interface/billing/sl_eob_process.php

   1 <?php
   2     // Copyright (C) 2006-2010 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 processes X12 835 remittances and produces a report.
  10
  11     // Buffer all output so we can archive it to a file.
  12     ob_start();
  13
  14 require_once("../globals.php");
  15 require_once("$srcdir/invoice_summary.inc.php");
  16 require_once("$srcdir/sl_eob.inc.php");
  17 require_once("$srcdir/parse_era.inc.php");
  18 require_once("claim_status_codes.php");
  19 require_once("adjustment_reason_codes.php");
  20 require_once("remark_codes.php");
  21 require_once("$srcdir/formatting.inc.php");
  22 require_once("$srcdir/billing.inc");
  23
  24     $debug = $_GET['debug'] ? 1 : 0; // set to 1 for debugging mode
  25     $paydate = parse_date($_GET['paydate']);
  26     $encount = 0;
  27
  28     $last_ptname = '';
  29     $last_invnumber = '';
  30     $last_code = '';
  31     $invoice_total = 0.00;
  32     $InsertionId;//last inserted ID of
  33   $INTEGRATED_AR = $GLOBALS['oer_config']['ws_accounting']['enabled'] === 2;
  34
  35 ///////////////////////// Assorted Functions /////////////////////////
  36
  37     function parse_date($date) {
  38         $date = substr(trim($date), 0, 10);
  39         if (preg_match('/^(\d\d\d\d)\D*(\d\d)\D*(\d\d)$/', $date, $matches)) {
  40             return $matches[1] . '-' . $matches[2] . '-' . $matches[3];
  41         }
  42         return '';
  43     }
  44
  45     function writeMessageLine($bgcolor, $class, $description) {
  46         $dline =
  47             " <tr bgcolor='$bgcolor'>\n" .
  48             "  <td class='$class' colspan='4'>&nbsp;</td>\n" .
  49             "  <td class='$class'>$description</td>\n" .
  50             "  <td class='$class' colspan='2'>&nbsp;</td>\n" .
  51             " </tr>\n";
  52         echo $dline;
  53     }
  54
  55     function writeDetailLine($bgcolor, $class, $ptname, $invnumber,
  56         $code, $date, $description, $amount, $balance)
  57     {
  58         global $last_ptname, $last_invnumber, $last_code;
  59         if ($ptname == $last_ptname) $ptname = '&nbsp;';
  60             else $last_ptname = $ptname;
  61         if ($invnumber == $last_invnumber) $invnumber = '&nbsp;';
  62             else $last_invnumber = $invnumber;
  63         if ($code == $last_code) $code = '&nbsp;';
  64             else $last_code = $code;
  65         if ($amount ) $amount  = sprintf("%.2f", $amount );
  66         if ($balance) $balance = sprintf("%.2f", $balance);
  67         $dline =
  68             " <tr bgcolor='$bgcolor'>\n" .
  69             "  <td class='$class'>$ptname</td>\n" .
  70             "  <td class='$class'>$invnumber</td>\n" .
  71             "  <td class='$class'>$code</td>\n" .
  72             "  <td class='$class'>" . oeFormatShortDate($date) . "</td>\n" .
  73             "  <td class='$class'>$description</td>\n" .
  74             "  <td class='$class' align='right'>" . oeFormatMoney($amount) . "</td>\n" .
  75             "  <td class='$class' align='right'>" . oeFormatMoney($balance) . "</td>\n" .
  76             " </tr>\n";
  77         echo $dline;
  78     }
  79
  80     // This writes detail lines that were already in SQL-Ledger for a given
  81     // charge item.
  82     //
  83     function writeOldDetail(&$prev, $ptname, $invnumber, $dos, $code, $bgcolor) {
  84         global $invoice_total;
  85         // $prev['total'] = 0.00; // to accumulate total charges
  86         ksort($prev['dtl']);
  87         foreach ($prev['dtl'] as $dkey => $ddata) {
  88             $ddate = substr($dkey, 0, 10);
  89             $description = $ddata['src'] . $ddata['rsn'];
  90             if ($ddate == '          ') { // this is the service item
  91                 $ddate = $dos;
  92                 $description = 'Service Item';
  93             }
  94             $amount = sprintf("%.2f", $ddata['chg'] - $ddata['pmt']);
  95             $invoice_total = sprintf("%.2f", $invoice_total + $amount);
  96             writeDetailLine($bgcolor, 'olddetail', $ptname, $invnumber,
  97                 $code, $ddate, $description, $amount, $invoice_total);
  98         }
  99     }
 100
 101     // This is called back by parse_era() once per claim.
