library/Claim.class.php

   1 <?php
   2 // Copyright (C) 2007-2009 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(dirname(__FILE__) . "/classes/Address.class.php");
  10 require_once(dirname(__FILE__) . "/classes/InsuranceCompany.class.php");
  11 require_once(dirname(__FILE__) . "/sql-ledger.inc");
  12 require_once(dirname(__FILE__) . "/invoice_summary.inc.php");
  13
  14 // This enforces the X12 Basic Character Set. Page A2.
  15 //
  16 function x12clean($str) {
  17   return preg_replace('/[^A-Z0-9!"\\&\'()+,\\-.\\/;?= ]/', '', strtoupper($str));
  18 }
  19
  20 // Make sure dates have no formatting and zero filled becomes blank
  21 // Handles date time stamp formats as well
  22 //
  23 function cleanDate($date_field)
  24   {
  25       $cleandate = str_replace('-', '', substr($date_field, 0, 10));
  26
  27       if(substr_count($cleandate,'0')==8)
  28       {
  29           $cleandate='';
  30       }
  31
  32       return ($cleandate);
  33   }
  34
  35 class Claim {
  36
  37   var $pid;               // patient id
  38   var $encounter_id;      // encounter id
  39   var $procs;             // array of procedure rows from billing table
  40   var $diags;             // array of icd9 codes from billing table
  41   var $diagtype= "ICD9";  // diagnosis code_type.Assume ICD9 unless otherwise specified.
  42   var $x12_partner;       // row from x12_partners table
  43   var $encounter;         // row from form_encounter table
  44   var $facility;          // row from facility table
  45   var $billing_facility;  // row from facility table
  46   var $provider;          // row from users table (rendering provider)
  47   var $referrer;          // row from users table (referring provider)
  48   var $supervisor;        // row from users table (supervising provider)
  49   var $insurance_numbers; // row from insurance_numbers table for current payer
  50   var $supervisor_numbers; // row from insurance_numbers table for current payer
  51   var $patient_data;      // row from patient_data table
  52   var $billing_options;   // row from form_misc_billing_options table
  53   var $invoice;           // result from get_invoice_summary()
  54   var $payers;            // array of arrays, for all payers
  55   var $copay;             // total of copays from the ar_activity table
  56
  57   function loadPayerInfo(&$billrow) {
  58     global $sl_err;
  59     $encounter_date = substr($this->encounter['date'], 0, 10);
  60
  61     // Create the $payers array.  This contains data for all insurances
  62     // with the current one always at index 0, and the others in payment
  63     // order starting at index 1.
  64     //
  65     $this->payers = array();
  66     $this->payers[0] = array();
  67     $query = "SELECT * FROM insurance_data WHERE " .
  68       "pid = '{$this->pid}' AND " .
  69       "date <= '$encounter_date' " .
  70       "ORDER BY type ASC, date DESC";
  71     $dres = sqlStatement($query);
  72     $prevtype = '';
  73     while ($drow = sqlFetchArray($dres)) {
  74       if (strcmp($prevtype, $drow['type']) == 0) continue;
  75       $prevtype = $drow['type'];
  76       // Very important to look at entries with a missing provider because
  77       // they indicate no insurance as of the given date.
  78       if (empty($drow['provider'])) continue;
  79       $ins = count($this->payers);
  80       if ($drow['provider'] == $billrow['payer_id'] && empty($this->payers[0]['data'])) $ins = 0;
  81       $crow = sqlQuery("SELECT * FROM insurance_companies WHERE " .
  82         "id = '" . $drow['provider'] . "'");
  83       $orow = new InsuranceCompany($drow['provider']);
  84       $this->payers[$ins] = array();
  85       $this->payers[$ins]['data']    = $drow;
  86       $this->payers[$ins]['company'] = $crow;
  87       $this->payers[$ins]['object']  = $orow;
  88     }
  89
  90     // This kludge hands most cases of a rare ambiguous situation, where
  91     // the primary insurance company is the same as the secondary.  It seems
  92     // nobody planned for that!
  93     //
  94     for ($i = 1; $i < count($this->payers); ++$i) {
  95       if ($billrow['process_date'] &&
  96         $this->payers[0]['data']['provider'] == $this->payers[$i]['data']['provider'])
  97       {
  98         $tmp = $this->payers[0];
  99         $this->payers[0] = $this->payers[$i];
 100         $this->payers[$i] = $tmp;
 101       }
 102     }
 103
 104     $this->using_modifiers = true;
 105
 106     // Get payment and adjustment details if there are any previous payers.
 107     //
 108     $this->invoice = array();
 109     if ($this->payerSequence() != 'P') {
 110       if ($GLOBALS['oer_config']['ws_accounting']['enabled'] === 2) {
 111         $this->invoice = ar_get_invoice_summary($this->pid, $this->encounter_id, true);
 112       }
 113       else if ($GLOBALS['oer_config']['ws_accounting']['enabled']) {
 114         SLConnect();
 115         $arres = SLQuery("select id from ar where invnumber = " .
 116           "'{$this->pid}.{$this->encounter_id}'");
 117         if ($sl_err) die($sl_err);
 118         $arrow = SLGetRow($arres, 0);
 119         if ($arrow) {
 120           $this->invoice = get_invoice_summary($arrow['id'], true);
 121         }
 122         SLClose();
 123       }
 124       // Secondary claims might not have modifiers in SQL-Ledger data.
 125       // In that case, note that we should not try to match on them.
 126       $this->using_modifiers = false;
 127       foreach ($this->invoice as $key => $trash) {
 128         if (strpos($key, ':')) $this->using_modifiers = true;
 129       }
 130     }
 131   }
 132
 133   // Constructor. Loads relevant database information.
 134   //
 135   function Claim($pid, $encounter_id) {
 136     $this->pid = $pid;
 137     $this->encounter_id = $encounter_id;
 138     $this->procs = array();
 139     $this->diags = array();
 140     $this->copay = 0;
 141
 142     // We need the encounter date before we can identify the payers.
 143     $sql = "SELECT * FROM form_encounter WHERE " .
 144       "pid = '{$this->pid}' AND " .
 145       "encounter = '{$this->encounter_id}'";
 146     $this->encounter = sqlQuery($sql);
 147
 148     // Sort by procedure timestamp in order to get some consistency.
 149     $sql = "SELECT b.id, b.date, b.code_type, b.code, b.pid, b.provider_id, " .
 150       "b.user, b.groupname, b.authorized, b.encounter, b.code_text, b.billed, " .
 151       "b.activity, b.payer_id, b.bill_process, b.bill_date, b.process_date, " .
 152       "b.process_file, b.modifier, b.units, b.fee, b.justify, b.target, b.x12_partner_id, " .
 153       "b.ndc_info, b.notecodes, ct.ct_diag " .
 154       "FROM billing as b INNER JOIN code_types as ct " .
