interface/practice/ins_search.php

   1 <?php
   2  // Copyright (C) 2005 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  // This module is used to find and add insurance companies.
  10  // It is opened as a popup window.  The opener may have a
  11  // JavaScript function named set_insurance(id, name), in which
  12  // case selecting or adding an insurance company will cause the
  13  // function to be called passing the ID and name of that company.
  14
  15  // When used for searching, this module will in turn open another
  16  // popup window ins_list.php, which lists the matched results and
  17  // permits selection of one of them via the same set_insurance()
  18  // function.
  19
  20  include_once("../globals.php");
  21  include_once("$srcdir/acl.inc");
  22
  23  // Putting a message here will cause a popup window to display it.
  24  $info_msg = "";
  25
  26  // This is copied from InsuranceCompany.class.php.  It should
  27  // really be in a SQL table.
  28  $freeb_type_array = array(''
  29   , xl('Other HCFA')
  30   , xl('Medicare Part B')
  31   , xl('Medicaid')
  32   , xl('ChampUSVA')
  33   , xl('ChampUS')
  34   , xl('Blue Cross Blue Shield')
  35   , xl('FECA')
  36   , xl('Self Pay')
  37   , xl('Central Certification')
  38   , xl('Other Non-Federal Programs')
  39   , xl('Preferred Provider Organization (PPO)')
  40   , xl('Point of Service (POS)')
  41   , xl('Exclusive Provider Organization (EPO)')
  42   , xl('Indemnity Insurance')
  43   , xl('Health Maintenance Organization (HMO) Medicare Risk')
  44   , xl('Automobile Medical')
  45   , xl('Commercial Insurance Co.')
  46   , xl('Disability')
  47   , xl('Health Maintenance Organization')
  48   , xl('Liability')
  49   , xl('Liability Medical')
  50   , xl('Other Federal Program')
  51   , xl('Title V')
  52   , xl('Veterans Administration Plan')
  53   , xl('Workers Compensation Health Plan')
  54   , xl('Mutually Defined')
  55  );
  56
  57 ?>
  58 <html>
  59 <head>
  60 <title><?php xl('Insurance Company Search/Add','e');?></title>
  61 <link rel=stylesheet href='<?php  echo $css_header ?>' type='text/css'>
  62
  63 <style>
  64 td { font-size:10pt; }
  65 .search { background-color:#aaffaa }
  66 </style>
  67
  68 <script type="text/javascript" src="../../library/topdialog.js"></script>
  69 <script type="text/javascript" src="../../library/dialog.js"></script>
  70
  71 <script language="JavaScript">
  72
  73  var mypcc = '<?php  echo $GLOBALS['phone_country_code'] ?>';
  74
  75 <?php require($GLOBALS['srcdir'] . "/restoreSession.php"); ?>
  76
  77  function doescape(value) {
  78   return escape(value);
  79  }
  80
  81  // This is invoked when our Search button is clicked.
  82  function dosearch() {
  83   var f = document.forms[0];
  84   dlgopen('ins_list.php' +
  85    '?form_name='   + doescape(f.form_name.value  ) +
  86    '&form_attn='   + doescape(f.form_attn.value  ) +
  87    '&form_addr1='  + doescape(f.form_addr1.value ) +
  88    '&form_addr2='  + doescape(f.form_addr2.value ) +
  89    '&form_city='   + doescape(f.form_city.value  ) +
  90    '&form_state='  + doescape(f.form_state.value ) +
  91    '&form_zip='    + doescape(f.form_zip.value   ) +
  92    '&form_phone='  + doescape(f.form_phone.value ) +
  93    '&form_cms_id=' + doescape(f.form_cms_id.value) +
  94    '', '_blank', 780, 500);
  95
  96   return false;
  97  }
  98
  99  // The ins_list.php window calls this to set the selected insurance.
 100  function set_insurance(ins_id, ins_name) {
 101   if (opener.closed || ! opener.set_insurance)
 102    alert('The target form was closed; I cannot apply your selection.');
 103   else
 104    opener.set_insurance(ins_id, ins_name);
 105   window.close();
 106  }
 107
 108  // This is set to true on a mousedown of the Save button.  The
 109  // reason is so we can distinguish between clicking on the Save
 110  // button vs. hitting the Enter key, as we prefer the "default"
 111  // action to be search and not save.
 112  var save_clicked = false;
 113
 114  // Onsubmit handler.
 115  function validate(f) {
 116   // If save was not clicked then default to searching.
