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 $x12_partner;       // row from x12_partners table
  42   var $encounter;         // row from form_encounter table
  43   var $facility;          // row from facility table
  44   var $billing_facility;  // row from facility table
  45   var $provider;          // row from users table (rendering provider)
  46   var $referrer;          // row from users table (referring provider)
  47   var $supervisor;        // row from users table (supervising provider)
  48   var $insurance_numbers; // row from insurance_numbers table for current payer
  49   var $supervisor_numbers; // row from insurance_numbers table for current payer
  50   var $patient_data;      // row from patient_data table
  51   var $billing_options;   // row from form_misc_billing_options table
  52   var $invoice;           // result from get_invoice_summary()
  53   var $payers;            // array of arrays, for all payers
  54   var $copay;             // total of copays from the billing table
  55
  56   function loadPayerInfo(&$billrow) {
  57     global $sl_err;
  58     $encounter_date = substr($this->encounter['date'], 0, 10);
  59
  60     // Create the $payers array.  This contains data for all insurances
  61     // with the current one always at index 0, and the others in payment
  62     // order starting at index 1.
  63     //
  64     $this->payers = array();
  65     $this->payers[0] = array();
  66     $query = "SELECT * FROM insurance_data WHERE " .
  67       "pid = '{$this->pid}' AND " .
  68       "date <= '$encounter_date' " .
  69       "ORDER BY type ASC, date DESC";
  70     $dres = sqlStatement($query);
  71     $prevtype = '';
  72     while ($drow = sqlFetchArray($dres)) {
  73       if (strcmp($prevtype, $drow['type']) == 0) continue;
  74       $prevtype = $drow['type'];
  75       // Very important to look at entries with a missing provider because
  76       // they indicate no insurance as of the given date.
  77       if (empty($drow['provider'])) continue;
  78       $ins = count($this->payers);
  79       if ($drow['provider'] == $billrow['payer_id'] && empty($this->payers[0]['data'])) $ins = 0;
  80       $crow = sqlQuery("SELECT * FROM insurance_companies WHERE " .
  81         "id = '" . $drow['provider'] . "'");
  82       $orow = new InsuranceCompany($drow['provider']);
  83       $this->payers[$ins] = array();
  84       $this->payers[$ins]['data']    = $drow;
  85       $this->payers[$ins]['company'] = $crow;
  86       $this->payers[$ins]['object']  = $orow;
  87     }
  88
  89     // This kludge hands most cases of a rare ambiguous situation, where
  90     // the primary insurance company is the same as the secondary.  It seems
  91     // nobody planned for that!
  92     //
  93     for ($i = 1; $i < count($this->payers); ++$i) {
  94       if ($billrow['process_date'] &&
  95         $this->payers[0]['data']['provider'] == $this->payers[$i]['data']['provider'])
  96       {
  97         $tmp = $this->payers[0];
  98         $this->payers[0] = $this->payers[$i];
  99         $this->payers[$i] = $tmp;
 100       }
 101     }
 102
 103     $this->using_modifiers = true;
 104
 105     // Get payment and adjustment details if there are any previous payers.
 106     //
 107     $this->invoice = array();
 108     if ($this->payerSequence() != 'P') {
 109       if ($GLOBALS['oer_config']['ws_accounting']['enabled'] === 2) {
 110         $this->invoice = ar_get_invoice_summary($this->pid, $this->encounter_id, true);
 111       }
 112       else if ($GLOBALS['oer_config']['ws_accounting']['enabled']) {
 113         SLConnect();
 114         $arres = SLQuery("select id from ar where invnumber = " .
 115           "'{$this->pid}.{$this->encounter_id}'");
 116         if ($sl_err) die($sl_err);
 117         $arrow = SLGetRow($arres, 0);
 118         if ($arrow) {
 119           $this->invoice = get_invoice_summary($arrow['id'], true);
 120         }
 121         SLClose();
 122       }
 123       // Secondary claims might not have modifiers in SQL-Ledger data.
 124       // In that case, note that we should not try to match on them.
 125       $this->using_modifiers = false;
 126       foreach ($this->invoice as $key => $trash) {
 127         if (strpos($key, ':')) $this->using_modifiers = true;
 128       }
 129     }
 130   }
 131
 132   // Constructor. Loads relevant database information.
 133   //
 134   function Claim($pid, $encounter_id) {
 135     $this->pid = $pid;
 136     $this->encounter_id = $encounter_id;
 137     $this->procs = array();
 138     $this->diags = array();
 139     $this->copay = 0;
 140
 141     // We need the encounter date before we can identify the payers.
 142     $sql = "SELECT * FROM form_encounter WHERE " .
 143       "pid = '{$this->pid}' AND " .
 144       "encounter = '{$this->encounter_id}'";
 145     $this->encounter = sqlQuery($sql);
 146
 147     // Sort by procedure timestamp in order to get some consistency.
 148     $sql = "SELECT * FROM billing WHERE " .
 149       "encounter = '{$this->encounter_id}' AND pid = '{$this->pid}' AND " .
 150       "(code_type = 'CPT4' OR code_type = 'HCPCS' OR code_type = 'COPAY' OR code_type = 'ICD9') AND " .
 151       "activity = '1' ORDER BY date, id";
 152     $res = sqlStatement($sql);
 153     while ($row = sqlFetchArray($res)) {
 154       if ($row['code_type'] == 'COPAY') {
 155         $this->copay -= $row['fee'];
 156         continue;
 157       }
 158       // Save all diagnosis codes.
 159       if ($row['code_type'] == 'ICD9') {
 160         $this->diags[$row['code']] = $row['code'];
 161         continue;
 162       }
 163       if (!$row['units']) $row['units'] = 1;
 164       // Load prior payer data at the first opportunity in order to get
 165       // the using_modifiers flag that is referenced below.
 166       if (empty($this->procs)) $this->loadPayerInfo($row);
 167       // Consolidate duplicate procedures.
 168       foreach ($this->procs as $key => $trash) {
 169         if (strcmp($this->procs[$key]['code'],$row['code']) == 0 &&
 170             (strcmp($this->procs[$key]['modifier'],$row['modifier']) == 0 ||
 171              !$this->using_modifiers))
 172         {
 173           $this->procs[$key]['units'] += $row['units'];
 174           $this->procs[$key]['fee']   += $row['fee'];
 175           continue 2; // skip to next table row
 176         }
 177       }
 178
 179       // If there is a row-specific provider then get its details.