 155       "ON b.code_type = ct.ct_key " .
 156       "WHERE ct.ct_claim = '1' AND ct.ct_active = '1' AND " .
 157       "b.encounter = '{$this->encounter_id}' AND b.pid = '{$this->pid}' AND " .
 158       "b.activity = '1' ORDER BY b.date, b.id";
 159     $res = sqlStatement($sql);
 160     while ($row = sqlFetchArray($res)) {
 161       // Save all diagnosis codes.
 162       if ($row['ct_diag'] == '1') {
 163         $this->diags[$row['code']] = $row['code'];
 164         continue;
 165       }
 166       if (!$row['units']) $row['units'] = 1;
 167       // Load prior payer data at the first opportunity in order to get
 168       // the using_modifiers flag that is referenced below.
 169       if (empty($this->procs)) $this->loadPayerInfo($row);
 170       // Consolidate duplicate procedures.
 171       foreach ($this->procs as $key => $trash) {
 172         if (strcmp($this->procs[$key]['code'],$row['code']) == 0 &&
 173             (strcmp($this->procs[$key]['modifier'],$row['modifier']) == 0 ||
 174              !$this->using_modifiers))
 175         {
 176           $this->procs[$key]['units'] += $row['units'];
 177           $this->procs[$key]['fee']   += $row['fee'];
 178           continue 2; // skip to next table row
 179         }
 180       }
 181
 182       // If there is a row-specific provider then get its details.
 183       if (!empty($row['provider_id'])) {
 184         // Get service provider data for this row.
 185         $sql = "SELECT * FROM users WHERE id = '" . $row['provider_id'] . "'";
 186         $row['provider'] = sqlQuery($sql);
 187         // Get insurance numbers for this row's provider.
 188         $sql = "SELECT * FROM insurance_numbers WHERE " .
 189           "(insurance_company_id = '" . $row['payer_id'] .
 190           "' OR insurance_company_id is NULL) AND " .
 191           "provider_id = '" . $row['provider_id'] . "' " .
 192           "ORDER BY insurance_company_id DESC LIMIT 1";
 193         $row['insurance_numbers'] = sqlQuery($sql);
 194       }
 195
 196       $this->procs[] = $row;
 197     }
 198
 199     $resMoneyGot = sqlStatement("SELECT pay_amount as PatientPay,session_id as id,".
 200       "date(post_time) as date FROM ar_activity where pid ='{$this->pid}' and encounter ='{$this->encounter_id}' ".
 201       "and payer_type=0 and account_code='PCP'");
 202       //new fees screen copay gives account_code='PCP'
 203     while($rowMoneyGot = sqlFetchArray($resMoneyGot)){
 204       $PatientPay=$rowMoneyGot['PatientPay']*-1;
 205       $this->copay -= $PatientPay;
 206     }
 207
 208     $sql = "SELECT * FROM x12_partners WHERE " .
 209       "id = '" . $this->procs[0]['x12_partner_id'] . "'";
 210     $this->x12_partner = sqlQuery($sql);
 211
 212     $sql = "SELECT * FROM facility WHERE " .
 213       "id = '" . addslashes($this->encounter['facility_id']) . "' " .
 214       "LIMIT 1";
 215     $this->facility = sqlQuery($sql);
 216
 217     /*****************************************************************
 218     $provider_id = $this->procs[0]['provider_id'];
 219     *****************************************************************/
 220     $provider_id = $this->encounter['provider_id'];
 221     $sql = "SELECT * FROM users WHERE id = '$provider_id'";
 222     $this->provider = sqlQuery($sql);
 223     // Selecting the billing facility assigned  to the encounter.  If none,
 224     // try the first (and hopefully only) facility marked as a billing location.
 225     if (empty($this->encounter['billing_facility'])) {
 226       $sql = "SELECT * FROM facility " .
 227         "ORDER BY billing_location DESC, id ASC LIMIT 1";
 228     }
 229     else {
 230       $sql = "SELECT * FROM facility " .
 231       " where id ='" . addslashes($this->encounter['billing_facility']) . "' ";
 232     }
 233     $this->billing_facility = sqlQuery($sql);
 234
 235     $sql = "SELECT * FROM insurance_numbers WHERE " .
 236       "(insurance_company_id = '" . $this->procs[0]['payer_id'] .
 237       "' OR insurance_company_id is NULL) AND " .
 238       "provider_id = '$provider_id' " .
 239       "ORDER BY insurance_company_id DESC LIMIT 1";
 240     $this->insurance_numbers = sqlQuery($sql);
 241
 242     $sql = "SELECT * FROM patient_data WHERE " .
 243       "pid = '{$this->pid}' " .
 244       "ORDER BY id LIMIT 1";
 245     $this->patient_data = sqlQuery($sql);
 246
 247     $sql = "SELECT fpa.* FROM forms JOIN form_misc_billing_options AS fpa " .
 248       "ON fpa.id = forms.form_id WHERE " .
 249       "forms.encounter = '{$this->encounter_id}' AND " .
 250       "forms.pid = '{$this->pid}' AND " .
 251       "forms.deleted = 0 AND " .
 252       "forms.formdir = 'misc_billing_options' " .
 253       "ORDER BY forms.date";
 254     $this->billing_options = sqlQuery($sql);
 255
 256     $referrer_id = (empty($GLOBALS['MedicareReferrerIsRenderer']) ||
 257       $this->insurance_numbers['provider_number_type'] != '1C') ?
 258       $this->patient_data['ref_providerID'] : $provider_id;
 259     $sql = "SELECT * FROM users WHERE id = '$referrer_id'";
 260     $this->referrer = sqlQuery($sql);
 261     if (!$this->referrer) $this->referrer = array();
 262
 263     $supervisor_id = $this->encounter['supervisor_id'];
 264     $sql = "SELECT * FROM users WHERE id = '$supervisor_id'";
 265     $this->supervisor = sqlQuery($sql);
 266     if (!$this->supervisor) $this->supervisor = array();
 267
 268     $sql = "SELECT * FROM insurance_numbers WHERE " .
 269       "(insurance_company_id = '" . $this->procs[0]['payer_id'] .
 270       "' OR insurance_company_id is NULL) AND " .
 271       "provider_id = '$supervisor_id' " .
 272       "ORDER BY insurance_company_id DESC LIMIT 1";
 273     $this->supervisor_numbers = sqlQuery($sql);
 274     if (!$this->supervisor_numbers) $this->supervisor_numbers = array();
 275
 276   } // end constructor
 277
 278   // Return an array of adjustments from the designated prior payer for the
 279   // designated procedure key (might be procedure:modifier), or for the claim
 280   // level.  For each adjustment give date, group code, reason code, amount.
 281   // Note this will include "patient responsibility" adjustments which are
 282   // not adjustments to OUR invoice, but they reduce the amount that the
 283   // insurance company pays.
