interface/patient_file/front_payment.php

   1 <?php
   2 // Copyright (C) 2006-2015 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 $fake_register_globals=false;
  10 $sanitize_all_escapes=true;
  11
  12 require_once("../globals.php");
  13 require_once("$srcdir/acl.inc");
  14 require_once("$srcdir/patient.inc");
  15 require_once("$srcdir/billing.inc");
  16 require_once("$srcdir/payment.inc.php");
  17 require_once("$srcdir/forms.inc");
  18 require_once("$srcdir/sl_eob.inc.php");
  19 require_once("$srcdir/invoice_summary.inc.php");
  20 require_once("../../custom/code_types.inc.php");
  21 require_once("$srcdir/formatting.inc.php");
  22 require_once("$srcdir/options.inc.php");
  23 require_once("$srcdir/encounter_events.inc.php");
  24 $pid = $_REQUEST['hidden_patient_code'] > 0 ? $_REQUEST['hidden_patient_code'] : $pid;
  25
  26 ?>
  27 <html>
  28 <head>
  29 <?php html_header_show();?>
  30 <script type="text/javascript" src="<?php echo $webroot ?>/interface/main/tabs/js/include_opener.js"></script>
  31 <link rel='stylesheet' href='<?php echo $css_header ?>' type='text/css'>
  32 <?php
  33 // Format dollars for display.
  34 //
  35 function bucks($amount) {
  36   if ($amount) {
  37     $amount = oeFormatMoney($amount);
  38     return $amount;
  39   }
  40   return '';
  41 }
  42
  43 function rawbucks($amount) {
  44   if ($amount) {
  45     $amount = sprintf("%.2f", $amount);
  46     return $amount;
  47   }
  48   return '';
  49 }
  50
  51 // Display a row of data for an encounter.
  52 //
  53 $var_index=0;
  54 function echoLine($iname, $date, $charges, $ptpaid, $inspaid, $duept,$encounter=0,$copay=0,$patcopay=0) {
  55   global $var_index;
  56   $var_index++;
  57   $balance = bucks($charges - $ptpaid - $inspaid);
  58   $balance = (round($duept,2) != 0) ? 0 : $balance;//if balance is due from patient, then insurance balance is displayed as zero
  59   $encounter = $encounter ? $encounter : '';
  60   echo " <tr id='tr_".attr($var_index)."' >\n";
  61   echo "  <td class='detail'>" . text(oeFormatShortDate($date)) . "</td>\n";
  62   echo "  <td class='detail' id='".attr($date)."' align='center'>" . htmlspecialchars($encounter, ENT_QUOTES) . "</td>\n";
  63   echo "  <td class='detail' align='center' id='td_charges_$var_index' >" . htmlspecialchars(bucks($charges), ENT_QUOTES) . "</td>\n";
  64   echo "  <td class='detail' align='center' id='td_inspaid_$var_index' >" . htmlspecialchars(bucks($inspaid*-1), ENT_QUOTES) . "</td>\n";
  65   echo "  <td class='detail' align='center' id='td_ptpaid_$var_index' >" . htmlspecialchars(bucks($ptpaid*-1), ENT_QUOTES) . "</td>\n";
  66   echo "  <td class='detail' align='center' id='td_patient_copay_$var_index' >" . htmlspecialchars(bucks($patcopay), ENT_QUOTES) . "</td>\n";
  67   echo "  <td class='detail' align='center' id='td_copay_$var_index' >" . htmlspecialchars(bucks($copay), ENT_QUOTES) . "</td>\n";
  68   echo "  <td class='detail' align='center' id='balance_$var_index'>" . htmlspecialchars(bucks($balance), ENT_QUOTES) . "</td>\n";
  69   echo "  <td class='detail' align='center' id='duept_$var_index'>" . htmlspecialchars(bucks(round($duept,2)*1), ENT_QUOTES) . "</td>\n";
  70   echo "  <td class='detail' align='right'><input type='text' name='".attr($iname)."'  id='paying_".attr($var_index)."' " .
  71     " value='" .  '' . "' onchange='coloring();calctotal()'  autocomplete='off' " .
  72     "onkeyup='calctotal()'  style='width:50px'/></td>\n";
  73   echo " </tr>\n";
  74 }
  75
  76 // We use this to put dashes, colons, etc. back into a timestamp.
  77 //
  78 function decorateString($fmt, $str) {
  79   $res = '';
  80   while ($fmt) {
  81     $fc = substr($fmt, 0, 1);
  82     $fmt = substr($fmt, 1);
  83     if ($fc == '.') {
  84       $res .= substr($str, 0, 1);
  85       $str = substr($str, 1);
  86     } else {
  87       $res .= $fc;
  88     }
  89   }
  90   return $res;
  91 }
  92
  93 // Compute taxes from a tax rate string and a possibly taxable amount.
  94 //
  95 function calcTaxes($row, $amount) {
  96   $total = 0;
  97   if (empty($row['taxrates'])) return $total;
  98   $arates = explode(':', $row['taxrates']);
  99   if (empty($arates)) return $total;
 100   foreach ($arates as $value) {
 101     if (empty($value)) continue;
 102     $trow = sqlQuery("SELECT option_value FROM list_options WHERE " .
 103       "list_id = 'taxrate' AND option_id = ? LIMIT 1", array($value) );
 104     if (empty($trow['option_value'])) {
 105       echo "<!-- Missing tax rate '".text($value)."'! -->\n";
 106       continue;
 107     }
 108     $tax = sprintf("%01.2f", $amount * $trow['option_value']);
 109     // echo "<!-- Rate = '$value', amount = '$amount', tax = '$tax' -->\n";
 110     $total += $tax;
 111   }
 112   return $total;
 113 }
 114
 115 $now = time();
 116 $today = date('Y-m-d', $now);
 117 $timestamp = date('Y-m-d H:i:s', $now);
 118
 119
 120 // $patdata = getPatientData($pid, 'fname,lname,pubpid');
 121
 122 $patdata = sqlQuery("SELECT " .
 123   "p.fname, p.mname, p.lname, p.pubpid,p.pid, i.copay " .
 124   "FROM patient_data AS p " .
 125   "LEFT OUTER JOIN insurance_data AS i ON " .
 126   "i.pid = p.pid AND i.type = 'primary' " .
 127   "WHERE p.pid = ? ORDER BY i.date DESC LIMIT 1", array($pid) );
 128
 129 $alertmsg = ''; // anything here pops up in an alert box
 130
 131 // If the Save button was clicked...
 132 if ($_POST['form_save']) {
 133   $form_pid = $_POST['form_pid'];
 134   $form_method = trim($_POST['form_method']);
 135   $form_source = trim($_POST['form_source']);
 136   $patdata = getPatientData($form_pid, 'fname,mname,lname,pubpid');
 137   $NameNew=$patdata['fname'] . " " .$patdata['lname']. " " .$patdata['mname'];
 138
 139         if($_REQUEST['radio_type_of_payment']=='pre_payment')
 140          {
 141                   $payment_id = idSqlStatement("insert into ar_session set "    .
 142                         "payer_id = ?"       .
 143                         ", patient_id = ?"   .
 144                         ", user_id = ?"     .
 145                         ", closed = ?"      .
 146                         ", reference = ?"   .
 147                         ", check_date =  now() , deposit_date = now() " .
 148                         ",  pay_total = ?"    .