 180       if (!empty($row['provider_id'])) {
 181         // Get service provider data for this row.
 182         $sql = "SELECT * FROM users WHERE id = '" . $row['provider_id'] . "'";
 183         $row['provider'] = sqlQuery($sql);
 184         // Get insurance numbers for this row's provider.
 185         $sql = "SELECT * FROM insurance_numbers WHERE " .
 186           "(insurance_company_id = '" . $row['payer_id'] .
 187           "' OR insurance_company_id is NULL) AND " .
 188           "provider_id = '" . $row['provider_id'] . "' " .
 189           "ORDER BY insurance_company_id DESC LIMIT 1";
 190         $row['insurance_numbers'] = sqlQuery($sql);
 191       }
 192
 193       $this->procs[] = $row;
 194     }
 195
 196     $resMoneyGot = sqlStatement("SELECT pay_amount as PatientPay,session_id as id,".
 197       "date(post_time) as date FROM ar_activity where pid ='{$this->pid}' and encounter ='{$this->encounter_id}' ".
 198       "and payer_type=0 and account_code='PCP'");
 199       //new fees screen copay gives account_code='PCP'
 200     while($rowMoneyGot = sqlFetchArray($resMoneyGot)){
 201       $PatientPay=$rowMoneyGot['PatientPay']*-1;
 202       $this->copay -= $PatientPay;
 203     }
 204
 205     $sql = "SELECT * FROM x12_partners WHERE " .
 206       "id = '" . $this->procs[0]['x12_partner_id'] . "'";
 207     $this->x12_partner = sqlQuery($sql);
 208
 209     $sql = "SELECT * FROM facility WHERE " .
 210       "id = '" . addslashes($this->encounter['facility_id']) . "' " .
 211       "LIMIT 1";
 212     $this->facility = sqlQuery($sql);
 213
 214     /*****************************************************************
 215     $provider_id = $this->procs[0]['provider_id'];
 216     *****************************************************************/
 217     $provider_id = $this->encounter['provider_id'];
 218     $sql = "SELECT * FROM users WHERE id = '$provider_id'";
 219     $this->provider = sqlQuery($sql);
 220     // Selecting the billing facility assigned  to the encounter.  If none,
 221     // try the first (and hopefully only) facility marked as a billing location.
 222     if (empty($this->encounter['billing_facility'])) {
 223       $sql = "SELECT * FROM facility " .
 224         "ORDER BY billing_location DESC, id ASC LIMIT 1";
 225     }
 226     else {
 227       $sql = "SELECT * FROM facility " .
 228       " where id ='" . addslashes($this->encounter['billing_facility']) . "' ";
 229     }
 230     $this->billing_facility = sqlQuery($sql);
 231
 232     $sql = "SELECT * FROM insurance_numbers WHERE " .
 233       "(insurance_company_id = '" . $this->procs[0]['payer_id'] .
 234       "' OR insurance_company_id is NULL) AND " .
 235       "provider_id = '$provider_id' " .
 236       "ORDER BY insurance_company_id DESC LIMIT 1";
 237     $this->insurance_numbers = sqlQuery($sql);
 238
 239     $sql = "SELECT * FROM patient_data WHERE " .
 240       "pid = '{$this->pid}' " .
 241       "ORDER BY id LIMIT 1";
 242     $this->patient_data = sqlQuery($sql);
 243
 244     $sql = "SELECT fpa.* FROM forms JOIN form_misc_billing_options AS fpa " .
 245       "ON fpa.id = forms.form_id WHERE " .
 246       "forms.encounter = '{$this->encounter_id}' AND " .
 247       "forms.pid = '{$this->pid}' AND " .
 248       "forms.deleted = 0 AND " .
 249       "forms.formdir = 'misc_billing_options' " .
 250       "ORDER BY forms.date";
 251     $this->billing_options = sqlQuery($sql);
 252
 253     $referrer_id = (empty($GLOBALS['MedicareReferrerIsRenderer']) ||
 254       $this->insurance_numbers['provider_number_type'] != '1C') ?
 255       $this->patient_data['ref_providerID'] : $provider_id;
 256     $sql = "SELECT * FROM users WHERE id = '$referrer_id'";
 257     $this->referrer = sqlQuery($sql);
 258     if (!$this->referrer) $this->referrer = array();
 259
 260     $supervisor_id = $this->encounter['supervisor_id'];
 261     $sql = "SELECT * FROM users WHERE id = '$supervisor_id'";
 262     $this->supervisor = sqlQuery($sql);
 263     if (!$this->supervisor) $this->supervisor = array();
 264
 265     $sql = "SELECT * FROM insurance_numbers WHERE " .
 266       "(insurance_company_id = '" . $this->procs[0]['payer_id'] .
 267       "' OR insurance_company_id is NULL) AND " .
 268       "provider_id = '$supervisor_id' " .
 269       "ORDER BY insurance_company_id DESC LIMIT 1";
 270     $this->supervisor_numbers = sqlQuery($sql);
 271     if (!$this->supervisor_numbers) $this->supervisor_numbers = array();
 272
 273   } // end constructor
 274
 275   // Return an array of adjustments from the designated prior payer for the
 276   // designated procedure key (might be procedure:modifier), or for the claim
 277   // level.  For each adjustment give date, group code, reason code, amount.
 278   // Note this will include "patient responsibility" adjustments which are
 279   // not adjustments to OUR invoice, but they reduce the amount that the
 280   // insurance company pays.
 281   //
 282   function payerAdjustments($ins, $code='Claim') {
 283     $aadj = array();
 284
 285     // If we have no modifiers stored in SQL-Ledger for this claim,
 286     // then we cannot use a modifier passed in with the key.
 287     $tmp = strpos($code, ':');
 288     if ($tmp && !$this->using_modifiers) $code = substr($code, 0, $tmp);
 289
 290     // For payments, source always starts with "Ins" or "Pt".
