REF" .
1124           "*" . $claim->providerNumberType($prockey) .
1125           // Note: 5010 documents that type 1D (Medicaid) is changed to G2.
1126           "*" . $claim->providerNumber($prockey) .
1127           "~\n";
1128       }
1129     }
1130
1131     // Loop 2430, adjudication by previous payers.
1132     //
1133     for ($ins = 1; $ins < $claim->payerCount(); ++$ins) {
1134       if ($claim->payerSequence($ins) > $claim->payerSequence())
1135         continue; // payer is future, not previous
1136
1137       $payerpaid = $claim->payerTotals($ins, $claim->cptKey($prockey));
1138       $aarr = $claim->payerAdjustments($ins, $claim->cptKey($prockey));
1139
1140       if ($payerpaid[1] == 0 && !count($aarr)) {
1141         $log .= "*** Procedure '" . $claim->cptKey($prockey) .
1142           "' has no payments or adjustments from previous payer!\n";
1143         continue;
1144       }
1145
1146       ++$edicount;
1147       $out .= "SVD" . // Service line adjudication. Page 554.
1148         "*" . $claim->payerID($ins) .
1149         "*" . $payerpaid[1] .
1150         "*HC:" . $claim->cptKey($prockey) .
1151         "*" .
1152         "*" . $claim->cptUnits($prockey) .
1153         "~\n";
1154
1155       $tmpdate = $payerpaid[0];
1156       foreach ($aarr as $a) {
1157         ++$edicount;
1158         $out .= "CAS" . // Previous payer's line level adjustments. Page 558.
1159           "*" . $a[1] .
1160           "*" . $a[2] .
1161           "*" . $a[3] .
1162           "~\n";
1163         if (!$tmpdate) $tmpdate = $a[0];
1164
1165         // WTH is this??
1166         /*************************************************************
1167         if ( isset($a[4]) &&
1168                 $a[4] != null ) {
1169                 $out .= "CAS02" . // Previous payer's adjustment reason
1170                   "*" . $a[4] .
1171                   "~\n";
1172         }
1173         *************************************************************/
1174       }
1175
1176       if ($tmpdate) {
1177         ++$edicount;
1178         $out .= "DTP" . // Previous payer's line adjustment date. Page 493/566.
1179           "*573" .
1180           "*D8" .
1181           "*$tmpdate" .
1182           "~\n";
1183       }
1184
1185       // Segment AMT*EAF (Remaining Patient Liability) omitted.
1186       // Segment LQ (Form Identification Code) omitted.
1187       // Segment FRM (Supporting Documentation) omitted.
1188
1189     } // end loop 2430
1190   } // end this procedure
1191
1192   ++$edicount;
1193   $out .= "SE" .        // SE Trailer
1194     "*$edicount" .
1195     "*0021" .
1196     "~\n";
1197
1198   $out .= "GE" .        // GE Trailer
1199     "*1" .
1200     "*1" .
1201     "~\n";
1202
1203   $out .= "IEA" .       // IEA Trailer
1204     "*1" .
1205     "*000000001" .
1206     "~\n";
1207
1208   // Remove any trailing empty fields (delimiters) from each segment.
1209   $out = preg_replace('/\*+~/', '~', $out);
1210
1211   $log .= "\n";
1212   return $out;
1213 }
1214 ?>