 149                         ", payment_type = 'patient'" .
 150                         ", description = ?"   .
 151                         ", adjustment_code = 'pre_payment'" .
 152                         ", post_to_date = now() " .
 153                         ", payment_method = ?",
 154                         array(0,$form_pid,$_SESSION['authUserID'],0,$form_source,$_REQUEST['form_prepayment'],$NameNew,$form_method));
 155
 156                  frontPayment($form_pid, 0, $form_method, $form_source, $_REQUEST['form_prepayment'], 0, $timestamp);//insertion to 'payments' table.
 157          }
 158
 159   if ($_POST['form_upay'] && $_REQUEST['radio_type_of_payment']!='pre_payment') {
 160     foreach ($_POST['form_upay'] as $enc => $payment) {
 161       if ($amount = 0 + $payment) {
 162                $zero_enc=$enc;
 163                if($_REQUEST['radio_type_of_payment']=='invoice_balance')
 164                     {
 165                          ;
 166                     }
 167                    else
 168                     {
 169                          if (!$enc)
 170                           {
 171                                         $enc = calendar_arrived($form_pid);
 172                           }
 173                     }
 174 //----------------------------------------------------------------------------------------------------
 175                         //Fetching the existing code and modifier
 176                         $ResultSearchNew = sqlStatement("SELECT * FROM billing LEFT JOIN code_types ON billing.code_type=code_types.ct_key ".
 177                                 "WHERE code_types.ct_fee=1 AND billing.activity!=0 AND billing.pid =? AND encounter=? ORDER BY billing.code,billing.modifier",
 178                                 array($form_pid,$enc));
 179                          if($RowSearch = sqlFetchArray($ResultSearchNew))
 180                           {
 181                                 $Codetype=$RowSearch['code_type'];
 182                                 $Code=$RowSearch['code'];
 183                                 $Modifier=$RowSearch['modifier'];
 184                           }
 185                          else
 186                           {
 187                                 $Codetype='';
 188                                 $Code='';
 189                                 $Modifier='';
 190                           }
 191 //----------------------------------------------------------------------------------------------------
 192                         if($_REQUEST['radio_type_of_payment']=='copay')//copay saving to ar_session and ar_activity tables
 193                          {
 194                                 $session_id=sqlInsert("INSERT INTO ar_session (payer_id,user_id,reference,check_date,deposit_date,pay_total,".
 195                                  " global_amount,payment_type,description,patient_id,payment_method,adjustment_code,post_to_date) ".
 196                                  " VALUES ('0',?,?,now(),now(),?,'','patient','COPAY',?,?,'patient_payment',now())",
 197                                  array($_SESSION['authId'],$form_source,$amount,$form_pid,$form_method));
 198
 199                  sqlBeginTrans();
 200                  $sequence_no = sqlQuery( "SELECT IFNULL(MAX(sequence_no),0) + 1 AS increment FROM ar_activity WHERE pid = ? AND encounter = ?", array($form_pid, $enc));
 201                                   $insrt_id=sqlInsert("INSERT INTO ar_activity (pid,encounter,sequence_no,code_type,code,modifier,payer_type,post_time,post_user,session_id,pay_amount,account_code)".
 202                                    " VALUES (?,?,?,?,?,?,0,now(),?,?,?,'PCP')",
 203                                          array($form_pid,$enc,$sequence_no['increment'],$Codetype,$Code,$Modifier,$_SESSION['authId'],$session_id,$amount));
 204                                  sqlCommitTrans();
 205
 206                                  frontPayment($form_pid, $enc, $form_method, $form_source, $amount, 0, $timestamp);//insertion to 'payments' table.
 207                          }
 208                         if($_REQUEST['radio_type_of_payment']=='invoice_balance' || $_REQUEST['radio_type_of_payment']=='cash')
 209                          {                              //Payment by patient after insurance paid, cash patients similar to do not bill insurance in feesheet.
 210                                   if($_REQUEST['radio_type_of_payment']=='cash')
 211                                    {
 212                                     sqlStatement("update form_encounter set last_level_closed=? where encounter=? and pid=? ",
 213                                                         array(4,$enc,$form_pid));
 214                                     sqlStatement("update billing set billed=? where encounter=? and pid=?",
 215                                                         array(1,$enc,$form_pid));
 216                                    }
 217                                   $adjustment_code='patient_payment';
 218                                   $payment_id = idSqlStatement("insert into ar_session set "    .
 219                                         "payer_id = ?"       .
 220                                         ", patient_id = ?"   .
 221                                         ", user_id = ?"     .
 222                                         ", closed = ?"      .
 223                                         ", reference = ?"   .
 224                                         ", check_date =  now() , deposit_date = now() " .
 225                                         ",  pay_total = ?"    .
 226                                         ", payment_type = 'patient'" .
 227                                         ", description = ?"   .
 228                                         ", adjustment_code = ?" .
 229                                         ", post_to_date = now() " .
 230                                         ", payment_method = ?",
 231                                         array(0,$form_pid,$_SESSION['authUserID'],0,$form_source,$amount,$NameNew,$adjustment_code,$form_method));
 232
 233         //--------------------------------------------------------------------------------------------------------------------
 234
 235                                 frontPayment($form_pid, $enc, $form_method, $form_source, 0, $amount, $timestamp);//insertion to 'payments' table.
 236
 237         //--------------------------------------------------------------------------------------------------------------------
 238
 239                                         $resMoneyGot = sqlStatement("SELECT sum(pay_amount) as PatientPay FROM ar_activity where pid =? and ".
 240                                                 "encounter =? and payer_type=0 and account_code='PCP'",
 241                                                 array($form_pid,$enc));//new fees screen copay gives account_code='PCP'
 242                                         $rowMoneyGot = sqlFetchArray($resMoneyGot);
 243                                         $Copay=$rowMoneyGot['PatientPay'];
 244
 245         //--------------------------------------------------------------------------------------------------------------------
 246
 247                                         //Looping the existing code and modifier
 248                                         $ResultSearchNew = sqlStatement("SELECT * FROM billing LEFT JOIN code_types ON billing.code_type=code_types.ct_key WHERE code_types.ct_fee=1 ".
 249                                                 "AND billing.activity!=0 AND billing.pid =? AND encounter=? ORDER BY billing.code,billing.modifier",
 250                                           array($form_pid,$enc));
 251                                          while($RowSearch = sqlFetchArray($ResultSearchNew))
 252                                           {
 253                                                 $Codetype=$RowSearch['code_type'];
 254                                                 $Code=$RowSearch['code'];
 255                                                 $Modifier =$RowSearch['modifier'];
 256                                                 $Fee =$RowSearch['fee'];
 257
 258                                                 $resMoneyGot = sqlStatement("SELECT sum(pay_amount) as MoneyGot FROM ar_activity where pid =? ".
 259                                                         "and code_type=? and code=? and modifier=? and encounter =? and !(payer_type=0 and account_code='PCP')",
 260                                                 array($form_pid,$Codetype,$Code,$Modifier,$enc));
 261                                                 //new fees screen copay gives account_code='PCP'
 262                                                 $rowMoneyGot = sqlFetchArray($resMoneyGot);
 263                                                 $MoneyGot=$rowMoneyGot['MoneyGot'];
 264
 265                                                 $resMoneyAdjusted = sqlStatement("SELECT sum(adj_amount) as MoneyAdjusted FROM ar_activity where ".