 291     // Nonzero adjustment reason examples:
 292     //   Ins1 adjust code 42 (Charges exceed ... (obsolete))
 293     //   Ins1 adjust code 45 (Charges exceed your contracted/ legislated fee arrangement)
 294     //   Ins1 adjust code 97 (Payment is included in the allowance for another service/procedure)
 295     //   Ins1 adjust code A2 (Contractual adjustment)
 296     //   Ins adjust Ins1
 297     //   adjust code 45
 298     // Zero adjustment reason examples:
 299     //   Co-pay: 25.00
 300     //   Coinsurance: 11.46  (code 2)   Note: fix remits to identify insurance
 301     //   To deductible: 0.22 (code 1)   Note: fix remits to identify insurance
 302     //   To copay Ins1 (manual entry)
 303     //   To ded'ble Ins1 (manual entry)
 304
 305     if (!empty($this->invoice[$code])) {
 306       $date = '';
 307       $deductible  = 0;
 308       $coinsurance = 0;
 309       $inslabel = ($this->payerSequence($ins) == 'S') ? 'Ins2' : 'Ins1';
 310       $insnumber = substr($inslabel, 3);
 311
 312       // Compute this procedure's patient responsibility amount as of this
 313       // prior payer, which is the original charge minus all insurance
 314       // payments and "hard" adjustments up to this payer.
 315       $ptresp = $this->invoice[$code]['chg'] + $this->invoice[$code]['adj'];
 316       foreach ($this->invoice[$code]['dtl'] as $key => $value) {
 317         if (isset($value['plv'])) {
 318           // New method; plv (from ar_activity.payer_type) exists to
 319           // indicate the payer level.
 320           if (isset($value['pmt']) && $value['pmt'] != 0) {
 321             if ($value['plv'] > 0 && $value['plv'] <= $insnumber)
 322               $ptresp -= $value['pmt'];
 323           }
 324           else if (isset($value['chg']) && trim(substr($key, 0, 10))) {
 325             // non-blank key indicates this is an adjustment and not a charge
 326             if ($value['plv'] > 0 && $value['plv'] <= $insnumber)
 327               $ptresp += $value['chg']; // adjustments are negative charges
 328           }
 329
 330           $msp = isset( $value['msp'] ) ? $value['msp'] : null; // record the reason for adjustment
 331         }
 332         else {
 333           // Old method: With SQL-Ledger payer level was stored in the memo.
 334           if (preg_match("/^Ins(\d)/i", $value['src'], $tmp)) {
 335             if ($tmp[1] <= $insnumber) $ptresp -= $value['pmt'];
 336           }
 337           else if (trim(substr($key, 0, 10))) { // not an adjustment if no date
 338             if (!preg_match("/Ins(\d)/i", $value['rsn'], $tmp) || $tmp[1] <= $insnumber)
 339               $ptresp += $value['chg']; // adjustments are negative charges
 340           }
 341         }
 342       }
 343       if ($ptresp < 0) $ptresp = 0; // we may be insane but try to hide it
 344
 345       // Main loop, to extract adjustments for this payer and procedure.
 346       foreach ($this->invoice[$code]['dtl'] as $key => $value) {
 347         $tmp = str_replace('-', '', trim(substr($key, 0, 10)));
 348         if ($tmp) $date = $tmp;
 349         if ($tmp && $value['pmt'] == 0) { // not original charge and not a payment
 350           $rsn = $value['rsn'];
 351           $chg = 0 - $value['chg']; // adjustments are negative charges
 352
 353           $gcode = 'CO'; // default group code = contractual obligation
 354           $rcode = '45'; // default reason code = max fee exceeded (code 42 is obsolete)
 355
 356           if (preg_match("/Ins adjust $inslabel/i", $rsn, $tmp)) {
 357             // From manual post. Take the defaults.
 358           }
 359           else if (preg_match("/To copay $inslabel/i", $rsn, $tmp) && !$chg) {
 360             $coinsurance = $ptresp; // from manual post
 361             continue;
 362           }
 363           else if (preg_match("/To ded'ble $inslabel/i", $rsn, $tmp) && !$chg) {
 364             $deductible = $ptresp; // from manual post
 365             continue;
 366           }
 367           else if (preg_match("/$inslabel copay: (\S+)/i", $rsn, $tmp) && !$chg) {
 368             $coinsurance = $tmp[1]; // from 835 as of 6/2007
 369             continue;
 370           }
 371           else if (preg_match("/$inslabel coins: (\S+)/i", $rsn, $tmp) && !$chg) {
 372             $coinsurance = $tmp[1]; // from 835 and manual post as of 6/2007
 373             continue;
 374           }
 375           else if (preg_match("/$inslabel dedbl: (\S+)/i", $rsn, $tmp) && !$chg) {
 376             $deductible = $tmp[1]; // from 835 and manual post as of 6/2007
 377             continue;
 378           }
 379           else if (preg_match("/$inslabel ptresp: (\S+)/i", $rsn, $tmp) && !$chg) {
 380             continue; // from 835 as of 6/2007
 381           }
 382           else if (preg_match("/$inslabel adjust code (\S+)/i", $rsn, $tmp)) {
 383             $rcode = $tmp[1]; // from 835
 384           }
 385           else if (preg_match("/$inslabel/i", $rsn, $tmp)) {
 386             // Take the defaults.
 387           }
 388           else if (preg_match('/Ins(\d)/i', $rsn, $tmp) && $tmp[1] != $insnumber) {
 389             continue; // it's for some other payer
 390           }
 391           else if ($insnumber == '1') {
 392             if (preg_match("/\$\s*adjust code (\S+)/i", $rsn, $tmp)) {
 393               $rcode = $tmp[1]; // from 835
 394             }
 395             else if ($chg) {
 396               // Other adjustments default to Ins1.
 397             }
 398             else if (preg_match("/Co-pay: (\S+)/i", $rsn, $tmp) ||
 399               preg_match("/Coinsurance: (\S+)/i", $rsn, $tmp)) {
 400               $coinsurance = 0 + $tmp[1]; // from 835 before 6/2007
 401               continue;
 402             }
 403             else if (preg_match("/To deductible: (\S+)/i", $rsn, $tmp)) {
 404               $deductible = 0 + $tmp[1]; // from 835 before 6/2007
 405               continue;
 406             }
 407             else {
 408               continue; // there is no adjustment amount
 409             }
 410           }
 411           else {
 412             continue; // it's for primary and that's not us
 413           }
 414
 415           if ($rcode == '42') $rcode= '45'; // reason 42 is obsolete
 416           $aadj[] = array($date, $gcode, $rcode, sprintf('%.2f', $chg));
 417
 418         } // end if
 419       } // end foreach
 420
 421       // If we really messed it up, at least avoid negative numbers.
 422       if ($coinsurance > $ptresp) $coinsurance = $ptresp;
 423       if ($deductible  > $ptresp) $deductible  = $ptresp;
 424
 425       // Find out if this payer paid anything at all on this claim.  This will
 426       // help us allocate any unknown patient responsibility amounts.