 284   //
 285   function payerAdjustments($ins, $code='Claim') {
 286     $aadj = array();
 287
 288     // If we have no modifiers stored in SQL-Ledger for this claim,
 289     // then we cannot use a modifier passed in with the key.
 290     $tmp = strpos($code, ':');
 291     if ($tmp && !$this->using_modifiers) $code = substr($code, 0, $tmp);
 292
 293     // For payments, source always starts with "Ins" or "Pt".
 294     // Nonzero adjustment reason examples:
 295     //   Ins1 adjust code 42 (Charges exceed ... (obsolete))
 296     //   Ins1 adjust code 45 (Charges exceed your contracted/ legislated fee arrangement)
 297     //   Ins1 adjust code 97 (Payment is included in the allowance for another service/procedure)
 298     //   Ins1 adjust code A2 (Contractual adjustment)
 299     //   Ins adjust Ins1
 300     //   adjust code 45
 301     // Zero adjustment reason examples:
 302     //   Co-pay: 25.00
 303     //   Coinsurance: 11.46  (code 2)   Note: fix remits to identify insurance
 304     //   To deductible: 0.22 (code 1)   Note: fix remits to identify insurance
 305     //   To copay Ins1 (manual entry)
 306     //   To ded'ble Ins1 (manual entry)
 307
 308     if (!empty($this->invoice[$code])) {
 309       $date = '';
 310       $deductible  = 0;
 311       $coinsurance = 0;
 312       $inslabel = ($this->payerSequence($ins) == 'S') ? 'Ins2' : 'Ins1';
 313       $insnumber = substr($inslabel, 3);
 314
 315       // Compute this procedure's patient responsibility amount as of this
 316       // prior payer, which is the original charge minus all insurance
 317       // payments and "hard" adjustments up to this payer.
 318       $ptresp = $this->invoice[$code]['chg'] + $this->invoice[$code]['adj'];
 319       foreach ($this->invoice[$code]['dtl'] as $key => $value) {
 320         if (isset($value['plv'])) {
 321           // New method; plv (from ar_activity.payer_type) exists to
 322           // indicate the payer level.
 323           if (isset($value['pmt']) && $value['pmt'] != 0) {
 324             if ($value['plv'] > 0 && $value['plv'] <= $insnumber)
 325               $ptresp -= $value['pmt'];
 326           }
 327           else if (isset($value['chg']) && trim(substr($key, 0, 10))) {
 328             // non-blank key indicates this is an adjustment and not a charge
 329             if ($value['plv'] > 0 && $value['plv'] <= $insnumber)
 330               $ptresp += $value['chg']; // adjustments are negative charges
 331           }
 332
 333           $msp = isset( $value['msp'] ) ? $value['msp'] : null; // record the reason for adjustment
 334         }
 335         else {
 336           // Old method: With SQL-Ledger payer level was stored in the memo.
 337           if (preg_match("/^Ins(\d)/i", $value['src'], $tmp)) {
 338             if ($tmp[1] <= $insnumber) $ptresp -= $value['pmt'];
 339           }
 340           else if (trim(substr($key, 0, 10))) { // not an adjustment if no date
 341             if (!preg_match("/Ins(\d)/i", $value['rsn'], $tmp) || $tmp[1] <= $insnumber)
 342               $ptresp += $value['chg']; // adjustments are negative charges
 343           }
 344         }
 345       }
 346       if ($ptresp < 0) $ptresp = 0; // we may be insane but try to hide it
 347
 348       // Main loop, to extract adjustments for this payer and procedure.
 349       foreach ($this->invoice[$code]['dtl'] as $key => $value) {
 350         $tmp = str_replace('-', '', trim(substr($key, 0, 10)));
 351         if ($tmp) $date = $tmp;
 352         if ($tmp && $value['pmt'] == 0) { // not original charge and not a payment
 353           $rsn = $value['rsn'];
 354           $chg = 0 - $value['chg']; // adjustments are negative charges
 355
 356           $gcode = 'CO'; // default group code = contractual obligation
 357           $rcode = '45'; // default reason code = max fee exceeded (code 42 is obsolete)
 358
 359           if (preg_match("/Ins adjust $inslabel/i", $rsn, $tmp)) {
 360             // From manual post. Take the defaults.
 361           }
 362           else if (preg_match("/To copay $inslabel/i", $rsn, $tmp) && !$chg) {
 363             $coinsurance = $ptresp; // from manual post
 364             continue;
 365           }
 366           else if (preg_match("/To ded'ble $inslabel/i", $rsn, $tmp) && !$chg) {
 367             $deductible = $ptresp; // from manual post
 368             continue;
 369           }
 370           else if (preg_match("/$inslabel copay: (\S+)/i", $rsn, $tmp) && !$chg) {
 371             $coinsurance = $tmp[1]; // from 835 as of 6/2007
 372             continue;
 373           }
 374           else if (preg_match("/$inslabel coins: (\S+)/i", $rsn, $tmp) && !$chg) {
 375             $coinsurance = $tmp[1]; // from 835 and manual post as of 6/2007
 376             continue;
 377           }
 378           else if (preg_match("/$inslabel dedbl: (\S+)/i", $rsn, $tmp) && !$chg) {
 379             $deductible = $tmp[1]; // from 835 and manual post as of 6/2007
 380             continue;
 381           }
 382           else if (preg_match("/$inslabel ptresp: (\S+)/i", $rsn, $tmp) && !$chg) {
 383             continue; // from 835 as of 6/2007
 384           }
 385           else if (preg_match("/$inslabel adjust code (\S+)/i", $rsn, $tmp)) {
 386             $rcode = $tmp[1]; // from 835
 387           }
 388           else if (preg_match("/$inslabel/i", $rsn, $tmp)) {
 389             // Take the defaults.
 390           }
 391           else if (preg_match('/Ins(\d)/i', $rsn, $tmp) && $tmp[1] != $insnumber) {
 392             continue; // it's for some other payer
 393           }
 394           else if ($insnumber == '1') {
 395             if (preg_match("/\$\s*adjust code (\S+)/i", $rsn, $tmp)) {
 396               $rcode = $tmp[1]; // from 835
 397             }
 398             else if ($chg) {
 399               // Other adjustments default to Ins1.
 400             }
 401             else if (preg_match("/Co-pay: (\S+)/i", $rsn, $tmp) ||
 402               preg_match("/Coinsurance: (\S+)/i", $rsn, $tmp)) {
 403               $coinsurance = 0 + $tmp[1]; // from 835 before 6/2007
 404               continue;
 405             }
 406             else if (preg_match("/To deductible: (\S+)/i", $rsn, $tmp)) {
 407               $deductible = 0 + $tmp[1]; // from 835 before 6/2007
 408               continue;
 409             }
 410             else {
 411               continue; // there is no adjustment amount
 412             }
 413           }
 414           else {
 415             continue; // it's for primary and that's not us
 416           }
 417
 418           if ($rcode == '42') $rcode= '45'; // reason 42 is obsolete
 419           $aadj[] = array($date, $gcode, $rcode, sprintf('%.2f', $chg));
 420
 421         } // end if
 422       } // end foreach
 423
 424       // If we really messed it up, at least avoid negative numbers.