 102     //
 103     function era_callback_check(&$out)
 104
 105     {
 106     global $InsertionId;//last inserted ID of
 107         global $StringToEcho,$debug;
 108
 109         if($_GET['original']=='original')
 110         {
 111         $StringToEcho="<br/><br/><br/><br/><br/><br/>";
 112         $StringToEcho.="<table border='1' cellpadding='0' cellspacing='0'  width='750'>";
 113         $StringToEcho.="<tr bgcolor='#cccccc'><td width='50'></td><td class='dehead' width='150' align='center'>".htmlspecialchars( xl('Check Number'), ENT_QUOTES)."</td><td class='dehead' width='400'  align='center'>".htmlspecialchars( xl('Payee Name'), ENT_QUOTES)."</td><td class='dehead'  width='150' align='center'>".htmlspecialchars( xl('Check Amount'), ENT_QUOTES)."</td></tr>";
 114         $WarningFlag=false;
 115         for ($check_count=1;$check_count<=$out['check_count'];$check_count++)
 116          {
 117             if($check_count%2==1)
 118              {
 119                 $bgcolor='#ddddff';
 120              }
 121             else
 122              {
 123                 $bgcolor='#ffdddd';
 124              }
 125              $rs=sqlQ("select reference from ar_session where reference='".$out['check_number'.$check_count]."'");
 126              if(sqlNumRows($rs)>0)
 127              {
 128                 $bgcolor='#ff0000';
 129                 $WarningFlag=true;
 130              }
 131             $StringToEcho.="<tr bgcolor='$bgcolor'>";
 132             $StringToEcho.="<td><input type='checkbox'  name='chk".$out['check_number'.$check_count]."' value='".$out['check_number'.$check_count]."'/></td>";
 133             $StringToEcho.="<td>".htmlspecialchars($out['check_number'.$check_count])."</td>";
 134             $StringToEcho.="<td>".htmlspecialchars($out['payee_name'.$check_count])."</td>";
 135             $StringToEcho.="<td align='right'>".htmlspecialchars(number_format($out['check_amount'.$check_count],2))."</td>";
 136             $StringToEcho.="</tr>";
 137         }
 138         $StringToEcho.="<tr bgcolor='#cccccc'><td colspan='4' align='center'><input type='submit'  name='CheckSubmit' value='Submit'/></td></tr>";
 139         if($WarningFlag==true)
 140             $StringToEcho.="<tr bgcolor='#ff0000'><td colspan='4' align='center'>".htmlspecialchars( xl('Warning, Check Number already exist in the database'), ENT_QUOTES)."</td></tr>";
 141          $StringToEcho.="</table>";
 142         }
 143         else
 144         {
 145         for ($check_count=1;$check_count<=$out['check_count'];$check_count++)
 146          {
 147         $chk_num=$out['check_number'.$check_count];
 148         $chk_num=str_replace(' ','_',$chk_num);
 149         if(isset($_REQUEST['chk'.$chk_num]))
 150         {
 151         $check_date=$out['check_date'.$check_count]?$out['check_date'.$check_count]:$_REQUEST['paydate'];
 152         $post_to_date=$_REQUEST['post_to_date']!=''?$_REQUEST['post_to_date']:date('Y-m-d');
 153         $deposit_date=$_REQUEST['deposit_date']!=''?$_REQUEST['deposit_date']:date('Y-m-d');
 154         $InsertionId[$out['check_number'.$check_count]]=arPostSession($_REQUEST['InsId'],$out['check_number'.$check_count],$out['check_date'.$check_count],$out['check_amount'.$check_count],$post_to_date,$deposit_date,$debug);
 155
 156
 157         }
 158         }
 159         }
 160     }
 161     function era_callback(&$out) {
 162         global $encount, $debug, $claim_status_codes, $adjustment_reasons, $remark_codes;
 163         global $invoice_total, $last_code, $paydate, $INTEGRATED_AR;
 164          global $InsertionId;//last inserted ID of
 165
 166
 167         // Some heading information.