 427       $thispaidanything = 0;
 428       foreach($this->invoice as $codekey => $codeval) {
 429         foreach ($codeval['dtl'] as $key => $value) {
 430           if (isset($value['plv'])) {
 431             // New method; plv exists to indicate the payer level.
 432             if ($value['plv'] == $insnumber) {
 433               $thispaidanything += $value['pmt'];
 434             }
 435           }
 436           else {
 437             if (preg_match("/$inslabel/i", $value['src'], $tmp)) {
 438               $thispaidanything += $value['pmt'];
 439             }
 440           }
 441         }
 442       }
 443
 444       // Allocate any unknown patient responsibility by guessing if the
 445       // deductible has been satisfied.
 446       if ($thispaidanything)
 447         $coinsurance = $ptresp - $deductible;
 448       else
 449         $deductible = $ptresp - $coinsurance;
 450
 451       $deductible  = sprintf('%.2f', $deductible);
 452       $coinsurance = sprintf('%.2f', $coinsurance);
 453
 454       if ($date && $deductible != 0)
 455         $aadj[] = array($date, 'PR', '1', $deductible, $msp);
 456       if ($date && $coinsurance != 0)
 457         $aadj[] = array($date, 'PR', '2', $coinsurance, $msp);
 458
 459     } // end if
 460
 461     return $aadj;
 462   }
 463
 464   // Return date, total payments and total "hard" adjustments from the given
 465   // prior payer. If $code is specified then only that procedure key is
 466   // selected, otherwise it's for the whole claim.
 467   //
 468   function payerTotals($ins, $code='') {
 469     // If we have no modifiers stored in SQL-Ledger for this claim,
 470     // then we cannot use a modifier passed in with the key.
 471     $tmp = strpos($code, ':');
 472     if ($tmp && !$this->using_modifiers) $code = substr($code, 0, $tmp);
 473
 474     $inslabel = ($this->payerSequence($ins) == 'S') ? 'Ins2' : 'Ins1';
 475     $insnumber = substr($inslabel, 3);
 476     $paytotal = 0;
 477     $adjtotal = 0;
 478     $date = '';
 479     foreach($this->invoice as $codekey => $codeval) {
 480       if ($code && strcmp($codekey,$code) != 0) continue;
 481       foreach ($codeval['dtl'] as $key => $value) {
 482         if (isset($value['plv'])) {
 483           // New method; plv (from ar_activity.payer_type) exists to
 484           // indicate the payer level.
 485           if ($value['plv'] == $insnumber) {
 486             if (!$date) $date = str_replace('-', '', trim(substr($key, 0, 10)));
 487             $paytotal += $value['pmt'];
 488           }
 489         }
 490         else {
 491           // Old method: With SQL-Ledger payer level was stored in the memo.
 492           if (preg_match("/$inslabel/i", $value['src'], $tmp)) {
 493             if (!$date) $date = str_replace('-', '', trim(substr($key, 0, 10)));
 494             $paytotal += $value['pmt'];
 495           }
 496         }
 497       }
 498       $aarr = $this->payerAdjustments($ins, $codekey);
 499       foreach ($aarr as $a) {
 500         if (strcmp($a[1],'PR') != 0) $adjtotal += $a[3];
 501         if (!$date) $date = $a[0];
 502       }
 503     }
 504     return array($date, sprintf('%.2f', $paytotal), sprintf('%.2f', $adjtotal));
 505   }
 506
 507   // Return the amount already paid by the patient.
 508   //
 509   function patientPaidAmount() {
 510     // For primary claims $this->invoice is not loaded, so get the co-pay
 511     // from the billing table instead.
 512     if (empty($this->invoice)) return $this->copay;
 513     //
 514     $amount = 0;
 515     foreach($this->invoice as $codekey => $codeval) {
 516       foreach ($codeval['dtl'] as $key => $value) {
 517         if (isset($value['plv'])) {
 518           // New method; plv exists to indicate the payer level.
 519           if ($value['plv'] == 0) { // 0 indicates patient
 520             $amount += $value['pmt'];
 521           }
 522         }
 523         else {
 524           // Old method: With SQL-Ledger payer level was stored in the memo.
 525           if (!preg_match("/Ins/i", $value['src'], $tmp)) {
 526             $amount += $value['pmt'];
 527           }
 528         }
 529       }
 530     }
 531     return sprintf('%.2f', $amount);
 532   }
 533
 534   // Return invoice total, including adjustments but not payments.
 535   //
 536   function invoiceTotal() {
 537     $amount = 0;
 538     foreach($this->invoice as $codekey => $codeval) {
 539       $amount += $codeval['chg'];
 540     }
 541     return sprintf('%.2f', $amount);
 542   }
 543
 544   // Number of procedures in this claim.
 545   function procCount() {
 546     return count($this->procs);
 547   }
 548
 549   // Number of payers for this claim. Ranges from 1 to 3.