 425       if ($coinsurance > $ptresp) $coinsurance = $ptresp;
 426       if ($deductible  > $ptresp) $deductible  = $ptresp;
 427
 428       // Find out if this payer paid anything at all on this claim.  This will
 429       // help us allocate any unknown patient responsibility amounts.
 430       $thispaidanything = 0;
 431       foreach($this->invoice as $codekey => $codeval) {
 432         foreach ($codeval['dtl'] as $key => $value) {
 433           if (isset($value['plv'])) {
 434             // New method; plv exists to indicate the payer level.
 435             if ($value['plv'] == $insnumber) {
 436               $thispaidanything += $value['pmt'];
 437             }
 438           }
 439           else {
 440             if (preg_match("/$inslabel/i", $value['src'], $tmp)) {
 441               $thispaidanything += $value['pmt'];
 442             }
 443           }
 444         }
 445       }
 446
 447       // Allocate any unknown patient responsibility by guessing if the
 448       // deductible has been satisfied.
 449       if ($thispaidanything)
 450         $coinsurance = $ptresp - $deductible;
 451       else
 452         $deductible = $ptresp - $coinsurance;
 453
 454       $deductible  = sprintf('%.2f', $deductible);
 455       $coinsurance = sprintf('%.2f', $coinsurance);
 456
 457       if ($date && $deductible != 0)
 458         $aadj[] = array($date, 'PR', '1', $deductible, $msp);
 459       if ($date && $coinsurance != 0)
 460         $aadj[] = array($date, 'PR', '2', $coinsurance, $msp);
 461
 462     } // end if
 463
 464     return $aadj;
 465   }
 466
 467   // Return date, total payments and total "hard" adjustments from the given
 468   // prior payer. If $code is specified then only that procedure key is
 469   // selected, otherwise it's for the whole claim.
 470   //
 471   function payerTotals($ins, $code='') {
 472     // If we have no modifiers stored in SQL-Ledger for this claim,
 473     // then we cannot use a modifier passed in with the key.
 474     $tmp = strpos($code, ':');
 475     if ($tmp && !$this->using_modifiers) $code = substr($code, 0, $tmp);
 476
 477     $inslabel = ($this->payerSequence($ins) == 'S') ? 'Ins2' : 'Ins1';
 478     $insnumber = substr($inslabel, 3);
 479     $paytotal = 0;
 480     $adjtotal = 0;
 481     $date = '';
 482     foreach($this->invoice as $codekey => $codeval) {
 483       if ($code && strcmp($codekey,$code) != 0) continue;
 484       foreach ($codeval['dtl'] as $key => $value) {
 485         if (isset($value['plv'])) {
 486           // New method; plv (from ar_activity.payer_type) exists to
 487           // indicate the payer level.
 488           if ($value['plv'] == $insnumber) {
 489             if (!$date) $date = str_replace('-', '', trim(substr($key, 0, 10)));
 490             $paytotal += $value['pmt'];
 491           }
 492         }
 493         else {
 494           // Old method: With SQL-Ledger payer level was stored in the memo.
 495           if (preg_match("/$inslabel/i", $value['src'], $tmp)) {
 496             if (!$date) $date = str_replace('-', '', trim(substr($key, 0, 10)));
 497             $paytotal += $value['pmt'];
 498           }
 499         }
 500       }
 501       $aarr = $this->payerAdjustments($ins, $codekey);
 502       foreach ($aarr as $a) {
 503         if (strcmp($a[1],'PR') != 0) $adjtotal += $a[3];
 504         if (!$date) $date = $a[0];
 505       }
 506     }
 507     return array($date, sprintf('%.2f', $paytotal), sprintf('%.2f', $adjtotal));
 508   }
 509
 510   // Return the amount already paid by the patient.
 511   //
 512   function patientPaidAmount() {
 513     // For primary claims $this->invoice is not loaded, so get the co-pay
 514     // from the ar_activity table instead.
 515     if (empty($this->invoice)) return $this->copay;
 516     //
 517     $amount = 0;
 518     foreach($this->invoice as $codekey => $codeval) {
 519       foreach ($codeval['dtl'] as $key => $value) {
 520         if (isset($value['plv'])) {
 521           // New method; plv exists to indicate the payer level.
 522           if ($value['plv'] == 0) { // 0 indicates patient
 523             $amount += $value['pmt'];
 524           }
 525         }
 526         else {
 527           // Old method: With SQL-Ledger payer level was stored in the memo.
 528           if (!preg_match("/Ins/i", $value['src'], $tmp)) {
 529             $amount += $value['pmt'];
 530           }
 531         }
 532       }
 533     }
 534     return sprintf('%.2f', $amount);
 535   }
 536
 537   // Return invoice total, including adjustments but not payments.
 538   //
 539   function invoiceTotal() {
 540     $amount = 0;
 541     foreach($this->invoice as $codekey => $codeval) {
 542       $amount += $codeval['chg'];
 543     }
 544     return sprintf('%.2f', $amount);
 545   }
 546
 547   // Number of procedures in this claim.
 548   function procCount() {
 549     return count($this->procs);
 550   }
 551
 552   // Number of payers for this claim. Ranges from 1 to 3.