 117   if (! save_clicked) return dosearch();
 118   save_clicked = false;
 119
 120   msg = '';
 121   if (! f.form_name.value.length ) msg += 'Company name is missing. ';
 122   if (! f.form_addr1.value.length) msg += 'Address is missing. ';
 123   if (! f.form_city.value.length ) msg += 'City is missing. ';
 124   if (! f.form_state.value.length) msg += 'State is missing. ';
 125   if (! f.form_zip.value.length  ) msg += 'Zip is missing.';
 126
 127   if (msg) {
 128    alert(msg);
 129    return false;
 130   }
 131
 132   top.restoreSession();
 133   return true;
 134  }
 135
 136 </script>
 137
 138 </head>
 139
 140 <body <?php echo $top_bg_line;?> onunload='imclosing()'>
 141 <?php
 142  // If we are saving, then save and close the window.
 143  //
 144  if ($_POST['form_save']) {
 145   $ins_id = '';
 146   $ins_name = $_POST['form_name'];
 147
 148   if ($ins_id) {
 149    // sql for updating could go here if this script is enhanced to support
 150    // editing of existing insurance companies.
 151   } else {
 152    $ins_id = generate_id();
 153
 154    sqlInsert("INSERT INTO insurance_companies ( " .
 155     "id, name, attn, cms_id, freeb_type, x12_receiver_id, x12_default_partner_id " .
 156     ") VALUES ( " .
 157     $ins_id                         . ", "  .
 158     "'" . $ins_name                 . "', " .
 159     "'" . $_POST['form_attn']       . "', " .
 160     "'" . $_POST['form_cms_id']     . "', " .
 161     "'" . $_POST['form_freeb_type'] . "', " .
 162     "'" . $_POST['form_partner']    . "', " .
 163     "'" . $_POST['form_partner']    . "' "  .
 164    ")");
 165
 166    sqlInsert("INSERT INTO addresses ( " .
 167     "id, line1, line2, city, state, zip, country, foreign_id " .
 168     ") VALUES ( " .
 169     generate_id()                . ", "  .
 170     "'" . $_POST['form_addr1']   . "', " .
 171     "'" . $_POST['form_addr2']   . "', " .
 172     "'" . $_POST['form_city']    . "', " .
 173     "'" . $_POST['form_state']   . "', " .
 174     "'" . $_POST['form_zip']     . "', " .
 175     "'" . $_POST['form_country'] . "', " .
 176     $ins_id                      . " "   .
 177    ")");
 178
 179    $phone_parts = array();
 180    preg_match("/(\d\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/", $_POST['form_phone'],
 181     $phone_parts);
 182
 183    sqlInsert("INSERT INTO phone_numbers ( " .
 184     "id, country_code, area_code, prefix, number, type, foreign_id " .
 185     ") VALUES ( " .
 186     generate_id()         . ", "  .
 187     "'+1'"                . ", "  .
 188     "'" . $phone_parts[1] . "', " .
 189     "'" . $phone_parts[2] . "', " .
 190     "'" . $phone_parts[3] . "', " .
 191     "'2'"                 . ", "  .
 192     $ins_id               . " "   .
 193    ")");
 194   }
 195
 196   // Close this window and tell our opener to select the new company.
 197   //
 198   echo "<script language='JavaScript'>\n";
 199   if ($info_msg) echo " alert('$info_msg');\n";
 200   echo " window.close();\n";
 201   echo " if (opener.set_insurance) opener.set_insurance($ins_id,'$ins_name');\n";
 202   echo "</script></body></html>\n";
 203   exit();
 204  }
 205
 206  // Query x12_partners.
 207  $xres = sqlStatement(
 208   "SELECT id, name FROM x12_partners ORDER BY name"
 209  );
 210 ?>
 211 <form method='post' name='theform' action='ins_search.php'