 266                                                   "pid =? and code_type=? and code=? and modifier=? and encounter =?",
 267                                                   array($form_pid,$Codetype,$Code,$Modifier,$enc));
 268                                                 $rowMoneyAdjusted = sqlFetchArray($resMoneyAdjusted);
 269                                                 $MoneyAdjusted=$rowMoneyAdjusted['MoneyAdjusted'];
 270
 271                                                 $Remainder=$Fee-$Copay-$MoneyGot-$MoneyAdjusted;
 272                                                 $Copay=0;
 273                                                 if(round($Remainder,2)!=0 && $amount!=0)
 274                                                  {
 275                                                   if($amount-$Remainder >= 0)
 276                                                    {
 277                                                                 $insert_value=$Remainder;
 278                                                                 $amount=$amount-$Remainder;
 279                                                    }
 280                                                   else
 281                                                    {
 282                                                                 $insert_value=$amount;
 283                                                                 $amount=0;
 284                                                    }
 285                           sqlBeginTrans();
 286                           $sequence_no = sqlQuery( "SELECT IFNULL(MAX(sequence_no),0) + 1 AS increment FROM ar_activity WHERE pid = ? AND encounter = ?", array($form_pid, $enc));
 287                                                   sqlStatement("insert into ar_activity set "    .
 288                                                         "pid = ?"       .
 289                                                         ", encounter = ?"     .
 290                                                         ", sequence_no = ?"     .
 291                                                         ", code_type = ?"      .
 292                                                         ", code = ?"      .
 293                                                         ", modifier = ?"      .
 294                                                         ", payer_type = ?"   .
 295                                                         ", post_time = now() " .
 296                                                         ", post_user = ?" .
 297                                                         ", session_id = ?"    .
 298                                                         ", pay_amount = ?" .
 299                                                         ", adj_amount = ?"    .
 300                                                         ", account_code = 'PP'",
 301                                                         array($form_pid,$enc,$sequence_no['increment'],$Codetype,$Code,$Modifier,0,$_SESSION['authUserID'],$payment_id,$insert_value,0));
 302                             sqlCommitTrans();
 303                                                  }//if
 304                                           }//while
 305                                          if($amount!=0)//if any excess is there.
 306                                           {
 307                           sqlBeginTrans();
 308                           $sequence_no = sqlQuery( "SELECT IFNULL(MAX(sequence_no),0) + 1 AS increment FROM ar_activity WHERE pid = ? AND encounter = ?", array($form_pid, $enc));
 309                           sqlStatement("insert into ar_activity set "    .
 310                                                         "pid = ?"       .
 311                                                         ", encounter = ?"     .
 312                                                         ", sequence_no = ?"     .
 313                                                         ", code_type = ?"      .
 314                                                         ", code = ?"      .
 315                                                         ", modifier = ?"      .
 316                                                         ", payer_type = ?"   .
 317                                                         ", post_time = now() " .
 318                                                         ", post_user = ?" .
 319                                                         ", session_id = ?"    .
 320                                                         ", pay_amount = ?" .
 321                                                         ", adj_amount = ?"    .
 322                                                         ", account_code = 'PP'",
 323                                                         array($form_pid,$enc,$sequence_no['increment'],$Codetype,$Code,$Modifier,0,$_SESSION['authUserID'],$payment_id,$amount,0));
 324                           sqlCommitTrans();
 325                                           }
 326
 327         //--------------------------------------------------------------------------------------------------------------------
 328                            }//invoice_balance
 329                         }//if ($amount = 0 + $payment)
 330                 }//foreach
 331          }//if ($_POST['form_upay'])
 332   }//if ($_POST['form_save'])
 333
 334 if ($_POST['form_save'] || $_REQUEST['receipt']) {
 335
 336   if ($_REQUEST['receipt']) {
 337     $form_pid = $_GET['patient'];
 338     $timestamp = decorateString('....-..-.. ..:..:..', $_GET['time']);
 339   }
 340
 341   // Get details for what we guess is the primary facility.
 342   $frow = sqlQuery("SELECT * FROM facility " .
 343     "ORDER BY billing_location DESC, accepts_assignment DESC, id LIMIT 1");
 344
 345   // Get the patient's name and chart number.
 346   $patdata = getPatientData($form_pid, 'fname,mname,lname,pubpid');
 347
 348   // Re-fetch payment info.
 349   $payrow = sqlQuery("SELECT " .
 350     "SUM(amount1) AS amount1, " .
 351     "SUM(amount2) AS amount2, " .
 352     "MAX(method) AS method, " .
 353     "MAX(source) AS source, " .
 354     "MAX(dtime) AS dtime, " .
 355     // "MAX(user) AS user " .
 356     "MAX(user) AS user, " .
 357     "MAX(encounter) as encounter ".
 358     "FROM payments WHERE " .
 359     "pid = ? AND dtime = ?", array($form_pid,$timestamp) );
 360
 361   // Create key for deleting, just in case.
 362         $ref_id = ($_REQUEST['radio_type_of_payment']=='copay') ? $session_id : $payment_id ;
 363   $payment_key = $form_pid . '.' . preg_replace('/[^0-9]/', '', $timestamp).'.'.$ref_id;
 364
 365   // get facility from encounter
 366   $tmprow = sqlQuery("
 367     SELECT facility_id
 368     FROM form_encounter
 369     WHERE encounter = ?", array($payrow['encounter']) );
 370   $frow = sqlQuery("SELECT * FROM facility " .
 371     " WHERE id = ?", array($tmprow['facility_id']) );
 372
 373   // Now proceed with printing the receipt.
 374 ?>
 375
 376 <title><?php echo xlt('Receipt for Payment'); ?></title>
 377 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery.js"></script>
 378 <script type="text/javascript" src="../../library/dialog.js"></script>
 379 <script language="JavaScript">
 380
 381 <?php require($GLOBALS['srcdir'] . "/restoreSession.php"); ?>
 382
 383 $(document).ready(function() {
 384  var win = top.printLogSetup ? top : opener.top;
 385  win.printLogSetup(document.getElementById('printbutton'));
 386 });
 387
 388  // This is action to take before printing and is called from restoreSession.php.
 389  function printlog_before_print() {
 390   var divstyle = document.getElementById('hideonprint').style;
 391   divstyle.display = 'none';
 392  }
 393
 394  // Process click on Delete button.
 395  function deleteme() {
 396   dlgopen('deleter.php?payment=<?php echo $payment_key ?>', '_blank', 500, 450);
 397   return false;
 398  }
 399  // Called by the deleteme.php window on a successful delete.
 400  function imdeleted() {
 401   window.close();
 402  }
 403
 404  // Called to switch to the specified encounter having the specified DOS.
 405  // This also closes the popup window.
 406  function toencounter(enc, datestr, topframe) {
 407   topframe.restoreSession();
 408 <?php if ($GLOBALS['concurrent_layout']) { ?>
 409   // Hard-coding of RBot for this purpose is awkward, but since this is a
 410   // pop-up and our openemr is left_nav, we have no good clue as to whether
 411   // the top frame is more appropriate.