 553   function payerCount() {
 554     return count($this->payers);
 555   }
 556
 557   function x12gsversionstring() {
 558     return x12clean(trim($this->x12_partner['x12_version']));
 559   }
 560
 561   function x12gssenderid() {
 562     $tmp = $this->x12_partner['x12_sender_id'];
 563     while (strlen($tmp) < 15) $tmp .= " ";
 564     return $tmp;
 565   }
 566
 567   function x12gs03() {
 568    /*
 569     * GS03: Application Receiver's Code
 570     * Code Identifying Party Receiving Transmission
 571     *
 572     * In most cases, the ISA08 and GS03 are the same. However
 573     *
 574     * In some clearing houses ISA08 and GS03 are different
 575     * Example: http://www.acs-gcro.com/downloads/DOL/DOL_CG_X12N_5010_837_v1_02.pdf - Page 18
 576     * In this .pdf, the ISA08 is specified to be 100000 while the GS03 is specified to be 77044
 577     *
 578     * Therefore if the x12_gs03 segement is explicitly specified we use that value,
 579     * otherwise we simply use the same receiver ID as specified for ISA03
 580     */
 581     if($this->x12_partner['x12_gs03'] !== '')
 582         return $this->x12_partner['x12_gs03'];
 583     else
 584         return $this->x12_partner['x12_receiver_id'];
 585   }
 586
 587   function x12gsreceiverid() {
 588     $tmp = $this->x12_partner['x12_receiver_id'];
 589     while (strlen($tmp) < 15) $tmp .= " ";
 590     return $tmp;
 591   }
 592
 593   function x12gsisa05() {
 594     return $this->x12_partner['x12_isa05'];
 595   }
 596 //adding in functions for isa 01 - isa 04
 597
 598   function x12gsisa01() {
 599     return $this->x12_partner['x12_isa01'];
 600   }
 601
 602   function x12gsisa02() {
 603     return $this->x12_partner['x12_isa02'];
 604   }
 605
 606    function x12gsisa03() {
 607     return $this->x12_partner['x12_isa03'];
 608   }
 609    function x12gsisa04() {
 610     return $this->x12_partner['x12_isa04'];
 611   }
 612
 613 /////////
 614   function x12gsisa07() {
 615     return $this->x12_partner['x12_isa07'];
 616   }
 617
 618   function x12gsisa14() {
 619     return $this->x12_partner['x12_isa14'];
 620   }
 621
 622   function x12gsisa15() {
 623     return $this->x12_partner['x12_isa15'];
 624   }
 625
 626   function x12gsgs02() {
 627     $tmp = $this->x12_partner['x12_gs02'];
 628     if ($tmp === '') $tmp = $this->x12_partner['x12_sender_id'];
 629     return $tmp;
 630   }
 631
 632   function x12gsper06() {
 633     return $this->x12_partner['x12_per06'];
 634   }
 635
 636   function cliaCode() {
 637     return x12clean(trim($this->facility['domain_identifier']));
 638   }
 639
 640   function billingFacilityName() {
 641     return x12clean(trim($this->billing_facility['name']));
 642   }
 643
 644   function billingFacilityStreet() {
 645     return x12clean(trim($this->billing_facility['street']));
 646   }
 647
 648   function billingFacilityCity() {
 649     return x12clean(trim($this->billing_facility['city']));
 650   }
 651
 652   function billingFacilityState() {
 653     return x12clean(trim($this->billing_facility['state']));
 654   }
 655
 656   function billingFacilityZip() {
 657     return x12clean(trim($this->billing_facility['postal_code']));
 658   }
 659
 660   function billingFacilityETIN() {
 661     return x12clean(trim(str_replace('-', '', $this->billing_facility['federal_ein'])));
 662   }
 663
 664   function billingFacilityNPI() {
 665     return x12clean(trim($this->billing_facility['facility_npi']));
 666   }
 667
 668   function federalIdType() {
 669         if ($this->billing_facility['tax_id_type'])
 670         {
 671         return $this->billing_facility['tax_id_type'];
 672         }
 673         else{
 674         return null;
 675         }
 676   }
 677
 678   # The billing facility and the patient must both accept for this to return true.
 679   function billingFacilityAssignment($ins=0) {
 680     $tmp = strtoupper($this->payers[$ins]['data']['accept_assignment']);
 681     if (strcmp($tmp,'FALSE') == 0) return '0';
 682     return !empty($this->billing_facility['accepts_assignment']);
 683   }
 684
 685   function billingContactName() {
 686     return x12clean(trim($this->billing_facility['attn']));
 687   }
 688
 689   function billingContactPhone() {
 690     if (preg_match("/([2-9]\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/",
 691       $this->billing_facility['phone'], $tmp))
 692     {
 693       return $tmp[1] . $tmp[2] . $tmp[3];
 694     }
 695     return '';
 696   }
 697
 698   function facilityName() {
 699     return x12clean(trim($this->facility['name']));
 700   }
 701
 702   function facilityStreet() {
 703     return x12clean(trim($this->facility['street']));
 704   }
 705
 706   function facilityCity() {
 707     return x12clean(trim($this->facility['city']));
 708   }
 709
 710   function facilityState() {
 711     return x12clean(trim($this->facility['state']));
 712   }
 713
 714   function facilityZip() {
 715     return x12clean(trim($this->facility['postal_code']));
 716   }
 717
 718   function facilityETIN() {
 719     return x12clean(trim(str_replace('-', '', $this->facility['federal_ein'])));
 720   }
 721
 722   function facilityNPI() {
 723     return x12clean(trim($this->facility['facility_npi']));
 724   }
 725
 726   function facilityPOS() {
 727     return sprintf('%02d', trim($this->facility['pos_code']));
 728   }
 729
 730   function clearingHouseName() {
 731     return x12clean(trim($this->x12_partner['name']));
 732   }
 733
 734   function clearingHouseETIN() {
 735     return x12clean(trim(str_replace('-', '', $this->x12_partner['id_number'])));
 736   }
 737
 738   function providerNumberType($prockey=-1) {
 739     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
 740       $this->insurance_numbers : $this->procs[$prockey]['insurance_numbers'];
 741     return $tmp['provider_number_type'];
 742   }
 743
 744   function providerNumber($prockey=-1) {
 745     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
 746       $this->insurance_numbers : $this->procs[$prockey]['insurance_numbers'];
 747     return x12clean(trim(str_replace('-', '', $tmp['provider_number'])));
 748   }
 749
 750   function providerGroupNumber($prockey=-1) {
 751     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
 752       $this->insurance_numbers : $this->procs[$prockey]['insurance_numbers'];
 753     return x12clean(trim(str_replace('-', '', $tmp['group_number'])));
 754   }
 755
 756   // Returns 'P', 'S' or 'T'.
 757   //
 758   function payerSequence($ins=0) {
 759     return strtoupper(substr($this->payers[$ins]['data']['type'], 0, 1));
 760   }
 761
 762   // Returns the HIPAA code of the patient-to-subscriber relationship.
 763   //
 764   function insuredRelationship($ins=0) {
 765     $tmp = strtolower($this->payers[$ins]['data']['subscriber_relationship']);
 766     if (strcmp($tmp,'self'  ) == 0) return '18';
 767     if (strcmp($tmp,'spouse') == 0) return '01';
 768     if (strcmp($tmp,'child' ) == 0) return '19';
 769     if (strcmp($tmp,'other' ) == 0) return 'G8';
 770     return $tmp; // should not happen
 771   }
 772
 773   function insuredTypeCode($ins=0) {
 774     if (strcmp($this->claimType($ins),'MB') == 0 && $this->payerSequence($ins) != 'P')
 775       return $this->payers[$ins]['data']['policy_type'];
 776     return '';
 777   }
 778
 779   // Is the patient also the subscriber?