 168         $chk_123=$out['check_number'];
 169         $chk_123=str_replace(' ','_',$chk_123);
 170         if(isset($_REQUEST['chk'.$chk_123])){
 171         if ($encount == 0) {
 172             writeMessageLine('#ffffff', 'infdetail',
 173                 "Payer: " . htmlspecialchars($out['payer_name'], ENT_QUOTES));
 174             if ($debug) {
 175                 writeMessageLine('#ffffff', 'infdetail',
 176                     "WITHOUT UPDATE is selected; no changes will be applied.");
 177             }
 178         }
 179
 180         $last_code = '';
 181         $invoice_total = 0.00;
 182         $bgcolor = (++$encount & 1) ? "#ddddff" : "#ffdddd";
 183         list($pid, $encounter, $invnumber) = slInvoiceNumber($out);
 184
 185         // Get details, if we have them, for the invoice.
 186         $inverror = true;
 187         $codes = array();
 188         if ($pid && $encounter) {
 189             // Get invoice data into $arrow or $ferow.
 190       if ($INTEGRATED_AR) {
 191         $ferow = sqlQuery("SELECT e.*, p.fname, p.mname, p.lname " .
 192           "FROM form_encounter AS e, patient_data AS p WHERE " .
 193           "e.pid = '$pid' AND e.encounter = '$encounter' AND ".
 194           "p.pid = e.pid");
 195         if (empty($ferow)) {
 196           $pid = $encounter = 0;
 197           $invnumber = $out['our_claim_id'];
 198         } else {
 199           $inverror = false;
 200           $codes = ar_get_invoice_summary($pid, $encounter, true);
 201           // $svcdate = substr($ferow['date'], 0, 10);
 202         }
 203       } // end internal a/r
 204       else {
 205         $arres = SLQuery("SELECT ar.id, ar.notes, ar.shipvia, customer.name " .
 206           "FROM ar, customer WHERE ar.invnumber = '$invnumber' AND " .
 207           "customer.id = ar.customer_id");
 208         if ($sl_err) die($sl_err);
 209         $arrow = SLGetRow($arres, 0);
 210         if ($arrow) {
 211           $inverror = false;
 212           $codes = get_invoice_summary($arrow['id'], true);
 213         } else { // oops, no such invoice
 214           $pid = $encounter = 0;
 215           $invnumber = $out['our_claim_id'];
 216         }
 217       } // end not internal a/r
 218         }
 219
 220         // Show the claim status.
 221         $csc = $out['claim_status_code'];
 222         $inslabel = 'Ins1';
 223         if ($csc == '1' || $csc == '19') $inslabel = 'Ins1';
 224         if ($csc == '2' || $csc == '20') $inslabel = 'Ins2';
 225         if ($csc == '3' || $csc == '21') $inslabel = 'Ins3';
 226         $primary = ($inslabel == 'Ins1');
 227         writeMessageLine($bgcolor, 'infdetail',
 228             "Claim status $csc: " . $claim_status_codes[$csc]);
 229
 230         // Show an error message if the claim is missing or already posted.
 231         if ($inverror) {
 232             writeMessageLine($bgcolor, 'errdetail',
 233                 "The following claim is not in our database");
 234         }
 235         else {
 236             // Skip this test. Claims can get multiple CLPs from the same payer!
 237             //
 238             // $insdone = strtolower($arrow['shipvia']);
 239             // if (strpos($insdone, 'ins1') !== false) {
 240             //  $inverror = true;
 241             //  writeMessageLine($bgcolor, 'errdetail',
 242             //   "Primary insurance EOB was already posted for the following claim");
 243             // }
 244         }
 245
 246         if ($csc == '4') {//Denial case, code is stored in the claims table for display in the billing manager screen with reason explained.