 550   function payerCount() {
 551     return count($this->payers);
 552   }
 553
 554   function x12gsversionstring() {
 555     return x12clean(trim($this->x12_partner['x12_version']));
 556   }
 557
 558   function x12gssenderid() {
 559     $tmp = $this->x12_partner['x12_sender_id'];
 560     while (strlen($tmp) < 15) $tmp .= " ";
 561     return $tmp;
 562   }
 563
 564   function x12gs03() {
 565    /*
 566     * GS03: Application Receiver's Code
 567     * Code Identifying Party Receiving Transmission
 568     *
 569     * In most cases, the ISA08 and GS03 are the same. However
 570     *
 571     * In some clearing houses ISA08 and GS03 are different
 572     * Example: http://www.acs-gcro.com/downloads/DOL/DOL_CG_X12N_5010_837_v1_02.pdf - Page 18
 573     * In this .pdf, the ISA08 is specified to be 100000 while the GS03 is specified to be 77044
 574     *
 575     * Therefore if the x12_gs03 segement is explicitly specified we use that value,
 576     * otherwise we simply use the same receiver ID as specified for ISA03
 577     */
 578     if($this->x12_partner['x12_gs03'] !== '')
 579         return $this->x12_partner['x12_gs03'];
 580     else
 581         return $this->x12_partner['x12_receiver_id'];
 582   }
 583
 584   function x12gsreceiverid() {
 585     $tmp = $this->x12_partner['x12_receiver_id'];
 586     while (strlen($tmp) < 15) $tmp .= " ";
 587     return $tmp;
 588   }
 589
 590   function x12gsisa05() {
 591     return $this->x12_partner['x12_isa05'];
 592   }
 593 //adding in functions for isa 01 - isa 04
 594
 595   function x12gsisa01() {
 596     return $this->x12_partner['x12_isa01'];
 597   }
 598
 599   function x12gsisa02() {
 600     return $this->x12_partner['x12_isa02'];
 601   }
 602
 603    function x12gsisa03() {
 604     return $this->x12_partner['x12_isa03'];
 605   }
 606    function x12gsisa04() {
 607     return $this->x12_partner['x12_isa04'];
 608   }
 609
 610 /////////
 611   function x12gsisa07() {
 612     return $this->x12_partner['x12_isa07'];
 613   }
 614
 615   function x12gsisa14() {
 616     return $this->x12_partner['x12_isa14'];
 617   }
 618
 619   function x12gsisa15() {
 620     return $this->x12_partner['x12_isa15'];
 621   }
 622
 623   function x12gsgs02() {
 624     $tmp = $this->x12_partner['x12_gs02'];
 625     if ($tmp === '') $tmp = $this->x12_partner['x12_sender_id'];
 626     return $tmp;
 627   }
 628
 629   function x12gsper06() {
 630     return $this->x12_partner['x12_per06'];
 631   }
 632
 633   function cliaCode() {
 634     return x12clean(trim($this->facility['domain_identifier']));
 635   }
 636
 637   function billingFacilityName() {
 638     return x12clean(trim($this->billing_facility['name']));
 639   }
 640
 641   function billingFacilityStreet() {
 642     return x12clean(trim($this->billing_facility['street']));
 643   }
 644
 645   function billingFacilityCity() {
 646     return x12clean(trim($this->billing_facility['city']));
 647   }
 648
 649   function billingFacilityState() {
 650     return x12clean(trim($this->billing_facility['state']));
 651   }
 652
 653   function billingFacilityZip() {
 654     return x12clean(trim($this->billing_facility['postal_code']));
 655   }
 656
 657   function billingFacilityETIN() {
 658     return x12clean(trim(str_replace('-', '', $this->billing_facility['federal_ein'])));
 659   }
 660
 661   function billingFacilityNPI() {
 662     return x12clean(trim($this->billing_facility['facility_npi']));
 663   }
 664
 665   function federalIdType() {
 666         if ($this->billing_facility['tax_id_type'])
 667         {
 668         return $this->billing_facility['tax_id_type'];
 669         }
 670         else{
 671         return null;
 672         }
 673   }
 674
 675   # The billing facility and the patient must both accept for this to return true.
 676   function billingFacilityAssignment($ins=0) {
 677     $tmp = strtoupper($this->payers[$ins]['data']['accept_assignment']);
 678     if (strcmp($tmp,'FALSE') == 0) return '0';
 679     return !empty($this->billing_facility['accepts_assignment']);
 680   }
 681
 682   function billingContactName() {
 683     return x12clean(trim($this->billing_facility['attn']));
 684   }
 685
 686   function billingContactPhone() {
 687     if (preg_match("/([2-9]\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/",
 688       $this->billing_facility['phone'], $tmp))
 689     {
 690       return $tmp[1] . $tmp[2] . $tmp[3];
 691     }
 692     return '';
 693   }
 694
 695   function facilityName() {
 696     return x12clean(trim($this->facility['name']));
 697   }
 698
 699   function facilityStreet() {
 700     return x12clean(trim($this->facility['street']));
 701   }
 702
 703   function facilityCity() {
 704     return x12clean(trim($this->facility['city']));
 705   }
 706
 707   function facilityState() {
 708     return x12clean(trim($this->facility['state']));
 709   }
 710
 711   function facilityZip() {
 712     return x12clean(trim($this->facility['postal_code']));
 713   }
 714
 715   function facilityETIN() {
 716     return x12clean(trim(str_replace('-', '', $this->facility['federal_ein'])));
 717   }
 718
 719   function facilityNPI() {
 720     return x12clean(trim($this->facility['facility_npi']));
 721   }
 722
 723   function facilityPOS() {
 724     return sprintf('%02d', trim($this->facility['pos_code']));
 725   }
 726
 727   function clearingHouseName() {
 728     return x12clean(trim($this->x12_partner['name']));
 729   }
 730
 731   function clearingHouseETIN() {
 732     return x12clean(trim(str_replace('-', '', $this->x12_partner['id_number'])));
 733   }
 734
 735   function providerNumberType($prockey=-1) {
 736     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
 737       $this->insurance_numbers : $this->procs[$prockey]['insurance_numbers'];
 738     return $tmp['provider_number_type'];
 739   }
 740
 741   function providerNumber($prockey=-1) {
 742     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
 743       $this->insurance_numbers : $this->procs[$prockey]['insurance_numbers'];
 744     return x12clean(trim(str_replace('-', '', $tmp['provider_number'])));
 745   }
 746
 747   function providerGroupNumber($prockey=-1) {
 748     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
 749       $this->insurance_numbers : $this->procs[$prockey]['insurance_numbers'];
 750     return x12clean(trim(str_replace('-', '', $tmp['group_number'])));
 751   }
 752
 753   // Returns 'P', 'S' or 'T'.
 754   //
 755   function payerSequence($ins=0) {
 756     return strtoupper(substr($this->payers[$ins]['data']['type'], 0, 1));
 757   }
 758
 759   // Returns the HIPAA code of the patient-to-subscriber relationship.
 760   //
 761   function insuredRelationship($ins=0) {
 762     $tmp = strtolower($this->payers[$ins]['data']['subscriber_relationship']);
 763     if (strcmp($tmp,'self'  ) == 0) return '18';
 764     if (strcmp($tmp,'spouse') == 0) return '01';
 765     if (strcmp($tmp,'child' ) == 0) return '19';
 766     if (strcmp($tmp,'other' ) == 0) return 'G8';
 767     return $tmp; // should not happen
 768   }
 769
 770   function insuredTypeCode($ins=0) {
 771     if (strcmp($this->claimType($ins),'MB') == 0 && $this->payerSequence($ins) != 'P')
 772       return $this->payers[$ins]['data']['policy_type'];
 773     return '';
 774   }
 775
 776   // Is the patient also the subscriber?