 412   topframe.left_nav.forceDual();
 413   topframe.left_nav.setEncounter(datestr, enc, '');
 414   topframe.left_nav.setRadio('RBot', 'enc');
 415   topframe.left_nav.loadFrame('enc2', 'RBot', 'patient_file/encounter/encounter_top.php?set_encounter=' + enc);
 416 <?php } else { ?>
 417   topframe.Title.location.href = 'encounter/encounter_title.php?set_encounter='   + enc;
 418   topframe.Main.location.href  = 'encounter/patient_encounter.php?set_encounter=' + enc;
 419 <?php } ?>
 420   window.close();
 421  }
 422
 423 </script>
 424 </head>
 425 <body bgcolor='#ffffff'>
 426 <center>
 427
 428 <p><h2><?php echo xlt('Receipt for Payment'); ?></h2>
 429
 430 <p><?php echo text($frow['name']) ?>
 431 <br><?php echo text($frow['street']) ?>
 432 <br><?php echo text($frow['city'] . ', ' . $frow['state']) . ' ' .
 433     text($frow['postal_code']) ?>
 434 <br><?php echo htmlentities($frow['phone']) ?>
 435
 436 <p>
 437 <table border='0' cellspacing='8'>
 438  <tr>
 439   <td><?php echo xlt('Date'); ?>:</td>
 440   <td><?php echo text(oeFormatSDFT(strtotime($payrow['dtime']))) ?></td>
 441  </tr>
 442  <tr>
 443   <td><?php echo xlt('Patient'); ?>:</td>
 444   <td><?php echo text($patdata['fname']) . " " . text($patdata['mname']) . " " .
 445        text($patdata['lname']) . " (" . text($patdata['pubpid']) . ")" ?></td>
 446  </tr>
 447  <tr>
 448   <td><?php echo xlt('Paid Via'); ?>:</td>
 449   <td><?php echo generate_display_field(array('data_type'=>'1','list_id'=>'payment_method'),$payrow['method']); ?></td>
 450  </tr>
 451  <tr>
 452   <td><?php echo xlt('Check/Ref Number'); ?>:</td>
 453   <td><?php echo text($payrow['source']) ?></td>
 454  </tr>
 455  <tr>
 456   <td><?php echo xlt('Amount for This Visit'); ?>:</td>
 457   <td><?php echo text(oeFormatMoney($payrow['amount1'])) ?></td>
 458  </tr>
 459  <tr>
 460   <td><?php echo xlt('Amount for Past Balance'); ?>:</td>
 461   <td><?php echo text(oeFormatMoney($payrow['amount2'])) ?></td>
 462  </tr>
 463  <tr>
 464   <td><?php echo xlt('Received By'); ?>:</td>
 465   <td><?php echo text($payrow['user']) ?></td>
 466  </tr>
 467 </table>
 468
 469 <div id='hideonprint'>
 470 <p>
 471 <input type='button' value='<?php echo xla('Print'); ?>' id='printbutton' />
 472
 473 <?php
 474   $todaysenc = todaysEncounterIf($pid);
 475   if ($todaysenc && $todaysenc != $encounter) {
 476     echo "&nbsp;<input type='button' " .
 477       "value='" . xla('Open Today`s Visit') . "' " .
 478       "onclick='toencounter($todaysenc,\"$today\",opener.top)' />\n";
 479   }
 480 ?>
 481
 482 <?php if (acl_check('admin', 'super')) { ?>
 483 &nbsp;
 484 <input type='button' value='<?php xl('Delete','e'); ?>' style='color:red' onclick='deleteme()' />
 485 <?php } ?>
 486
 487 </div>
 488 </center>
 489 </body>
 490
 491 <?php
 492   //
 493   // End of receipt printing logic.
 494   //
 495 } else {
 496   //
 497   // Here we display the form for data entry.
 498   //
 499 ?>
 500 <title><?php echo xlt('Record Payment'); ?></title>
 501
 502 <style type="text/css">
 503  body    { font-family:sans-serif; font-size:10pt; font-weight:normal }
 504  .dehead { color:#000000; font-family:sans-serif; font-size:10pt; font-weight:bold }
 505  .detail { color:#000000; font-family:sans-serif; font-size:10pt; font-weight:normal }
 506 #ajax_div_patient {
 507         position: absolute;
 508         z-index:10;
 509         background-color: #FBFDD0;
 510         border: 1px solid #ccc;
 511         padding: 10px;
 512 }
 513 </style>
 514
 515 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 516
 517 <!-- supporting javascript code -->
 518 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/js/jquery.js"></script>
 519
 520 <script type="text/javascript" src="<?php echo $GLOBALS['webroot'] ?>/library/dialog.js"></script>
 521
 522
 523
 524 <link rel="stylesheet" href="<?php echo $css_header;?>" type="text/css">
 525 <link rel="stylesheet" type="text/css" href="../../library/js/fancybox/jquery.fancybox-1.2.6.css" media="screen" />
 526 <style type="text/css">@import url(../../library/dynarch_calendar.css);</style>
 527 <script type="text/javascript" src="../../library/textformat.js"></script>
 528 <script type="text/javascript" src="../../library/dynarch_calendar.js"></script>
 529 <?php include_once("{$GLOBALS['srcdir']}/dynarch_calendar_en.inc.php"); ?>
 530 <script type="text/javascript" src="../../library/dynarch_calendar_setup.js"></script>
 531 <script type="text/javascript" src="../../library/dialog.js"></script>
 532 <script type="text/javascript" src="../../library/js/jquery.1.3.2.js"></script>
 533 <script type="text/javascript" src="../../library/js/common.js"></script>
 534 <script type="text/javascript" src="../../library/js/fancybox/jquery.fancybox-1.2.6.js"></script>
 535 <script type="text/javascript" src="../../library/js/jquery.easydrag.handler.beta2.js"></script>
 536 <script language='JavaScript'>
 537  var mypcc = '1';
 538 </script>
 539 <?php include_once("{$GLOBALS['srcdir']}/ajax/payment_ajax_jav.inc.php"); ?>
 540 <script language="javascript" type="text/javascript">
 541 document.onclick=HideTheAjaxDivs;
 542 </script>
 543
 544 <script type="text/javascript" src="../../library/topdialog.js"></script>
 545
 546 <script language="JavaScript">
 547 <?php require($GLOBALS['srcdir'] . "/restoreSession.php"); ?>
 548
 549 function calctotal() {
 550  var f = document.forms[0];
 551  var total = 0;
 552  for (var i = 0; i < f.elements.length; ++i) {
 553   var elem = f.elements[i];
 554   var ename = elem.name;
 555   if (ename.indexOf('form_upay[') == 0 || ename.indexOf('form_bpay[') == 0) {
 556    if (elem.value.length > 0) total += Number(elem.value);
 557   }
 558  }
 559  f.form_paytotal.value = Number(total).toFixed(2);
 560  return true;
 561 }
 562 function coloring()
 563  {
 564    for (var i = 1; ; ++i)
 565     {
 566           if(document.getElementById('paying_'+i))
 567            {
 568             paying=document.getElementById('paying_'+i).value*1;
 569                 patient_balance=document.getElementById('duept_'+i).innerHTML*1;
 570                 //balance=document.getElementById('balance_'+i).innerHTML*1;
 571                 if(patient_balance>0 && paying>0)
 572                  {
 573                         if(paying>patient_balance)
 574                          {
 575                           document.getElementById('paying_'+i).style.background='#FF0000';
 576                          }
 577                         else if(paying<patient_balance)
 578                          {
 579                           document.getElementById('paying_'+i).style.background='#99CC00';
 580                          }
 581                         else if(paying==patient_balance)
 582                          {
 583                           document.getElementById('paying_'+i).style.background='#ffffff';
 584                          }
 585                  }
 586                 else
 587                  {
 588                   document.getElementById('paying_'+i).style.background='#ffffff';
 589                  }
 590            }
 591           else
 592            {
 593             break;
 594            }
 595         }
 596  }
 597 function CheckVisible(MakeBlank)
 598  {//Displays and hides the check number text box.