 247             $inverror = true;
 248             if (!$debug) {
 249                 if ($pid && $encounter) {
 250                     $code_value = '';
 251                     foreach ($out['svc'] as $svc) {
 252                            foreach ($svc['adj'] as $adj) {//Per code and modifier the reason will be showed in the billing manager.
 253                                  $code_value .= $svc['code'].'_'.$svc['mod'].'_'.$adj['group_code'].'_'.$adj['reason_code'].',';
 254                             }
 255                     }
 256                     $code_value = substr($code_value,0,-1);
 257                     //We store the reason code to display it with description in the billing manager screen.
 258                     //process_file is used as for the denial case file name will not be there, and extra field(to store reason) can be avoided.
 259                     updateClaim(true, $pid, $encounter, $_REQUEST['InsId'], substr($inslabel,3),7,0,$code_value);
 260                 }
 261             }
 262             writeMessageLine($bgcolor, 'errdetail',
 263                 "Not posting adjustments for denied claims, please follow up manually!");
 264         }
 265         else if ($csc == '22') {
 266             $inverror = true;
 267             writeMessageLine($bgcolor, 'errdetail',
 268                 "Payment reversals are not automated, please enter manually!");
 269         }
 270
 271         if ($out['warnings']) {
 272             writeMessageLine($bgcolor, 'infdetail', nl2br(rtrim($out['warnings'])));
 273         }
 274
 275         // Simplify some claim attributes for cleaner code.
 276         $service_date = parse_date($out['dos']);
 277     $check_date      = $paydate ? $paydate : parse_date($out['check_date']);
 278     $production_date = $paydate ? $paydate : parse_date($out['production_date']);
 279
 280     if ($INTEGRATED_AR) {
 281       $insurance_id = arGetPayerID($pid, $service_date, substr($inslabel, 3));
 282       if (empty($ferow['lname'])) {
 283         $patient_name = $out['patient_fname'] . ' ' . $out['patient_lname'];
 284       } else {
 285         $patient_name = $ferow['fname'] . ' ' . $ferow['lname'];
 286       }
 287     } else {
 288       $insurance_id = 0;
 289       foreach ($codes as $cdata) {
 290         if ($cdata['ins']) {
 291           $insurance_id = $cdata['ins'];
 292           break;
 293         }
 294       }
 295       $patient_name = $arrow['name'] ? $arrow['name'] :
 296         ($out['patient_fname'] . ' ' . $out['patient_lname']);
 297     }
 298
 299         $error = $inverror;
 300
 301         // This loops once for each service item in this claim.
 302         foreach ($out['svc'] as $svc) {
 303
 304       // Treat a modifier in the remit data as part of the procedure key.
 305       // This key will then make its way into SQL-Ledger.
 306       $codekey = $svc['code'];
 307       if ($svc['mod']) $codekey .= ':' . $svc['mod'];
 308       $prev = $codes[$codekey];
 309
 310             // This reports detail lines already on file for this service item.
 311             if ($prev) {
 312                 writeOldDetail($prev, $patient_name, $invnumber, $service_date, $codekey, $bgcolor);
 313                 // Check for sanity in amount charged.
 314                 $prevchg = sprintf("%.2f", $prev['chg'] + $prev['adj']);
 315                 if ($prevchg != abs($svc['chg'])) {
 316                     writeMessageLine($bgcolor, 'errdetail',
 317                         "EOB charge amount " . $svc['chg'] . " for this code does not match our invoice");
 318                     $error = true;
 319                 }
 320
 321                 // Check for already-existing primary remittance activity.
 322                 // Removed this check because it was not allowing for copays manually
 323                 // entered into the invoice under a non-copay billing code.
 324                 /****
 325                 if ((sprintf("%.2f",$prev['chg']) != sprintf("%.2f",$prev['bal']) ||
 326                     $prev['adj'] != 0) && $primary)
 327                 {
 328                     writeMessageLine($bgcolor, 'errdetail',
 329                         "This service item already has primary payments and/or adjustments!");
 330                     $error = true;
 331                 }
 332                 ****/
 333
 334                 unset($codes[$codekey]);
 335             }
 336
 337             // If the service item is not in our database...
 338             else {
 339
 340                 // This is not an error. If we are not in error mode and not debugging,
 341                 // insert the service item into SL.  Then display it (in green if it
 342                 // was inserted, or in red if we are in error mode).