 777   //
 778   function isSelfOfInsured($ins=0) {
 779     $tmp = strtolower($this->payers[$ins]['data']['subscriber_relationship']);
 780     return (strcmp($tmp,'self') == 0);
 781   }
 782
 783   function planName($ins=0) {
 784     return x12clean(trim($this->payers[$ins]['data']['plan_name']));
 785   }
 786
 787   function policyNumber($ins=0) { // "ID"
 788     return x12clean(trim($this->payers[$ins]['data']['policy_number']));
 789   }
 790
 791   function groupNumber($ins=0) {
 792     return x12clean(trim($this->payers[$ins]['data']['group_number']));
 793   }
 794
 795   function groupName($ins=0) {
 796     return x12clean(trim($this->payers[$ins]['data']['subscriber_employer']));
 797   }
 798
 799   // Claim types are:
 800   // 16 Other HCFA
 801   // MB Medicare Part B
 802   // MC Medicaid
 803   // CH ChampUSVA
 804   // CH ChampUS
 805   // BL Blue Cross Blue Shield
 806   // 16 FECA
 807   // 09 Self Pay
 808   // 10 Central Certification
 809   // 11 Other Non-Federal Programs
 810   // 12 Preferred Provider Organization (PPO)
 811   // 13 Point of Service (POS)
 812   // 14 Exclusive Provider Organization (EPO)
 813   // 15 Indemnity Insurance
 814   // 16 Health Maintenance Organization (HMO) Medicare Risk
 815   // AM Automobile Medical
 816   // CI Commercial Insurance Co.
 817   // DS Disability
 818   // HM Health Maintenance Organization
 819   // LI Liability
 820   // LM Liability Medical
 821   // OF Other Federal Program
 822   // TV Title V
 823   // VA Veterans Administration Plan
 824   // WC Workers Compensation Health Plan
 825   // ZZ Mutually Defined
 826   //
 827   function claimType($ins=0) {
 828     if (empty($this->payers[$ins]['object'])) return '';
 829     return $this->payers[$ins]['object']->get_freeb_claim_type();
 830   }
 831
 832   function insuredLastName($ins=0) {
 833     return x12clean(trim($this->payers[$ins]['data']['subscriber_lname']));
 834   }
 835
 836   function insuredFirstName($ins=0) {
 837     return x12clean(trim($this->payers[$ins]['data']['subscriber_fname']));
 838   }
 839
 840   function insuredMiddleName($ins=0) {
 841     return x12clean(trim($this->payers[$ins]['data']['subscriber_mname']));
 842   }
 843
 844   function insuredStreet($ins=0) {
 845     return x12clean(trim($this->payers[$ins]['data']['subscriber_street']));
 846   }
 847
 848   function insuredCity($ins=0) {
 849     return x12clean(trim($this->payers[$ins]['data']['subscriber_city']));
 850   }
 851
 852   function insuredState($ins=0) {
 853     return x12clean(trim($this->payers[$ins]['data']['subscriber_state']));
 854   }
 855
 856   function insuredZip($ins=0) {
 857     return x12clean(trim($this->payers[$ins]['data']['subscriber_postal_code']));
 858   }
 859
 860   function insuredPhone($ins=0) {
 861     if (preg_match("/([2-9]\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/",
 862       $this->payers[$ins]['data']['subscriber_phone'], $tmp))
 863       return $tmp[1] . $tmp[2] . $tmp[3];
 864     return '';
 865   }
 866
 867   function insuredDOB($ins=0) {
 868     return str_replace('-', '', $this->payers[$ins]['data']['subscriber_DOB']);
 869   }
 870
 871   function insuredSex($ins=0) {
 872     return strtoupper(substr($this->payers[$ins]['data']['subscriber_sex'], 0, 1));
 873   }
 874
 875   function payerName($ins=0) {
 876     return x12clean(trim($this->payers[$ins]['company']['name']));
 877   }
 878
 879   function payerAttn($ins=0) {
 880     return x12clean(trim($this->payers[$ins]['company']['attn']));
 881   }
 882
 883   function payerStreet($ins=0) {
 884     if (empty($this->payers[$ins]['object'])) return '';
 885     $tmp = $this->payers[$ins]['object'];
 886     $tmp = $tmp->get_address();
 887     return x12clean(trim($tmp->get_line1()));
 888   }
 889
 890   function payerCity($ins=0) {
 891     if (empty($this->payers[$ins]['object'])) return '';
 892     $tmp = $this->payers[$ins]['object'];
 893     $tmp = $tmp->get_address();
 894     return x12clean(trim($tmp->get_city()));
 895   }
 896
 897   function payerState($ins=0) {
 898     if (empty($this->payers[$ins]['object'])) return '';
 899     $tmp = $this->payers[$ins]['object'];
 900     $tmp = $tmp->get_address();
 901     return x12clean(trim($tmp->get_state()));
 902   }
 903
 904   function payerZip($ins=0) {
 905     if (empty($this->payers[$ins]['object'])) return '';
 906     $tmp = $this->payers[$ins]['object'];
 907     $tmp = $tmp->get_address();
 908     return x12clean(trim($tmp->get_zip()));
 909   }
 910
 911   function payerID($ins=0) {
 912     return x12clean(trim($this->payers[$ins]['company']['cms_id']));
 913   }
 914
 915   function payerAltID($ins=0) {
 916     return x12clean(trim($this->payers[$ins]['company']['alt_cms_id']));
 917   }
 918
 919   function patientLastName() {
 920     return x12clean(trim($this->patient_data['lname']));
 921   }
 922
 923   function patientFirstName() {
 924     return x12clean(trim($this->patient_data['fname']));
 925   }
 926
 927   function patientMiddleName() {
 928     return x12clean(trim($this->patient_data['mname']));
 929   }
 930
 931   function patientStreet() {
 932     return x12clean(trim($this->patient_data['street']));
 933   }
 934
 935   function patientCity() {
 936     return x12clean(trim($this->patient_data['city']));
 937   }
 938
 939   function patientState() {
 940     return x12clean(trim($this->patient_data['state']));
 941   }
 942
 943   function patientZip() {
 944     return x12clean(trim($this->patient_data['postal_code']));
 945   }
 946
 947   function patientPhone() {
 948     $ptphone = $this->patient_data['phone_home'];
 949     if (!$ptphone) $ptphone = $this->patient_data['phone_biz'];
 950     if (!$ptphone) $ptphone = $this->patient_data['phone_cell'];
 951     if (preg_match("/([2-9]\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/", $ptphone, $tmp))
 952       return $tmp[1] . $tmp[2] . $tmp[3];
 953     return '';
 954   }
 955
 956   function patientDOB() {
 957     return str_replace('-', '', $this->patient_data['DOB']);
 958   }
 959
 960   function patientSex() {
 961     return strtoupper(substr($this->patient_data['sex'], 0, 1));
 962   }
 963
 964   // Patient Marital Status: M = Married, S = Single, or something else.