 599    if(document.getElementById('form_method').options[document.getElementById('form_method').selectedIndex].value=='check_payment' ||
 600           document.getElementById('form_method').options[document.getElementById('form_method').selectedIndex].value=='bank_draft'  )
 601    {
 602         document.getElementById('check_number').disabled=false;
 603    }
 604    else
 605    {
 606         document.getElementById('check_number').disabled=true;
 607    }
 608  }
 609 function validate()
 610  {
 611   var f = document.forms[0];
 612   ok=-1;
 613   top.restoreSession();
 614   issue='no';
 615    if(((document.getElementById('form_method').options[document.getElementById('form_method').selectedIndex].value=='check_payment' ||
 616           document.getElementById('form_method').options[document.getElementById('form_method').selectedIndex].value=='bank_draft') &&
 617            document.getElementById('check_number').value=='' ))
 618    {
 619     alert("<?php echo addslashes( xl('Please Fill the Check/Ref Number')) ?>");
 620         document.getElementById('check_number').focus();
 621         return false;
 622    }
 623
 624   if(document.getElementById('radio_type_of_payment_self1').checked==false && document.getElementById('radio_type_of_payment_self2').checked==false   && document.getElementById('radio_type_of_payment1').checked==false && document.getElementById('radio_type_of_payment2').checked==false  && document.getElementById('radio_type_of_payment5').checked==false  && document.getElementById('radio_type_of_payment4').checked==false)
 625    {
 626           alert("<?php echo addslashes( xl('Please Select Type Of Payment.')) ?>");
 627           return false;
 628    }
 629   if(document.getElementById('radio_type_of_payment_self1').checked==true || document.getElementById('radio_type_of_payment_self2').checked==true || document.getElementById('radio_type_of_payment1').checked==true || document.getElementById('radio_type_of_payment5').checked==true)
 630    {
 631          for (var i = 0; i < f.elements.length; ++i)
 632          {
 633           var elem = f.elements[i];
 634           var ename = elem.name;
 635           if (ename.indexOf('form_upay[0') == 0) //Today is this text box.
 636           {
 637            if(elem.value*1>0)
 638             {//A warning message, if the amount is posted with out encounter.
 639                  if(confirm("<?php echo addslashes( xl('Are you sure to post for today?')) ?>"))
 640                   {
 641                    ok=1;
 642                   }
 643                  else
 644                   {
 645                    elem.focus();
 646                    return false;
 647                   }
 648                 }
 649            break;
 650           }
 651         }
 652    }
 653
 654   if(document.getElementById('radio_type_of_payment1').checked==true)//CO-PAY
 655    {
 656          var total = 0;
 657          for (var i = 0; i < f.elements.length; ++i)
 658          {
 659           var elem = f.elements[i];
 660           var ename = elem.name;
 661           if (ename.indexOf('form_upay[') == 0) //Today is this text box.
 662           {
 663            if(f.form_paytotal.value*1!=elem.value*1)//Total CO-PAY is not posted against today
 664             {//A warning message, if the amount is posted against an old encounter.
 665                  if(confirm("<?php echo addslashes( xl('You are posting against an old encounter?')) ?>"))
 666                   {
 667                    ok=1;
 668                   }
 669                  else
 670                   {
 671                    elem.focus();
 672                    return false;
 673                   }
 674                 }
 675            break;
 676           }
 677         }
 678    }//Co Pay
 679  else if(document.getElementById('radio_type_of_payment2').checked==true)//Invoice Balance
 680   {
 681    if(document.getElementById('Today').innerHTML=='')
 682     {
 683          for (var i = 0; i < f.elements.length; ++i)
 684           {
 685            var elem = f.elements[i];
 686            var ename = elem.name;
 687            if (ename.indexOf('form_upay[') == 0)
 688                 {
 689                  if (elem.value*1 > 0)
 690                   {
 691                           alert("<?php echo addslashes( xl('Invoice Balance cannot be posted. No Encounter is created.')) ?>");
 692                           return false;
 693                  }
 694                  break;
 695            }
 696           }
 697         }
 698   }
 699  if(ok==-1)
 700   {
 701          if(confirm("<?php echo addslashes( xl('Would you like to save?')) ?>"))
 702           {
 703            return true;
 704           }
 705          else
 706           {
 707            return false;
 708           }
 709   }
 710 }
 711 function cursor_pointer()
 712  {//Point the cursor to the latest encounter(Today)
 713          var f = document.forms[0];
 714          var total = 0;
 715          for (var i = 0; i < f.elements.length; ++i)
 716          {
 717           var elem = f.elements[i];
 718           var ename = elem.name;
 719           if (ename.indexOf('form_upay[') == 0)
 720           {
 721            elem.focus();
 722            break;
 723           }
 724         }
 725  }
 726  //=====================================================
 727 function make_it_hide_enc_pay()
 728  {
 729         document.getElementById('td_head_insurance_payment').style.display="none";
 730         document.getElementById('td_head_patient_co_pay').style.display="none";
 731         document.getElementById('td_head_co_pay').style.display="none";
 732         document.getElementById('td_head_insurance_balance').style.display="none";
 733   for (var i = 1; ; ++i)
 734   {
 735         var td_inspaid_elem = document.getElementById('td_inspaid_'+i)
 736                 var td_patient_copay_elem = document.getElementById('td_patient_copay_'+i)
 737         var td_copay_elem = document.getElementById('td_copay_'+i)
 738         var balance_elem = document.getElementById('balance_'+i)
 739    if (td_inspaid_elem)
 740    {
 741     td_inspaid_elem.style.display="none";
 742                 td_patient_copay_elem.style.display="none";
 743     td_copay_elem.style.display="none";
 744     balance_elem.style.display="none";
 745    }
 746   else
 747    {
 748     break;
 749    }
 750   }
 751   document.getElementById('td_total_4').style.display="none";
 752   document.getElementById('td_total_7').style.display="none";
 753         document.getElementById('td_total_8').style.display="none";