 343                 $description = "CPT4:$codekey Added by $inslabel $production_date";
 344                 if (!$error && !$debug) {
 345           if ($INTEGRATED_AR) {
 346             arPostCharge($pid, $encounter, 0, $svc['chg'], 1, $service_date,
 347               $codekey, $description, $debug);
 348           } else {
 349             slPostCharge($arrow['id'], $svc['chg'], 1, $service_date, $codekey,
 350               $insurance_id, $description, $debug);
 351           }
 352                     $invoice_total += $svc['chg'];
 353                 }
 354                 $class = $error ? 'errdetail' : 'newdetail';
 355                 writeDetailLine($bgcolor, $class, $patient_name, $invnumber,
 356                     $codekey, $production_date, $description,
 357                     $svc['chg'], ($error ? '' : $invoice_total));
 358
 359             }
 360
 361             $class = $error ? 'errdetail' : 'newdetail';
 362
 363             // Report Allowed Amount.
 364             if ($svc['allowed']) {
 365                 // A problem here is that some payers will include an adjustment
 366                 // reflecting the allowed amount, others not.  So here we need to
 367                 // check if the adjustment exists, and if not then create it.  We
 368                 // assume that any nonzero CO (Contractual Obligation) or PI
 369         // (Payer Initiated) adjustment is good enough.
 370                 $contract_adj = sprintf("%.2f", $svc['chg'] - $svc['allowed']);
 371                 foreach ($svc['adj'] as $adj) {
 372                     if (($adj['group_code'] == 'CO' || $adj['group_code'] == 'PI') && $adj['amount'] != 0)
 373                         $contract_adj = 0;
 374                 }
 375                 if ($contract_adj > 0) {
 376                     $svc['adj'][] = array('group_code' => 'CO', 'reason_code' => 'A2',
 377                         'amount' => $contract_adj);
 378                 }
 379                 writeMessageLine($bgcolor, 'infdetail',
 380                     'Allowed amount is ' . sprintf("%.2f", $svc['allowed']));
 381             }
 382
 383             // Report miscellaneous remarks.
 384             if ($svc['remark']) {
 385                 $rmk = $svc['remark'];
 386                 writeMessageLine($bgcolor, 'infdetail', "$rmk: " . $remark_codes[$rmk]);
 387             }
 388
 389             // Post and report the payment for this service item from the ERA.
 390             // By the way a 'Claim' level payment is probably going to be negative,
 391             // i.e. a payment reversal.
 392             if ($svc['paid']) {
 393                 if (!$error && !$debug) {
 394           if ($INTEGRATED_AR) {
 395             arPostPayment($pid, $encounter,$InsertionId[$out['check_number']], $svc['paid'],//$InsertionId[$out['check_number']] gives the session id
 396               $codekey, substr($inslabel,3), $out['check_number'], $debug);
 397           } else {
 398             slPostPayment($arrow['id'], $svc['paid'], $check_date,
 399               "$inslabel/" . $out['check_number'], $codekey, $insurance_id, $debug);
 400           }
 401                     $invoice_total -= $svc['paid'];
 402                 }
 403                 $description = "$inslabel/" . $out['check_number'] . ' payment';
 404                 if ($svc['paid'] < 0) $description .= ' reversal';
 405                 writeDetailLine($bgcolor, $class, $patient_name, $invnumber,
 406                     $codekey, $check_date, $description,
 407                     0 - $svc['paid'], ($error ? '' : $invoice_total));
 408             }
 409
 410             // Post and report adjustments from this ERA.  Posted adjustment reasons
 411             // must be 25 characters or less in order to fit on patient statements.
 412             foreach ($svc['adj'] as $adj) {
 413                 $description = $adj['reason_code'] . ': ' . $adjustment_reasons[$adj['reason_code']];
 414                 if ($adj['group_code'] == 'PR' || !$primary) {
 415                     // Group code PR is Patient Responsibility.  Enter these as zero
 416                     // adjustments to retain the note without crediting the claim.
 417                     if ($primary) {
 418             /****
 419                         $reason = 'Pt resp: '; // Reasons should be 25 chars or less.