 780   //
 781   function isSelfOfInsured($ins=0) {
 782     $tmp = strtolower($this->payers[$ins]['data']['subscriber_relationship']);
 783     return (strcmp($tmp,'self') == 0);
 784   }
 785
 786   function planName($ins=0) {
 787     return x12clean(trim($this->payers[$ins]['data']['plan_name']));
 788   }
 789
 790   function policyNumber($ins=0) { // "ID"
 791     return x12clean(trim($this->payers[$ins]['data']['policy_number']));
 792   }
 793
 794   function groupNumber($ins=0) {
 795     return x12clean(trim($this->payers[$ins]['data']['group_number']));
 796   }
 797
 798   function groupName($ins=0) {
 799     return x12clean(trim($this->payers[$ins]['data']['subscriber_employer']));
 800   }
 801
 802   // Claim types are:
 803   // 16 Other HCFA
 804   // MB Medicare Part B
 805   // MC Medicaid
 806   // CH ChampUSVA
 807   // CH ChampUS
 808   // BL Blue Cross Blue Shield
 809   // 16 FECA
 810   // 09 Self Pay
 811   // 10 Central Certification
 812   // 11 Other Non-Federal Programs
 813   // 12 Preferred Provider Organization (PPO)
 814   // 13 Point of Service (POS)
 815   // 14 Exclusive Provider Organization (EPO)
 816   // 15 Indemnity Insurance
 817   // 16 Health Maintenance Organization (HMO) Medicare Risk
 818   // AM Automobile Medical
 819   // CI Commercial Insurance Co.
 820   // DS Disability
 821   // HM Health Maintenance Organization
 822   // LI Liability
 823   // LM Liability Medical
 824   // OF Other Federal Program
 825   // TV Title V
 826   // VA Veterans Administration Plan
 827   // WC Workers Compensation Health Plan
 828   // ZZ Mutually Defined
 829   //
 830   function claimType($ins=0) {
 831     if (empty($this->payers[$ins]['object'])) return '';
 832     return $this->payers[$ins]['object']->get_freeb_claim_type();
 833   }
 834
 835   function claimTypeRaw($ins=0) {
 836     if (empty($this->payers[$ins]['object'])) return 0;
 837     return $this->payers[$ins]['object']->get_freeb_type();
 838   }
 839
 840   function insuredLastName($ins=0) {
 841     return x12clean(trim($this->payers[$ins]['data']['subscriber_lname']));
 842   }
 843
 844   function insuredFirstName($ins=0) {
 845     return x12clean(trim($this->payers[$ins]['data']['subscriber_fname']));
 846   }
 847
 848   function insuredMiddleName($ins=0) {
 849     return x12clean(trim($this->payers[$ins]['data']['subscriber_mname']));
 850   }
 851
 852   function insuredStreet($ins=0) {
 853     return x12clean(trim($this->payers[$ins]['data']['subscriber_street']));
 854   }
 855
 856   function insuredCity($ins=0) {
 857     return x12clean(trim($this->payers[$ins]['data']['subscriber_city']));
 858   }
 859
 860   function insuredState($ins=0) {
 861     return x12clean(trim($this->payers[$ins]['data']['subscriber_state']));
 862   }
 863
 864   function insuredZip($ins=0) {
 865     return x12clean(trim($this->payers[$ins]['data']['subscriber_postal_code']));
 866   }
 867
 868   function insuredPhone($ins=0) {
 869     if (preg_match("/([2-9]\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/",
 870       $this->payers[$ins]['data']['subscriber_phone'], $tmp))
 871       return $tmp[1] . $tmp[2] . $tmp[3];
 872     return '';
 873   }
 874
 875   function insuredDOB($ins=0) {
 876     return str_replace('-', '', $this->payers[$ins]['data']['subscriber_DOB']);
 877   }
 878
 879   function insuredSex($ins=0) {
 880     return strtoupper(substr($this->payers[$ins]['data']['subscriber_sex'], 0, 1));
 881   }
 882
 883   function payerName($ins=0) {
 884     return x12clean(trim($this->payers[$ins]['company']['name']));
 885   }
 886
 887   function payerAttn($ins=0) {
 888     return x12clean(trim($this->payers[$ins]['company']['attn']));
 889   }
 890
 891   function payerStreet($ins=0) {
 892     if (empty($this->payers[$ins]['object'])) return '';
 893     $tmp = $this->payers[$ins]['object'];
 894     $tmp = $tmp->get_address();
 895     return x12clean(trim($tmp->get_line1()));
 896   }
 897
 898   function payerCity($ins=0) {
 899     if (empty($this->payers[$ins]['object'])) return '';
 900     $tmp = $this->payers[$ins]['object'];
 901     $tmp = $tmp->get_address();
 902     return x12clean(trim($tmp->get_city()));
 903   }
 904
 905   function payerState($ins=0) {
 906     if (empty($this->payers[$ins]['object'])) return '';
 907     $tmp = $this->payers[$ins]['object'];
 908     $tmp = $tmp->get_address();
 909     return x12clean(trim($tmp->get_state()));
 910   }
 911
 912   function payerZip($ins=0) {
 913     if (empty($this->payers[$ins]['object'])) return '';
 914     $tmp = $this->payers[$ins]['object'];
 915     $tmp = $tmp->get_address();
 916     return x12clean(trim($tmp->get_zip()));
 917   }
 918
 919   function payerID($ins=0) {
 920     return x12clean(trim($this->payers[$ins]['company']['cms_id']));
 921   }
 922
 923   function payerAltID($ins=0) {
 924     return x12clean(trim($this->payers[$ins]['company']['alt_cms_id']));
 925   }
 926
 927   function patientLastName() {
 928     return x12clean(trim($this->patient_data['lname']));
 929   }
 930
 931   function patientFirstName() {
 932     return x12clean(trim($this->patient_data['fname']));
 933   }
 934
 935   function patientMiddleName() {
 936     return x12clean(trim($this->patient_data['mname']));
 937   }
 938
 939   function patientStreet() {
 940     return x12clean(trim($this->patient_data['street']));
 941   }
 942
 943   function patientCity() {
 944     return x12clean(trim($this->patient_data['city']));
 945   }
 946
 947   function patientState() {
 948     return x12clean(trim($this->patient_data['state']));
 949   }
 950
 951   function patientZip() {
 952     return x12clean(trim($this->patient_data['postal_code']));
 953   }
 954
 955   function patientPhone() {
 956     $ptphone = $this->patient_data['phone_home'];
 957     if (!$ptphone) $ptphone = $this->patient_data['phone_biz'];
 958     if (!$ptphone) $ptphone = $this->patient_data['phone_cell'];
 959     if (preg_match("/([2-9]\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/", $ptphone, $tmp))
 960       return $tmp[1] . $tmp[2] . $tmp[3];
 961     return '';
 962   }
 963
 964   function patientDOB() {
 965     return str_replace('-', '', $this->patient_data['DOB']);
 966   }
 967
 968   function patientSex() {
 969     return strtoupper(substr($this->patient_data['sex'], 0, 1));
 970   }
 971
 972   // Patient Marital Status: M = Married, S = Single, or something else.