 965   function patientStatus() {
 966     return strtoupper(substr($this->patient_data['status'], 0, 1));
 967   }
 968
 969   // This should be UNEMPLOYED, STUDENT, PT STUDENT, or anything else to
 970   // indicate employed.
 971   function patientOccupation() {
 972     return strtoupper(x12clean(trim($this->patient_data['occupation'])));
 973   }
 974
 975   function cptCode($prockey) {
 976     return x12clean(trim($this->procs[$prockey]['code']));
 977   }
 978
 979   function cptModifier($prockey) {
 980     // Split on the colon or space and clean each modifier
 981     $mods = array();
 982     $cln_mods = array();
 983     $mods = preg_split("/[: ]/",trim($this->procs[$prockey]['modifier']));
 984     foreach ($mods as $mod) {
 985         array_push($cln_mods, x12clean($mod));
 986     }
 987     return (implode (':', $cln_mods));
 988   }
 989
 990   function cptNotecodes($prockey) {
 991     return x12clean(trim($this->procs[$prockey]['notecodes']));
 992   }
 993
 994   // Returns the procedure code, followed by ":modifier" if there is one.
 995   function cptKey($prockey) {
 996     $tmp = $this->cptModifier($prockey);
 997     return $this->cptCode($prockey) . ($tmp ? ":$tmp" : "");
 998   }
 999
1000   function cptCharges($prockey) {
1001     return x12clean(trim($this->procs[$prockey]['fee']));
1002   }
1003
1004   function cptUnits($prockey) {
1005     if (empty($this->procs[$prockey]['units'])) return '1';
1006     return x12clean(trim($this->procs[$prockey]['units']));
1007   }
1008
1009   // NDC drug ID.
1010   function cptNDCID($prockey) {
1011     $ndcinfo = $this->procs[$prockey]['ndc_info'];
1012     if (preg_match('/^N4(\S+)\s+(\S\S)(.*)/', $ndcinfo, $tmp)) {
1013       $ndc = $tmp[1];
1014       if (preg_match('/^(\d+)-(\d+)-(\d+)$/', $ndc, $tmp)) {
1015         return sprintf('%05d%04d%02d', $tmp[1], $tmp[2], $tmp[3]);
1016       }
1017       return x12clean($ndc); // format is bad but return it anyway
1018     }
1019     return '';
1020   }
1021
1022   // NDC drug unit of measure code.
1023   function cptNDCUOM($prockey) {
1024     $ndcinfo = $this->procs[$prockey]['ndc_info'];
1025     if (preg_match('/^N4(\S+)\s+(\S\S)(.*)/', $ndcinfo, $tmp))
1026       return x12clean($tmp[2]);
1027     return '';
1028   }
1029
1030   // NDC drug number of units.
1031   function cptNDCQuantity($prockey) {
1032     $ndcinfo = $this->procs[$prockey]['ndc_info'];
1033     if (preg_match('/^N4(\S+)\s+(\S\S)(.*)/', $ndcinfo, $tmp)) {
1034       return x12clean(ltrim($tmp[3], '0'));
1035     }
1036     return '';
1037   }
1038
1039   function onsetDate() {
1040     return cleanDate($this->encounter['onset_date']);
1041   }
1042
1043   function onsetDateValid()
1044   {
1045       return $this->onsetDate()!=='';
1046   }
1047
1048   function serviceDate() {
1049     return str_replace('-', '', substr($this->encounter['date'], 0, 10));
1050   }
1051
1052   function priorAuth() {
1053     return x12clean(trim($this->billing_options['prior_auth_number']));
1054   }
1055
1056   function isRelatedEmployment() {
1057     return !empty($this->billing_options['employment_related']);
1058   }
1059
1060   function isRelatedAuto() {
1061     return !empty($this->billing_options['auto_accident']);
1062   }
1063
1064   function isRelatedOther() {
1065     return !empty($this->billing_options['other_accident']);
1066   }
1067
1068   function autoAccidentState() {
1069     return x12clean(trim($this->billing_options['accident_state']));
1070   }
1071
1072   function isUnableToWork() {
1073     return !empty($this->billing_options['is_unable_to_work']);
1074   }
1075
1076   function offWorkFrom() {
1077     return cleanDate($this->billing_options['off_work_from']);
1078   }
1079
1080   function offWorkTo() {
1081     return cleanDate($this->billing_options['off_work_to']);
1082   }
1083
1084   function isHospitalized() {
1085     return !empty($this->billing_options['is_hospitalized']);
1086   }
1087
1088   function hospitalizedFrom() {
1089     return cleanDate($this->billing_options['hospitalization_date_from']);
1090   }
1091
1092   function hospitalizedTo() {
1093     return cleanDate($this->billing_options['hospitalization_date_to']);
1094   }
1095
1096   function isOutsideLab() {
1097     return !empty($this->billing_options['outside_lab']);
1098   }
1099
1100   function outsideLabAmount() {
1101     return sprintf('%.2f', 0 + $this->billing_options['lab_amount']);
1102   }
1103
1104   function medicaidResubmissionCode() {
1105     return x12clean(trim($this->billing_options['medicaid_resubmission_code']));
1106   }
1107
1108   function medicaidOriginalReference() {
1109     return x12clean(trim($this->billing_options['medicaid_original_reference']));
1110   }
1111
1112   function frequencyTypeCode() {
1113     return empty($this->billing_options['replacement_claim']) ? '1' : '7';
1114   }
1115
1116   function additionalNotes() {
1117     return x12clean(trim($this->billing_options['comments']));
1118   }
1119
1120   function dateInitialTreatment() {
1121     return cleanDate($this->billing_options['date_initial_treatment']);
1122   }
1123
1124   // Returns an array of unique diagnoses.  Periods are stripped.