 754   document.getElementById('td_total_6').style.display="none";
 755
 756   document.getElementById('table_display').width="420px";
 757  }
 758
 759  //=====================================================
 760 function make_visible()
 761  {
 762   document.getElementById('td_head_rep_doc').style.display="";
 763   document.getElementById('td_head_description').style.display="";
 764   document.getElementById('td_head_total_charge').style.display="none";
 765   document.getElementById('td_head_insurance_payment').style.display="none";
 766   document.getElementById('td_head_patient_payment').style.display="none";
 767         document.getElementById('td_head_patient_co_pay').style.display="none";
 768   document.getElementById('td_head_co_pay').style.display="none";
 769   document.getElementById('td_head_insurance_balance').style.display="none";
 770   document.getElementById('td_head_patient_balance').style.display="none";
 771   for (var i = 1; ; ++i)
 772   {
 773    var td_charges_elem = document.getElementById('td_charges_'+i)
 774    var td_inspaid_elem = document.getElementById('td_inspaid_'+i)
 775    var td_ptpaid_elem = document.getElementById('td_ptpaid_'+i)
 776          var td_patient_copay_elem = document.getElementById('td_patient_copay_'+i)
 777    var td_copay_elem = document.getElementById('td_copay_'+i)
 778    var balance_elem = document.getElementById('balance_'+i)
 779    var duept_elem = document.getElementById('duept_'+i)
 780    if (td_charges_elem)
 781    {
 782     td_charges_elem.style.display="none";
 783     td_inspaid_elem.style.display="none";
 784     td_ptpaid_elem.style.display="none";
 785                 td_patient_copay_elem.style.display="none";
 786     td_copay_elem.style.display="none";
 787     balance_elem.style.display="none";
 788     duept_elem.style.display="none";
 789    }
 790   else
 791    {
 792     break;
 793    }
 794   }
 795   document.getElementById('td_total_7').style.display="";
 796         document.getElementById('td_total_8').style.display="";
 797   document.getElementById('td_total_1').style.display="none";
 798   document.getElementById('td_total_2').style.display="none";
 799   document.getElementById('td_total_3').style.display="none";
 800   document.getElementById('td_total_4').style.display="none";
 801   document.getElementById('td_total_5').style.display="none";
 802   document.getElementById('td_total_6').style.display="none";
 803
 804   document.getElementById('table_display').width="505px";
 805  }
 806 function make_it_hide()
 807  {
 808   document.getElementById('td_head_rep_doc').style.display="none";
 809   document.getElementById('td_head_description').style.display="none";
 810   document.getElementById('td_head_total_charge').style.display="";
 811   document.getElementById('td_head_insurance_payment').style.display="";
 812   document.getElementById('td_head_patient_payment').style.display="";
 813   document.getElementById('td_head_patient_co_pay').style.display="";
 814         document.getElementById('td_head_co_pay').style.display="";
 815   document.getElementById('td_head_insurance_balance').style.display="";
 816   document.getElementById('td_head_patient_balance').style.display="";
 817   for (var i = 1; ; ++i)
 818   {
 819    var td_charges_elem = document.getElementById('td_charges_'+i)
 820    var td_inspaid_elem = document.getElementById('td_inspaid_'+i)
 821    var td_ptpaid_elem = document.getElementById('td_ptpaid_'+i)
 822          var td_patient_copay_elem = document.getElementById('td_patient_copay_'+i)
 823    var td_copay_elem = document.getElementById('td_copay_'+i)
 824    var balance_elem = document.getElementById('balance_'+i)
 825    var duept_elem = document.getElementById('duept_'+i)
 826    if (td_charges_elem)
 827    {
 828     td_charges_elem.style.display="";
 829     td_inspaid_elem.style.display="";
 830     td_ptpaid_elem.style.display="";
 831                 td_patient_copay_elem.style.display="";
 832     td_copay_elem.style.display="";
 833     balance_elem.style.display="";
 834     duept_elem.style.display="";
 835    }
 836   else
 837    {
 838     break;
 839    }
 840   }
 841   document.getElementById('td_total_1').style.display="";
 842   document.getElementById('td_total_2').style.display="";
 843   document.getElementById('td_total_3').style.display="";
 844   document.getElementById('td_total_4').style.display="";
 845   document.getElementById('td_total_5').style.display="";
 846   document.getElementById('td_total_6').style.display="";
 847         document.getElementById('td_total_7').style.display="";
 848   document.getElementById('td_total_8').style.display="";
 849
 850   document.getElementById('table_display').width="635px";
 851  }
 852 function make_visible_radio()
 853  {
 854   document.getElementById('tr_radio1').style.display="";
 855   document.getElementById('tr_radio2').style.display="none";
 856  }
 857 function make_hide_radio()
 858  {
 859   document.getElementById('tr_radio1').style.display="none";
 860   document.getElementById('tr_radio2').style.display="";
 861  }
 862 function make_visible_row()
 863  {
 864   document.getElementById('table_display').style.display="";
 865   document.getElementById('table_display_prepayment').style.display="none";
 866  }
 867 function make_hide_row()
 868  {
 869   document.getElementById('table_display').style.display="none";
 870   document.getElementById('table_display_prepayment').style.display="";
 871  }
 872 function make_self()
 873  {
 874   make_visible_row();
 875   make_it_hide();
 876   make_it_hide_enc_pay();
 877   document.getElementById('radio_type_of_payment_self1').checked=true;
 878   cursor_pointer();
 879  }
 880 function make_insurance()
 881  {
 882   make_visible_row();
 883   make_it_hide();
 884   cursor_pointer();
 885   document.getElementById('radio_type_of_payment1').checked=true;
 886  }
 887 </script>
 888
 889 </head>
 890
 891 <body class="body_top" onunload='imclosing()' onLoad="cursor_pointer();">
 892 <center>
 893
 894 <form method='post' action='front_payment.php<?php if ($payid) echo "?payid=$payid"; ?>'
 895  onsubmit='return validate();'>
 896 <input type='hidden' name='form_pid' value='<?php echo attr($pid) ?>' />
 897
 898
 899 <table border='0' cellspacing='0' cellpadding="0">
 900
 901  <tr height="10">
 902         <td colspan="3">&nbsp;</td>
 903  </tr>
 904
 905  <tr>
 906   <td colspan='3' align='center' class='text' >
 907    <b><?php echo htmlspecialchars(xl('Accept Payment for'), ENT_QUOTES); ?>&nbsp;:&nbsp;&nbsp;<?php echo htmlspecialchars($patdata['fname'], ENT_QUOTES) . " " .