 973   function patientStatus() {
 974     return strtoupper(substr($this->patient_data['status'], 0, 1));
 975   }
 976
 977   // This should be UNEMPLOYED, STUDENT, PT STUDENT, or anything else to
 978   // indicate employed.
 979   function patientOccupation() {
 980     return strtoupper(x12clean(trim($this->patient_data['occupation'])));
 981   }
 982
 983   function cptCode($prockey) {
 984     return x12clean(trim($this->procs[$prockey]['code']));
 985   }
 986
 987   function cptModifier($prockey) {
 988     // Split on the colon or space and clean each modifier
 989     $mods = array();
 990     $cln_mods = array();
 991     $mods = preg_split("/[: ]/",trim($this->procs[$prockey]['modifier']));
 992     foreach ($mods as $mod) {
 993         array_push($cln_mods, x12clean($mod));
 994     }
 995     return (implode (':', $cln_mods));
 996   }
 997
 998   function cptNotecodes($prockey) {
 999     return x12clean(trim($this->procs[$prockey]['notecodes']));
1000   }
1001
1002   // Returns the procedure code, followed by ":modifier" if there is one.
1003   function cptKey($prockey) {
1004     $tmp = $this->cptModifier($prockey);
1005     return $this->cptCode($prockey) . ($tmp ? ":$tmp" : "");
1006   }
1007
1008   function cptCharges($prockey) {
1009     return x12clean(trim($this->procs[$prockey]['fee']));
1010   }
1011
1012   function cptUnits($prockey) {
1013     if (empty($this->procs[$prockey]['units'])) return '1';
1014     return x12clean(trim($this->procs[$prockey]['units']));
1015   }
1016
1017   // NDC drug ID.
1018   function cptNDCID($prockey) {
1019     $ndcinfo = $this->procs[$prockey]['ndc_info'];
1020     if (preg_match('/^N4(\S+)\s+(\S\S)(.*)/', $ndcinfo, $tmp)) {
1021       $ndc = $tmp[1];
1022       if (preg_match('/^(\d+)-(\d+)-(\d+)$/', $ndc, $tmp)) {
1023         return sprintf('%05d%04d%02d', $tmp[1], $tmp[2], $tmp[3]);
1024       }
1025       return x12clean($ndc); // format is bad but return it anyway
1026     }
1027     return '';
1028   }
1029
1030   // NDC drug unit of measure code.
1031   function cptNDCUOM($prockey) {
1032     $ndcinfo = $this->procs[$prockey]['ndc_info'];
1033     if (preg_match('/^N4(\S+)\s+(\S\S)(.*)/', $ndcinfo, $tmp))
1034       return x12clean($tmp[2]);
1035     return '';
1036   }
1037
1038   // NDC drug number of units.
1039   function cptNDCQuantity($prockey) {
1040     $ndcinfo = $this->procs[$prockey]['ndc_info'];
1041     if (preg_match('/^N4(\S+)\s+(\S\S)(.*)/', $ndcinfo, $tmp)) {
1042       return x12clean(ltrim($tmp[3], '0'));
1043     }
1044     return '';
1045   }
1046
1047   function onsetDate() {
1048     return cleanDate($this->encounter['onset_date']);
1049   }
1050
1051   function onsetDateValid()
1052   {
1053       return $this->onsetDate()!=='';
1054   }
1055
1056   function serviceDate() {
1057     return str_replace('-', '', substr($this->encounter['date'], 0, 10));
1058   }
1059
1060   function priorAuth() {
1061     return x12clean(trim($this->billing_options['prior_auth_number']));
1062   }
1063
1064   function isRelatedEmployment() {
1065     return !empty($this->billing_options['employment_related']);
1066   }
1067
1068   function isRelatedAuto() {
1069     return !empty($this->billing_options['auto_accident']);
1070   }
1071
1072   function isRelatedOther() {
1073     return !empty($this->billing_options['other_accident']);
1074   }
1075
1076   function autoAccidentState() {
1077     return x12clean(trim($this->billing_options['accident_state']));
1078   }
1079
1080   function isUnableToWork() {
1081     return !empty($this->billing_options['is_unable_to_work']);
1082   }
1083
1084   function offWorkFrom() {
1085     return cleanDate($this->billing_options['off_work_from']);
1086   }
1087
1088   function offWorkTo() {
1089     return cleanDate($this->billing_options['off_work_to']);
1090   }
1091
1092   function isHospitalized() {
1093     return !empty($this->billing_options['is_hospitalized']);
1094   }
1095
1096   function hospitalizedFrom() {
1097     return cleanDate($this->billing_options['hospitalization_date_from']);
1098   }
1099
1100   function hospitalizedTo() {
1101     return cleanDate($this->billing_options['hospitalization_date_to']);
1102   }
1103
1104   function isOutsideLab() {
1105     return !empty($this->billing_options['outside_lab']);
1106   }
1107
1108   function outsideLabAmount() {
1109     return sprintf('%.2f', 0 + $this->billing_options['lab_amount']);
1110   }
1111
1112   function medicaidResubmissionCode() {
1113     return x12clean(trim($this->billing_options['medicaid_resubmission_code']));
1114   }
1115
1116   function medicaidOriginalReference() {
1117     return x12clean(trim($this->billing_options['medicaid_original_reference']));
1118   }
1119
1120   function frequencyTypeCode() {
1121     return empty($this->billing_options['replacement_claim']) ? '1' : '7';
1122   }
1123
1124   function additionalNotes() {
1125     return x12clean(trim($this->billing_options['comments']));
1126   }
1127
1128   function dateInitialTreatment() {
1129     return cleanDate($this->billing_options['date_initial_treatment']);
1130   }
1131
1132   function box14qualifier()
1133   {
1134       // If no box qualifier specified use "431" indicating Onset
1135       return empty($this->billing_options['box_14_date_qual']) ? '431' :
1136               $this->billing_options['box_14_date_qual'];
1137   }
1138
1139   function box15qualifier()
1140   {
1141       // If no box qualifier specified use "454" indicating Initial Treatment
1142       return empty($this->billing_options['box_15_date_qual']) ? '454' :
1143               $this->billing_options['box_15_date_qual'];
1144   }
1145   // Returns an array of unique diagnoses.  Periods are stripped by default
1146   // Option to keep periods is to support HCFA 1500 02/12 version
1147   function diagArray($strip_periods=true) {
1148     $da = array();
1149     foreach ($this->procs as $row) {
1150       $atmp = explode(':', $row['justify']);
1151       foreach ($atmp as $tmp) {
1152         if (!empty($tmp)) {
1153           $code_data = explode('|',$tmp);
1154
1155           // If there was a | in the code data, the the first part of the array is the type, and the second is the identifier
1156           if (!empty($code_data[1])) {
1157
1158             // This is the simplest way to determine if the claim is using ICD9 or ICD10 codes
1159             // a mix of code types is generally not allowed as there is only one specifier for all diagnoses on HCFA-1500 form
1160             // and there would be ambiguity with E and V codes
1161             $this->diagtype=$code_data[0];
1162
1163             //code is in the second part of the $code_data array.