1125   function diagArray() {
1126     $da = array();
1127     foreach ($this->procs as $row) {
1128       $atmp = explode(':', $row['justify']);
1129       foreach ($atmp as $tmp) {
1130         if (!empty($tmp)) {
1131           $code_data = explode('|',$tmp);
1132           if (!empty($code_data[1])) {
1133             //Strip the prepended code type label
1134             $diag = str_replace('.', '', $code_data[1]);
1135           }
1136           else {
1137             //No prepended code type label
1138             $diag = str_replace('.', '', $code_data[0]);
1139           }
1140           $da[$diag] = $diag;
1141         }
1142       }
1143     }
1144     // The above got all the diagnoses used for justification, in the order
1145     // used for justification.  Next we go through all diagnoses, justified
1146     // or not, to make sure they all get into the claim.  We do it this way
1147     // so that the more important diagnoses appear first.
1148     foreach ($this->diags as $diag) {
1149       $diag = str_replace('.', '', $diag);
1150       $da[$diag] = $diag;
1151     }
1152     return $da;
1153   }
1154
1155   // Compute one 1-relative index in diagArray for the given procedure.
1156   // This function is obsolete, use diagIndexArray() instead.
1157   function diagIndex($prockey) {
1158     $da = $this->diagArray();
1159     $tmp = explode(':', $this->procs[$prockey]['justify']);
1160     if (empty($tmp)) return '';
1161     $diag = str_replace('.', '', $tmp[0]);
1162     $i = 0;
1163     foreach ($da as $value) {
1164       ++$i;
1165       if (strcmp($value,$diag) == 0) return $i;
1166     }
1167     return '';
1168   }
1169
1170   // Compute array of 1-relative diagArray indices for the given procedure.
1171   function diagIndexArray($prockey) {
1172     $dia = array();
1173     $da = $this->diagArray();
1174     $atmp = explode(':', $this->procs[$prockey]['justify']);
1175     foreach ($atmp as $tmp) {
1176       if (!empty($tmp)) {
1177         $code_data = explode('|',$tmp);
1178         if (!empty($code_data[1])) {
1179           //Strip the prepended code type label
1180           $diag = str_replace('.', '', $code_data[1]);
1181         }
1182         else {
1183           //No prepended code type label
1184           $diag = str_replace('.', '', $code_data[0]);
1185         }
1186         $i = 0;
1187         foreach ($da as $value) {
1188           ++$i;
1189           if (strcmp($value,$diag) == 0) $dia[] = $i;
1190         }
1191       }
1192     }
1193     return $dia;
1194   }
1195
1196   function providerLastName($prockey=-1) {
1197     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1198       $this->provider : $this->procs[$prockey]['provider'];
1199     return x12clean(trim($tmp['lname']));
1200   }
1201
1202   function providerFirstName($prockey=-1) {
1203     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1204       $this->provider : $this->procs[$prockey]['provider'];
1205     return x12clean(trim($tmp['fname']));
1206   }
1207
1208   function providerMiddleName($prockey=-1) {
1209     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1210       $this->provider : $this->procs[$prockey]['provider'];
1211     return x12clean(trim($tmp['mname']));
1212   }
1213
1214   function providerNPI($prockey=-1) {
1215     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1216       $this->provider : $this->procs[$prockey]['provider'];
1217     return x12clean(trim($tmp['npi']));
1218   }
1219
1220   function NPIValid($npi)
1221   {
1222       // A NPI MUST be a 10 digit number
1223       if($npi==='') return false;
1224       if(strlen($npi)!=10) return false;
1225       if(!preg_match("/[0-9]*/",$npi)) return false;
1226       return true;
1227
1228   }
1229   function providerNPIValid($prockey=-1)
1230   {
1231       return $this->NPIValid($this->providerNPI($prockey));
1232   }
1233
1234   function providerUPIN($prockey=-1) {
1235     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1236       $this->provider : $this->procs[$prockey]['provider'];
1237     return x12clean(trim($tmp['upin']));
1238   }
1239
1240   function providerSSN($prockey=-1) {
1241     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1242       $this->provider : $this->procs[$prockey]['provider'];
1243     return x12clean(trim(str_replace('-', '', $tmp['federaltaxid'])));
1244   }
1245
1246   function providerTaxonomy($prockey=-1) {
1247     $tmp = ($prockey < 0 || empty($this->procs[$prockey]['provider_id'])) ?
1248       $this->provider : $this->procs[$prockey]['provider'];
1249     if (empty($tmp['taxonomy'])) return '207Q00000X';
1250     return x12clean(trim($tmp['taxonomy']));
1251   }
1252
1253   function referrerLastName() {
1254     return x12clean(trim($this->referrer['lname']));
1255   }
1256
1257   function referrerFirstName() {
1258     return x12clean(trim($this->referrer['fname']));
1259   }
1260
1261   function referrerMiddleName() {
1262     return x12clean(trim($this->referrer['mname']));
1263   }
1264
1265   function referrerNPI() {
1266     return x12clean(trim($this->referrer['npi']));
1267   }
1268
1269   function referrerUPIN() {
1270     return x12clean(trim($this->referrer['upin']));
1271   }
1272
1273   function referrerSSN() {
1274     return x12clean(trim(str_replace('-', '', $this->referrer['federaltaxid'])));
1275   }
1276
1277   function referrerTaxonomy() {
1278     if (empty($this->referrer['taxonomy'])) return '207Q00000X';
1279     return x12clean(trim($this->referrer['taxonomy']));
1280   }
1281
1282   function supervisorLastName() {
1283     return x12clean(trim($this->supervisor['lname']));
1284   }
1285
1286   function supervisorFirstName() {
1287     return x12clean(trim($this->supervisor['fname']));
1288   }
1289
1290   function supervisorMiddleName() {
1291     return x12clean(trim($this->supervisor['mname']));
1292   }
1293
1294   function supervisorNPI() {
1295     return x12clean(trim($this->supervisor['npi']));
1296   }
1297
1298   function supervisorUPIN() {
1299     return x12clean(trim($this->supervisor['upin']));
1300   }
1301
1302   function supervisorSSN() {
1303     return x12clean(trim(str_replace('-', '', $this->supervisor['federaltaxid'])));
1304   }
1305
1306   function supervisorTaxonomy() {
1307     if (empty($this->supervisor['taxonomy'])) return '207Q00000X';
1308     return x12clean(trim($this->supervisor['taxonomy']));
1309   }
1310
1311   function supervisorNumberType() {
1312     return $this->supervisor_numbers['provider_number_type'];
1313   }
1314
1315   function supervisorNumber() {
1316     return x12clean(trim(str_replace('-', '', $this->supervisor_numbers['provider_number'])));
1317   }
1318
1319 }
1320 ?>