 908     htmlspecialchars($patdata['lname'], ENT_QUOTES) . " " .htmlspecialchars($patdata['mname'], ENT_QUOTES). " (" . htmlspecialchars($patdata['pid'], ENT_QUOTES) . ")" ?></b>
 909         <?php $NameNew=$patdata['fname'] . " " .$patdata['lname']. " " .$patdata['mname'];?>
 910   </td>
 911  </tr>
 912
 913  <tr height="15"><td colspan='3'></td></tr>
 914
 915
 916  <tr>
 917   <td class='text' >
 918    <?php echo xlt('Payment Method'); ?>:
 919   </td>
 920   <td colspan='2' >
 921   <select name="form_method" id="form_method"  class="text" onChange='CheckVisible("yes")'>
 922   <?php
 923   $query1112 = "SELECT * FROM list_options where list_id=?  ORDER BY seq, title ";
 924   $bres1112 = sqlStatement($query1112,array('payment_method'));
 925   while ($brow1112 = sqlFetchArray($bres1112))
 926    {
 927         if($brow1112['option_id']=='electronic' || $brow1112['option_id']=='bank_draft')
 928          continue;
 929         echo "<option value='".htmlspecialchars($brow1112['option_id'], ENT_QUOTES)."'>".htmlspecialchars(xl_list_label($brow1112['title']), ENT_QUOTES)."</option>";
 930    }
 931   ?>
 932   </select>
 933   </td>
 934  </tr>
 935
 936  <tr height="5"><td colspan='3'></td></tr>
 937
 938  <tr>
 939   <td class='text' >
 940    <?php echo xla('Check/Ref Number'); ?>:
 941   </td>
 942   <td colspan='2' ><div id="ajax_div_patient" style="display:none;"></div>
 943    <input type='text'  id="check_number" name='form_source' style="width:120px" value='<?php echo htmlspecialchars($payrow['source'], ENT_QUOTES); ?>'>
 944   </td>
 945  </tr>
 946  <tr height="5"><td colspan='3'></td></tr>
 947
 948  <tr>
 949   <td class='text' valign="middle" >
 950    <?php echo htmlspecialchars(xl('Patient Coverage'), ENT_QUOTES); ?>:
 951   </td>
 952   <td class='text' colspan="2" ><input type="radio" name="radio_type_of_coverage" id="radio_type_of_coverage1" value="self" onClick="make_visible_radio();make_self();"/><?php echo htmlspecialchars(xl('Self'), ENT_QUOTES); ?><input type="radio" name="radio_type_of_coverage" id="radio_type_of_coverag2" value="insurance"  checked="checked" onClick="make_hide_radio();make_insurance();"/><?php echo htmlspecialchars(xl('Insurance'), ENT_QUOTES); ?>  </td>
 953  </tr>
 954
 955  <tr height="5"><td colspan='3'></td></tr>
 956
 957  <tr id="tr_radio1" style="display:none"><!-- For radio Insurance -->
 958   <td class='text' valign="top"  >
 959    <?php echo htmlspecialchars(xl('Payment against'), ENT_QUOTES); ?>:
 960   </td>
 961   <td class='text' colspan="2" ><input type="radio" name="radio_type_of_payment" id="radio_type_of_payment_self1" value="cash" onClick="make_visible_row();make_it_hide_enc_pay();cursor_pointer();"/><?php echo htmlspecialchars(xl('Encounter Payment'), ENT_QUOTES); ?></td>
 962  </tr>
 963  <tr id="tr_radio2"><!-- For radio self -->
 964   <td class='text' valign="top" >
 965    <?php echo htmlspecialchars(xl('Payment against'), ENT_QUOTES); ?>:
 966   </td>
 967   <td class='text' colspan="2" ><input type="radio" name="radio_type_of_payment" id="radio_type_of_payment1" value="copay" checked="checked" onClick="make_visible_row();cursor_pointer();"/><?php echo htmlspecialchars(xl('Co Pay'), ENT_QUOTES); ?><input type="radio" name="radio_type_of_payment" id="radio_type_of_payment2" value="invoice_balance"  onClick="make_visible_row();"/><?php echo htmlspecialchars(xl('Invoice Balance'), ENT_QUOTES); ?><br/><input type="radio" name="radio_type_of_payment" id="radio_type_of_payment4" value="pre_payment" onClick="make_hide_row();"/><?php echo htmlspecialchars(xl('Pre Pay'), ENT_QUOTES); ?></td>
 968  </tr>
 969
 970  <tr height="15"><td colspan='3'></td></tr>
 971
 972 </table>
 973 <table width="200" border="0" cellspacing="0" cellpadding="0" id="table_display_prepayment" style="display:none">
 974   <tr>
 975     <td class='detail'><?php echo htmlspecialchars(xl('Pre Payment'), ENT_QUOTES); ?></td>
 976     <td><input type='text' name='form_prepayment' style='width:100px' /></td>
 977   </tr>
 978 </table>
 979
 980 <table border='0' id="table_display" cellpadding='0' cellspacing='0' width='635'>
 981  <tr bgcolor="#cccccc" id="tr_head">
 982   <td class="dehead" width="70">
 983    <?php echo htmlspecialchars( xl('DOS'), ENT_QUOTES) ?>
 984   </td>
 985   <td class="dehead" width="65">
 986    <?php echo htmlspecialchars( xl('Encounter'), ENT_QUOTES) ?>
 987   </td>
 988   <td class="dehead" align="center" width="80" id="td_head_total_charge" >
 989    <?php echo htmlspecialchars( xl('Total Charge'), ENT_QUOTES) ?>
 990   </td>
 991   <td class="dehead" align="center" width="70" id="td_head_rep_doc" style='display:none'>
 992    <?php echo htmlspecialchars( xl('Report/ Form'), ENT_QUOTES) ?>
 993   </td>
 994   <td class="dehead" align="center" width="200" id="td_head_description" style='display:none'>
 995    <?php echo htmlspecialchars( xl('Description'), ENT_QUOTES) ?>
 996   </td>
 997   <td class="dehead" align="center" width="80" id="td_head_insurance_payment" >
 998    <?php echo htmlspecialchars( xl('Insurance Payment'), ENT_QUOTES) ?>
 999   </td>
1000   <td class="dehead" align="center" width="80" id="td_head_patient_payment" >
1001    <?php echo htmlspecialchars( xl('Patient Payment'), ENT_QUOTES) ?>
1002   </td>
1003   <td class="dehead" align="center" width="55" id="td_head_patient_co_pay" >
1004    <?php echo htmlspecialchars( xl('Co Pay Paid'), ENT_QUOTES) ?>
1005   </td>
1006         <td class="dehead" align="center" width="55" id="td_head_co_pay" >
1007    <?php echo htmlspecialchars( xl('Required Co Pay'), ENT_QUOTES) ?>
1008   </td>
1009   <td class="dehead" align="center" width="80" id="td_head_insurance_balance" >
1010    <?php echo htmlspecialchars( xl('Insurance Balance'), ENT_QUOTES) ?>
1011   </td>
1012   <td class="dehead" align="center" width="80" id="td_head_patient_balance" >
1013    <?php echo htmlspecialchars( xl('Patient Balance'), ENT_QUOTES) ?>
1014   </td>
1015   <td class="dehead" align="center" width="50">
1016    <?php echo htmlspecialchars( xl('Paying'), ENT_QUOTES) ?>
1017   </td>
1018  </tr>
1019
1020 <?php
1021   $encs = array();
1022
1023   // Get the unbilled service charges and payments by encounter for this patient.
1024   //
1025   $query = "SELECT fe.encounter, b.code_type, b.code, b.modifier, b.fee, " .
1026     "LEFT(fe.date, 10) AS encdate ,fe.last_level_closed " .
1027     "FROM  form_encounter AS fe left join billing AS b  on " .
1028     "b.pid = ? AND b.activity = 1  AND " .//AND b.billed = 0
1029     "b.code_type != 'TAX' AND b.fee != 0 " .
1030     "AND fe.pid = b.pid AND fe.encounter = b.encounter " .
1031         "where fe.pid = ? " .
1032     "ORDER BY b.encounter";
1033   $bres = sqlStatement($query,array($pid,$pid));
1034   //
1035   while ($brow = sqlFetchArray($bres)) {
1036     $key = 0 - $brow['encounter'];
1037     if (empty($encs[$key])) {
1038       $encs[$key] = array(
1039         'encounter' => $brow['encounter'],
1040         'date' => $brow['encdate'],
1041         'last_level_closed' => $brow['last_level_closed'],
1042         'charges' => 0,
1043         'payments' => 0);
1044     }
1045     if ($brow['code_type'] === 'COPAY') {
1046       //$encs[$key]['payments'] -= $brow['fee'];
1047     } else {
1048       $encs[$key]['charges']  += $brow['fee'];
1049       // Add taxes.
1050       $sql_array=array();
1051       $query = "SELECT taxrates FROM codes WHERE " .
1052         "code_type = ? AND " .
