library/gen_x12_837.inc.php

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