 420                         if ($adj['reason_code'] == '1') $reason = 'To deductible: ';
 421                         else if ($adj['reason_code'] == '2') $reason = 'Coinsurance: ';
 422                         else if ($adj['reason_code'] == '3') $reason = 'Co-pay: ';
 423             ****/
 424                         $reason = "$inslabel ptresp: "; // Reasons should be 25 chars or less.
 425                         if ($adj['reason_code'] == '1') $reason = "$inslabel dedbl: ";
 426                         else if ($adj['reason_code'] == '2') $reason = "$inslabel coins: ";
 427                         else if ($adj['reason_code'] == '3') $reason = "$inslabel copay: ";
 428                     }
 429                     // Non-primary insurance adjustments are garbage, either repeating
 430                     // the primary or are not adjustments at all.  Report them as notes
 431                     // but do not post any amounts.
 432                     else {
 433                         $reason = "$inslabel note " . $adj['reason_code'] . ': ';
 434             /****
 435                         $reason .= sprintf("%.2f", $adj['amount']);
 436             ****/
 437                     }
 438                     $reason .= sprintf("%.2f", $adj['amount']);
 439                     // Post a zero-dollar adjustment just to save it as a comment.
 440                     if (!$error && !$debug) {
 441             if ($INTEGRATED_AR) {
 442               arPostAdjustment($pid, $encounter, $InsertionId[$out['check_number']], 0, $codekey,//$InsertionId[$out['check_number']] gives the session id
 443                 substr($inslabel,3), $reason, $debug);
 444             } else {
 445               slPostAdjustment($arrow['id'], 0, $production_date,
 446                 $out['check_number'], $codekey, $insurance_id,
 447                 $reason, $debug);
 448             }
 449                     }
 450                     writeMessageLine($bgcolor, $class, $description . ' ' .
 451                         sprintf("%.2f", $adj['amount']));
 452                 }
 453                 // Other group codes for primary insurance are real adjustments.
 454                 else {
 455                     if (!$error && !$debug) {
 456             if ($INTEGRATED_AR) {
 457               arPostAdjustment($pid, $encounter, $InsertionId[$out['check_number']], $adj['amount'],//$InsertionId[$out['check_number']] gives the session id
 458                 $codekey, substr($inslabel,3),
 459                 "Adjust code " . $adj['reason_code'], $debug);
 460             } else {
 461               slPostAdjustment($arrow['id'], $adj['amount'], $production_date,
 462                 $out['check_number'], $codekey, $insurance_id,
 463                 "$inslabel adjust code " . $adj['reason_code'], $debug);
 464             }
 465                         $invoice_total -= $adj['amount'];
 466                     }
 467                     writeDetailLine($bgcolor, $class, $patient_name, $invnumber,
 468                         $codekey, $production_date, $description,
 469                         0 - $adj['amount'], ($error ? '' : $invoice_total));
 470                 }
 471             }
 472
 473         } // End of service item
 474
 475         // Report any existing service items not mentioned in the ERA, and
 476         // determine if any of them are still missing an insurance response
 477         // (if so, then insurance is not yet done with the claim).
 478         $insurance_done = true;
 479         foreach ($codes as $code => $prev) {
 480       // writeOldDetail($prev, $arrow['name'], $invnumber, $service_date, $code, $bgcolor);
 481       writeOldDetail($prev, $patient_name, $invnumber, $service_date, $code, $bgcolor);
 482             $got_response = false;
 483             foreach ($prev['dtl'] as $ddata) {
 484                 if ($ddata['pmt'] || $ddata['rsn']) $got_response = true;
 485             }
 486             if (!$got_response) $insurance_done = false;
 487         }
 488
 489         // Cleanup: If all is well, mark Ins<x> done and check for secondary billing.
 490         if (!$error && !$debug && $insurance_done) {
 491           if ($INTEGRATED_AR) {
 492             $level_done = 0 + substr($inslabel, 3);
 493
 494             if($out['crossover']==1)
 495              {//Automatic forward case.So need not again bill from the billing manager screen.
 496               sqlStatement("UPDATE form_encounter " .
 497               "SET last_level_closed = $level_done,last_level_billed=".$level_done." WHERE " .