1053         "code = ? AND ";
1054       array_push($sql_array,$code_types[$brow['code_type']]['id'],$brow['code']);
1055       if ($brow['modifier']) {
1056         $query .= "modifier = ?";
1057         array_push($sql_array,$brow['modifier']);
1058       } else {
1059         $query .= "(modifier IS NULL OR modifier = '')";
1060       }
1061       $query .= " LIMIT 1";
1062       $trow = sqlQuery($query,$sql_array);
1063       $encs[$key]['charges'] += calcTaxes($trow, $brow['fee']);
1064     }
1065   }
1066
1067   // Do the same for unbilled product sales.
1068   //
1069   $query = "SELECT fe.encounter, s.drug_id, s.fee, " .
1070     "LEFT(fe.date, 10) AS encdate,fe.last_level_closed " .
1071     "FROM form_encounter AS fe left join drug_sales AS s " .
1072     "on s.pid = ? AND s.fee != 0 " .//AND s.billed = 0
1073     "AND fe.pid = s.pid AND fe.encounter = s.encounter " .
1074         "where fe.pid = ? " .
1075     "ORDER BY s.encounter";
1076
1077   $dres = sqlStatement($query,array($pid,$pid));
1078   //
1079   while ($drow = sqlFetchArray($dres)) {
1080     $key = 0 - $drow['encounter'];
1081     if (empty($encs[$key])) {
1082       $encs[$key] = array(
1083         'encounter' => $drow['encounter'],
1084         'date' => $drow['encdate'],
1085         'last_level_closed' => $drow['last_level_closed'],
1086         'charges' => 0,
1087         'payments' => 0);
1088     }
1089     $encs[$key]['charges'] += $drow['fee'];
1090     // Add taxes.
1091     $trow = sqlQuery("SELECT taxrates FROM drug_templates WHERE drug_id = ? " .
1092       "ORDER BY selector LIMIT 1", array($drow['drug_id']) );
1093     $encs[$key]['charges'] += calcTaxes($trow, $drow['fee']);
1094   }
1095
1096   ksort($encs, SORT_NUMERIC);
1097   $gottoday = false;
1098   //Bringing on top the Today always
1099   foreach ($encs as $key => $value) {
1100     $dispdate = $value['date'];
1101     if (strcmp($dispdate, $today) == 0 && !$gottoday) {
1102       $gottoday = true;
1103           break;
1104     }
1105    }
1106
1107   // If no billing was entered yet for today, then generate a line for
1108   // entering today's co-pay.
1109   //
1110   if (! $gottoday) {
1111     echoLine("form_upay[0]", date("Y-m-d"), 0, 0, 0, 0 /*$duept*/);//No encounter yet defined.
1112   }
1113
1114   $gottoday = false;
1115   foreach ($encs as $key => $value) {
1116     $enc = $value['encounter'];
1117     $dispdate = $value['date'];
1118     if (strcmp($dispdate, $today) == 0 && !$gottoday) {
1119       $dispdate = date("Y-m-d");
1120       $gottoday = true;
1121     }
1122  //------------------------------------------------------------------------------------
1123     $inscopay = getCopay($pid, $dispdate);
1124         $patcopay = getPatientCopay($pid, $enc);
1125 //Insurance Payment
1126 //-----------------
1127         $drow = sqlQuery("SELECT  SUM(pay_amount) AS payments, " .
1128           "SUM(adj_amount) AS adjustments  FROM ar_activity WHERE " .
1129       "pid = ? and encounter = ? and " .
1130       "payer_type != 0 and account_code!='PCP' ",
1131                         array($pid,$enc));
1132         $dpayment=$drow['payments'];
1133         $dadjustment=$drow['adjustments'];
1134 //Patient Payment
1135 //---------------
1136         $drow = sqlQuery("SELECT  SUM(pay_amount) AS payments, " .
1137           "SUM(adj_amount) AS adjustments  FROM ar_activity WHERE " .
1138       "pid = ? and encounter = ? and " .
1139       "payer_type = 0 and account_code!='PCP' ",
1140                         array($pid,$enc));
1141         $dpayment_pat=$drow['payments'];
1142
1143  //------------------------------------------------------------------------------------
1144  //NumberOfInsurance
1145         $ResultNumberOfInsurance = sqlStatement("SELECT COUNT( DISTINCT TYPE ) NumberOfInsurance FROM insurance_data
1146                         where pid = ? and provider>0 ",array($pid));
1147         $RowNumberOfInsurance = sqlFetchArray($ResultNumberOfInsurance);
1148         $NumberOfInsurance=$RowNumberOfInsurance['NumberOfInsurance']*1;
1149  //------------------------------------------------------------------------------------
1150         $duept=0;
1151         if((($NumberOfInsurance==0 || $value['last_level_closed']==4 || $NumberOfInsurance== $value['last_level_closed'])))
1152          {//Patient balance
1153           $brow = sqlQuery("SELECT SUM(fee) AS amount FROM billing WHERE " .
1154           "pid = ? and encounter = ? AND activity = 1",array($pid,$enc));
1155           $srow = sqlQuery("SELECT SUM(fee) AS amount FROM drug_sales WHERE " .
1156           "pid = ? and encounter = ? ",array($pid,$enc));
1157           $drow = sqlQuery("SELECT SUM(pay_amount) AS payments, " .
1158           "SUM(adj_amount) AS adjustments FROM ar_activity WHERE " .
1159           "pid = ? and encounter = ? ",array($pid,$enc));
1160           $duept= $brow['amount'] + $srow['amount'] - $drow['payments'] - $drow['adjustments'];
1161          }
1162     echoLine("form_upay[$enc]", $dispdate, $value['charges'],
1163       $dpayment_pat, ($dpayment + $dadjustment), $duept,$enc,$inscopay,$patcopay);
1164   }
1165
1166
1167
1168   // Continue with display of the data entry form.
1169 ?>
1170
1171  <tr bgcolor="#cccccc">
1172   <td class="dehead" id='td_total_1'></td>
1173   <td class="dehead" id='td_total_2'></td>
1174   <td class="dehead" id='td_total_3'></td>
1175   <td class="dehead" id='td_total_4'></td>
1176   <td class="dehead" id='td_total_5'></td>
1177   <td class="dehead" id='td_total_6'></td>
1178         <td class="dehead" id='td_total_7'></td>
1179   <td class="dehead" id='td_total_8'></td>
1180   <td class="dehead" align="right">
1181    <?php echo htmlspecialchars( xl('Total'), ENT_QUOTES);?>
1182   </td>
1183   <td class="dehead" align="right">
1184    <input type='text' name='form_paytotal'  value=''
1185     style='color:#00aa00;width:50px' readonly  />
1186   </td>
1187  </tr>
1188
1189 </table>
1190
1191 <p>
1192 <input type='submit' name='form_save' value='<?php echo htmlspecialchars( xl('Generate Invoice'), ENT_QUOTES);?>' /> &nbsp;
1193 <input type='button' value='<?php echo xla('Cancel'); ?>' onclick='window.close()' />
1194
1195 <input type="hidden" name="hidden_patient_code" id="hidden_patient_code" value="<?php echo attr($pid);?>"/>
1196 <input type='hidden' name='ajax_mode' id='ajax_mode' value='' />
1197 <input type='hidden' name='mode' id='mode' value='' />
1198 </form>
1199 <script language="JavaScript">
1200  calctotal();
1201 </script>
1202 </center>
1203 </body>
1204
1205 <?php
1206 }
1207 ?>
1208 </html>