 212  onsubmit='return validate(this)'>
 213 <center>
 214
 215 <p>
 216 <table border='0' width='100%'>
 217
 218  <!--
 219  <tr>
 220   <td valign='top' width='1%' nowrap>&nbsp;</td>
 221   <td>
 222    Note: Green fields are searchable.
 223   </td>
 224  </tr>
 225  -->
 226
 227  <tr>
 228   <td valign='top' width='1%' nowrap><b><?php xl('Name','e');?>:</b></td>
 229   <td>
 230    <input type='text' size='20' name='form_name' maxlength='35'
 231     class='search' style='width:100%' title=<?php xl('Name of insurance company','e');?> />
 232   </td>
 233  </tr>
 234
 235  <tr>
 236   <td valign='top' nowrap><b><?php xl('Attention','e');?>:</b></td>
 237   <td>
 238    <input type='text' size='20' name='form_attn' maxlength='35'
 239     class='search' style='width:100%' title=".xl('Contact name')." />
 240   </td>
 241  </tr>
 242
 243  <tr>
 244   <td valign='top' nowrap><b><?php xl('Address1','e');?>:</b></td>
 245   <td>
 246    <input type='text' size='20' name='form_addr1' maxlength='35'
 247     class='search' style='width:100%' title='First address line' />
 248   </td>
 249  </tr>
 250
 251  <tr>
 252   <td valign='top' nowrap><b><?php xl('Address2','e');?>:</b></td>
 253   <td>
 254    <input type='text' size='20' name='form_addr2' maxlength='35'
 255     class='search' style='width:100%' title='Second address line, if any' />
 256   </td>
 257  </tr>
 258
 259  <tr>
 260   <td valign='top' nowrap><b><?php xl('City/State','e');?>:</b></td>
 261   <td>
 262    <input type='text' size='20' name='form_city' maxlength='25'
 263     class='search' title='City name' />
 264    &nbsp;
 265    <input type='text' size='3' name='form_state' maxlength='35'
 266     class='search' title='State or locality' />
 267   </td>
 268  </tr>
 269
 270  <tr>
 271   <td valign='top' nowrap><b><?php xl('Zip/Country:','e'); ?></b></td>
 272   <td>
 273    <input type='text' size='20' name='form_zip' maxlength='10'
 274     class='search' title='Postal code' />
 275    &nbsp;
 276    <input type='text' size='20' name='form_country' value='USA' maxlength='35'
 277     title='Country name' />
 278   </td>
 279  </tr>
 280
 281  <tr>
 282   <td valign='top' nowrap><b><?php xl('Phone','e');?>:</b></td>
 283   <td>
 284    <input type='text' size='20' name='form_phone' maxlength='20'
 285     class='search' title='Telephone number' />
 286   </td>
 287  </tr>
 288
 289  <!--
 290  <tr>
 291   <td valign='top' width='1%' nowrap>&nbsp;</td>
 292   <td>
 293    &nbsp;<br><b>Other data:</b>
 294   </td>
 295  </tr>
 296  -->
 297
 298  <tr>
 299   <td valign='top' nowrap><b><?php xl('CMS ID','e');?>:</b></td>
 300   <td>
 301    <input type='text' size='20' name='form_cms_id' maxlength='15'
 302     class='search' title='Identifier assigned by CMS' />
 303   </td>
 304  </tr>
 305
 306  <tr>
 307   <td valign='top' nowrap><b><?php xl('Payer Type','e');?>:</b></td>
 308   <td>
 309    <select name='form_freeb_type'>
 310 <?php
 311  for ($i = 1; $i < count($freeb_type_array); ++$i) {
 312   echo "   <option value='$i'";
 313   // if ($i == $row['freeb_type']) echo " selected";
 314   echo ">" . $freeb_type_array[$i] . "\n";
 315  }
 316 ?>
 317    </select>
 318   </td>
 319  </tr>
 320
 321  <tr>
 322   <td valign='top' nowrap><b><?php xl('X12 Partner','e');?>:</b></td>
 323   <td>
 324    <select name='form_partner' title='Default X12 Partner'>
 325     <option value=""><?php xl('None','e','-- ',' --'); ?></option>
 326 <?php
 327  while ($xrow = sqlFetchArray($xres)) {
 328   echo "   <option value='" . $xrow['id'] . "'";
 329   // if ($xrow['id'] == $row['x12_default_partner_id']) echo " selected";
 330   echo ">" . $xrow['name'] . "</option>\n";
 331  }
 332 ?>
 333    </select>
 334   </td>
 335  </tr>
 336
 337 </table>
 338
 339 <p>&nbsp;<br>
 340 <input type='button' value='<?php xl('Search','e'); ?>' class='search' onclick='dosearch()' />
 341 &nbsp;
 342 <input type='submit' value='<?php xl('Save as New','e'); ?>' name='form_save' onmousedown='save_clicked=true' />
 343 &nbsp;
 344 <input type='button' value='<?php xl('Cancel','e'); ?>' onclick='window.close()' />
 345 </p>
 346
 347 </center>
 348 </form>
 349 </body>
 350 </html>