 498               "pid = '$pid' AND encounter = '$encounter'");
 499               writeMessageLine($bgcolor, 'infdetail',
 500                 'This claim is processed by Insurance '.$level_done.' and automatically forwarded to Insurance '.($level_done+1) .' for processing. ');
 501              }
 502             else
 503              {
 504              "UPDATE form_encounter " .
 505               "SET last_level_closed = $level_done WHERE " .
 506               "pid = '$pid' AND encounter = '$encounter'";
 507              }
 508             // Check for secondary insurance.
 509             if ($primary && arGetPayerID($pid, $service_date, 2)) {
 510               arSetupSecondary($pid, $encounter, $debug,$out['crossover']);
 511
 512               if($out['crossover']<>1)
 513               {
 514                 writeMessageLine($bgcolor, 'infdetail',
 515                 'This claim is now re-queued for secondary paper billing');
 516               }
 517             }
 518           } else {
 519             $shipvia = 'Done: Ins1';
 520             if ($inslabel != 'Ins1') $shipvia .= ',Ins2';
 521             if ($inslabel == 'Ins3') $shipvia .= ',Ins3';
 522             $query = "UPDATE ar SET shipvia = '$shipvia' WHERE id = " . $arrow['id'];
 523             SLQuery($query);
 524             if ($sl_err) die($sl_err);
 525             // Check for secondary insurance.
 526             $insgot = strtolower($arrow['notes']);
 527             if ($primary && strpos($insgot, 'ins2') !== false) {
 528               slSetupSecondary($arrow['id'], $debug);
 529               if($out['crossover']<>1)
 530               {
 531               writeMessageLine($bgcolor, 'infdetail',
 532                 'This claim is now re-queued for secondary paper billing');
 533               }
 534             }
 535           }
 536         }
 537         }
 538     }
 539
 540 /////////////////////////// End Functions ////////////////////////////
 541
 542     $info_msg = "";
 543
 544     $eraname = $_GET['eraname'];
 545     if (! $eraname) die(xl("You cannot access this page directly."));
 546
 547     // Open the output file early so that in case it fails, we do not post a
 548     // bunch of stuff without saving the report.  Also be sure to retain any old
 549     // report files.  Do not save the report if this is a no-update situation.
 550     //
 551     if (!$debug) {
 552         $nameprefix = $GLOBALS['OE_SITE_DIR'] . "/era/$eraname";
 553         $namesuffix = '';
 554         for ($i = 1; is_file("$nameprefix$namesuffix.html"); ++$i) {
 555             $namesuffix = "_$i";
 556         }
 557         $fnreport = "$nameprefix$namesuffix.html";
 558         $fhreport = fopen($fnreport, 'w');
 559         if (!$fhreport) die(xl("Cannot create") . " '$fnreport'");
 560     }
 561
 562   if (!$INTEGRATED_AR) slInitialize();
 563 ?>
 564 <html>
 565 <head>
 566 <?php html_header_show();?>
 567 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
 568 <style type="text/css">
 569  body       { font-family:sans-serif; font-size:8pt; font-weight:normal }
 570  .dehead    { color:#000000; font-family:sans-serif; font-size:9pt; font-weight:bold }
 571  .olddetail { color:#000000; font-family:sans-serif; font-size:9pt; font-weight:normal }
 572  .newdetail { color:#00dd00; font-family:sans-serif; font-size:9pt; font-weight:normal }
 573  .errdetail { color:#dd0000; font-family:sans-serif; font-size:9pt; font-weight:normal }
 574  .infdetail { color:#0000ff; font-family:sans-serif; font-size:9pt; font-weight:normal }
 575 </style>
 576 <title><?php xl('EOB Posting - Electronic Remittances','e')?></title>
 577 <script language="JavaScript">
 578 </script>
 579 </head>
 580 <body leftmargin='0' topmargin='0' marginwidth='0' marginheight='0'>
 581 <form action="sl_eob_process.php" method="get" >