1164             if($strip_periods==true)
1165                 {
1166                     $diag = str_replace('.', '', $code_data[1]);
1167
1168                 }
1169                 else
1170                 {
1171                     $diag=$code_data[1];
1172                 }
1173
1174           }
1175           else {
1176             //No prepended code type label
1177             if($strip_periods) {
1178                 $diag = str_replace('.', '', $code_data[0]);
1179             }
1180             else
1181             {
1182                 $diag=$code_data[1];
1183             }
1184           }
1185           $da[$diag] = $diag;
1186         }
1187       }
1188     }
1189     // The above got all the diagnoses used for justification, in the order
1190     // used for justification.  Next we go through all diagnoses, justified
1191     // or not, to make sure they all get into the claim.  We do it this way
1192     // so that the more important diagnoses appear first.
1193     foreach ($this->diags as $diag) {
1194       if($strip_periods) {$diag = str_replace('.', '', $diag);}
1195       $da[$diag] = $diag;
1196     }
1197     return $da;
1198   }
1199
1200   // Compute one 1-relative index in diagArray for the given procedure.
1201   // This function is obsolete, use diagIndexArray() instead.
1202   function diagIndex($prockey) {
1203     $da = $this->diagArray();
1204     $tmp = explode(':', $this->procs[$prockey]['justify']);
1205     if (empty($tmp)) return '';
1206     $diag = str_replace('.', '', $tmp[0]);
1207     $i = 0;
1208     foreach ($da as $value) {
1209       ++$i;
1210       if (strcmp($value,$diag) == 0) return $i;
1211     }
1212     return '';
1213   }
1214
1215   // Compute array of 1-relative diagArray indices for the given procedure.
1216   function diagIndexArray($prockey) {
1217     $dia = array();
1218     $da = $this->diagArray();
1219     $atmp = explode(':', $this->procs[$prockey]['justify']);
1220     foreach ($atmp as $tmp) {
1221       if (!empty($tmp)) {
1222         $code_data = explode('|',$tmp);
1223         if (!empty($code_data[1])) {
1224           //Strip the prepended code type label
1225           $diag = str_replace('.', '', $code_data[1]);
1226         }
1227         else {
1228           //No prepended code type label
1229           $diag = str_replace('.', '', $code_data[0]);
1230         }
1231         $i = 0;
1232         foreach ($da as $value) {
1233           ++$i;
1234           if (strcmp($value,$diag) == 0) $dia[] = $i;
1235         }
1236       }
1237     }
1238     return $dia;
1239   }
1240
1241   function providerLastName($prockey=-1) {
1242     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1243       $this->provider : $this->procs[$prockey]['provider'];
1244     return x12clean(trim($tmp['lname']));
1245   }
1246
1247   function providerFirstName($prockey=-1) {
1248     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1249       $this->provider : $this->procs[$prockey]['provider'];
1250     return x12clean(trim($tmp['fname']));
1251   }
1252
1253   function providerMiddleName($prockey=-1) {
1254     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1255       $this->provider : $this->procs[$prockey]['provider'];
1256     return x12clean(trim($tmp['mname']));
1257   }
1258
1259   function providerNPI($prockey=-1) {
1260     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1261       $this->provider : $this->procs[$prockey]['provider'];
1262     return x12clean(trim($tmp['npi']));
1263   }
1264
1265   function NPIValid($npi)
1266   {
1267       // A NPI MUST be a 10 digit number
1268       if($npi==='') return false;
1269       if(strlen($npi)!=10) return false;
1270       if(!preg_match("/[0-9]*/",$npi)) return false;
1271       return true;
1272
1273   }
1274   function providerNPIValid($prockey=-1)
1275   {
1276       return $this->NPIValid($this->providerNPI($prockey));
1277   }
1278
1279   function providerUPIN($prockey=-1) {
1280     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1281       $this->provider : $this->procs[$prockey]['provider'];
1282     return x12clean(trim($tmp['upin']));
1283   }
1284
1285   function providerSSN($prockey=-1) {
1286     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1287       $this->provider : $this->procs[$prockey]['provider'];
1288     return x12clean(trim(str_replace('-', '', $tmp['federaltaxid'])));
1289   }
1290
1291   function providerTaxonomy($prockey=-1) {
1292     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1293       $this->provider : $this->procs[$prockey]['provider'];
1294     if (empty($tmp['taxonomy'])) return '207Q00000X';
1295     return x12clean(trim($tmp['taxonomy']));
1296   }
1297
1298   function referrerLastName() {
1299     return x12clean(trim($this->referrer['lname']));
1300   }
1301
1302   function referrerFirstName() {
1303     return x12clean(trim($this->referrer['fname']));
1304   }
1305
1306   function referrerMiddleName() {
1307     return x12clean(trim($this->referrer['mname']));
1308   }
1309
1310   function referrerNPI() {
1311     return x12clean(trim($this->referrer['npi']));
1312   }
1313
1314   function referrerUPIN() {
1315     return x12clean(trim($this->referrer['upin']));
1316   }
1317
1318   function referrerSSN() {
1319     return x12clean(trim(str_replace('-', '', $this->referrer['federaltaxid'])));
1320   }
1321
1322   function referrerTaxonomy() {
1323     if (empty($this->referrer['taxonomy'])) return '207Q00000X';
1324     return x12clean(trim($this->referrer['taxonomy']));
1325   }
1326
1327   function supervisorLastName() {
1328     return x12clean(trim($this->supervisor['lname']));
1329   }
1330
1331   function supervisorFirstName() {
1332     return x12clean(trim($this->supervisor['fname']));
1333   }
1334
1335   function supervisorMiddleName() {
1336     return x12clean(trim($this->supervisor['mname']));
1337   }
1338
1339   function supervisorNPI() {
1340     return x12clean(trim($this->supervisor['npi']));
1341   }
1342
1343   function supervisorUPIN() {
1344     return x12clean(trim($this->supervisor['upin']));
1345   }
1346
1347   function supervisorSSN() {
1348     return x12clean(trim(str_replace('-', '', $this->supervisor['federaltaxid'])));
1349   }
1350
1351   function supervisorTaxonomy() {
1352     if (empty($this->supervisor['taxonomy'])) return '207Q00000X';
1353     return x12clean(trim($this->supervisor['taxonomy']));
1354   }
1355
1356   function supervisorNumberType() {
1357     return $this->supervisor_numbers['provider_number_type'];
1358   }
1359
1360   function supervisorNumber() {
1361     return x12clean(trim(str_replace('-', '', $this->supervisor_numbers['provider_number'])));
1362   }
1363
1364 }
1365 ?>