 582 <center>
 583 <?php
 584   if($_GET['original']=='original')
 585   {
 586   $alertmsg = parse_era_for_check($GLOBALS['OE_SITE_DIR'] . "/era/$eraname.edi", 'era_callback');
 587   echo $StringToEcho;
 588     }
 589     else
 590     {
 591     ?>
 592         <table border='0' cellpadding='2' cellspacing='0' width='100%'>
 593
 594          <tr bgcolor="#cccccc">
 595           <td class="dehead">
 596            <?php echo htmlspecialchars( xl('Patient'), ENT_QUOTES) ?>
 597           </td>
 598           <td class="dehead">
 599            <?php echo htmlspecialchars( xl('Invoice'), ENT_QUOTES) ?>
 600           </td>
 601           <td class="dehead">
 602            <?php echo htmlspecialchars( xl('Code'), ENT_QUOTES) ?>
 603           </td>
 604           <td class="dehead">
 605            <?php echo htmlspecialchars( xl('Date'), ENT_QUOTES) ?>
 606           </td>
 607           <td class="dehead">
 608            <?php echo htmlspecialchars( xl('Description'), ENT_QUOTES) ?>
 609           </td>
 610           <td class="dehead" align="right">
 611            <?php echo htmlspecialchars( xl('Amount'), ENT_QUOTES) ?>&nbsp;
 612           </td>
 613           <td class="dehead" align="right">
 614            <?php echo htmlspecialchars( xl('Balance'), ENT_QUOTES) ?>&nbsp;
 615           </td>
 616          </tr>
 617
 618         <?php
 619         global $InsertionId;
 620
 621           $eraname=$_REQUEST['eraname'];
 622           $alertmsg = parse_era_for_check($GLOBALS['OE_SITE_DIR'] . "/era/$eraname.edi");
 623           $alertmsg = parse_era($GLOBALS['OE_SITE_DIR'] . "/era/$eraname.edi", 'era_callback');
 624         if(!$debug)
 625          {
 626               $StringIssue=htmlspecialchars( xl("Total Distribution for following check number is not full"), ENT_QUOTES).': ';
 627               $StringPrint='No';
 628               foreach($InsertionId as $key => $value)
 629                 {
 630                     $rs= sqlQ("select pay_total from ar_session where session_id='$value'");
 631                     $row=sqlFetchArray($rs);
 632                     $pay_total=$row['pay_total'];
 633                     $rs= sqlQ("select sum(pay_amount) sum_pay_amount from ar_activity where session_id='$value'");
 634                     $row=sqlFetchArray($rs);
 635                     $pay_amount=$row['sum_pay_amount'];
 636
 637                     if(($pay_total-$pay_amount)<>0)
 638                     {
 639                     $StringIssue.=$key.' ';
 640                     $StringPrint='Yes';
 641                     }
 642                 }
 643             if($StringPrint=='Yes')
 644                 echo "<script>alert('$StringIssue')</script>";
 645          }
 646
 647           if (!$INTEGRATED_AR) slTerminate();
 648
 649         ?>
 650         </table>
 651 <?php
 652 }
 653 ?>
 654 </center>
 655 <script language="JavaScript">
 656 <?php
 657     if ($alertmsg) echo " alert('" . htmlspecialchars($alertmsg, ENT_QUOTES) . "');\n";
 658 ?>
 659 </script>
 660 <input type="hidden" name="paydate" value="<?php echo DateToYYYYMMDD($_REQUEST['paydate']);?>" />
 661 <input type="hidden" name="post_to_date" value="<?php echo DateToYYYYMMDD($_REQUEST['post_to_date']);?>" />
 662 <input type="hidden" name="deposit_date" value="<?php echo DateToYYYYMMDD($_REQUEST['deposit_date']);?>" />
 663 <input type="hidden" name="debug" value="<?php echo $_REQUEST['debug'];?>" />
 664 <input type="hidden" name="InsId" value="<?php echo $_REQUEST['InsId'];?>" />
 665 <input type="hidden" name="eraname" value="<?php echo $eraname?>" />
 666 </form>
 667 </body>
 668 </html>
 669 <?php
 670     // Save all of this script's output to a report file.
 671     if (!$debug) {
 672         fwrite($fhreport, ob_get_contents());
 673         fclose($fhreport);
 674     }
 675     ob_end_flush();
 676 ?>