interface/billing/sl_eob_search.php

   1 <?php
   2  // Copyright (C) 2005-2006 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 is the first of two pages to support posting of EOBs.
  10  // The second is sl_eob_invoice.php.
  11
  12  include_once("../globals.php");
  13  include_once("../../library/patient.inc");
  14  include_once("../../library/sql-ledger.inc");
  15  include_once("../../library/invoice_summary.inc.php");
  16  include_once("../../custom/statement.inc.php");
  17  include_once("../../library/parse_era.inc.php");
  18  include_once("../../library/sl_eob.inc.php");
  19
  20  $DEBUG = 0; // set to 0 for production, 1 to test
  21
  22  $alertmsg = '';
  23  $where = '';
  24  $eraname = '';
  25  $eracount = 0;
  26
  27  // This is called back by parse_era() if we are processing X12 835's.
  28  //
  29  function era_callback(&$out) {
  30   global $where, $eracount, $eraname;
  31   // print_r($out); // debugging
  32   ++$eracount;
  33   // $eraname = $out['isa_control_number'];
  34   $eraname = $out['gs_date'] . '_' . ltrim($out['isa_control_number'], '0') .
  35     '_' . ltrim($out['payer_id'], '0');
  36   list($pid, $encounter, $invnumber) = slInvoiceNumber($out);
  37
  38   if ($pid && $encounter) {
  39    if ($where) $where .= ' OR ';
  40    $where .= "invnumber = '$invnumber'";
  41   }
  42  }
  43
  44  function bucks($amount) {
  45   if ($amount)
  46    printf("%.2f", $amount);
  47  }
  48
  49  $today = date("Y-m-d");
  50
  51  SLConnect();
  52
  53  // Print statements if requested.
  54  //
  55  if ($_POST['form_print'] && $_POST['form_cb']) {
  56
  57   $fhprint = fopen($STMT_TEMP_FILE, 'w');
  58
  59   $where = "";
  60   foreach ($_POST['form_cb'] as $key => $value) $where .= " OR ar.id = $key";
  61   $where = substr($where, 4);
  62
  63   // Sort by patient so that multiple invoices can be
  64   // represented on a single statement.
  65   $res = SLQuery("SELECT ar.*, customer.name, " .
  66    "customer.address1, customer.address2, " .
  67    "customer.city, customer.state, customer.zipcode, " .
  68    "substring(trim(both from customer.name) from '% #\"%#\"' for '#') AS lname, " .
  69    "substring(trim(both from customer.name) from '#\"%#\" %' for '#') AS fname " .
  70    "FROM ar, customer WHERE ( $where ) AND " .
  71    "customer.id = ar.customer_id " .
  72    "ORDER BY lname, fname, ar.customer_id, ar.transdate");
  73   if ($sl_err) die($sl_err);
  74
  75   $stmt = array();
  76
  77   for ($irow = 0; $irow < SLRowCount($res); ++$irow) {
  78    $row = SLGetRow($res, $irow);
  79
  80    // Determine the date of service.  An 8-digit encounter number is
  81    // presumed to be a date of service imported during conversion.
  82    // Otherwise look it up in the form_encounter table.
  83    //
  84    $svcdate = "";
  85    list($pid, $encounter) = explode(".", $row['invnumber']);
  86    if (strlen($encounter) == 8) {
  87     $svcdate = substr($encounter, 0, 4) . "-" . substr($encounter, 4, 2) .
  88       "-" . substr($encounter, 6, 2);
  89    } else if ($encounter) {
  90     $tmp = sqlQuery("SELECT date FROM form_encounter WHERE " .
  91      "encounter = $encounter");
  92     $svcdate = substr($tmp['date'], 0, 10);
  93    }
  94
  95    // How many times have we dunned them for this invoice?
  96    $intnotes = trim($row['intnotes']);
  97    $duncount = substr_count(strtolower($intnotes), "statement sent");
  98
  99    // If this is a new patient then print the pending statement
 100    // and start a new one.  This is an associative array:
 101    //
 102    //  cid     = SQL-Ledger customer ID
 103    //  pid     = OpenEMR patient ID
 104    //  patient = patient name
 105    //  amount  = total amount due
 106    //  adjust  = adjustments (already applied to amount)
 107    //  duedate = due date of the oldest included invoice
 108    //  age     = number of days from duedate to today
 109    //  to      = array of addressee name/address lines
 110    //  lines   = array of:
 111    //    dos     = date of service "yyyy-mm-dd"
 112    //    desc    = description
 113    //    amount  = charge less adjustments
 114    //    paid    = amount paid
 115    //    notice  = 1 for first notice, 2 for second, etc.
 116    //    detail  = array of details, see invoice_summary.inc.php
 117    //
 118    if ($stmt['cid'] != $row['customer_id']) {
 119     fwrite($fhprint, create_statement($stmt));
 120     $stmt['cid'] = $row['customer_id'];
 121     $stmt['pid'] = $pid;
 122     $stmt['patient'] = $row['name'];
 123     $stmt['to'] = array($row['name']);
 124     if ($row['address1']) $stmt['to'][] = $row['address1'];
 125     if ($row['address2']) $stmt['to'][] = $row['address2'];
 126     $stmt['to'][] = $row['city'] . ", " . $row['state'] . " " . $row['zipcode'];
 127     $stmt['lines'] = array();
 128     $stmt['amount'] = '0.00';
 129     $stmt['today'] = $today;
 130     $stmt['duedate'] = $row['duedate'];
 131    } else {
 132     // Report the oldest due date.
 133     if ($row['duedate'] < $stmt['duedate']) {
 134      $stmt['duedate'] = $row['duedate'];
 135     }
 136    }
 137
 138    $stmt['age'] = round((strtotime($today) - strtotime($stmt['duedate'])) /
 139     (24 * 60 * 60));
 140
 141    $invlines = get_invoice_summary($row['id'], true); // true added by Rod 2006-06-09
 142    foreach ($invlines as $key => $value) {
 143     $line = array();
 144     $line['dos']     = $svcdate;
 145     $line['desc']    = ($key == 'CO-PAY') ? "Patient Payment" : "Procedure $key";
 146     $line['amount']  = sprintf("%.2f", $value['chg']);
 147     $line['adjust']  = sprintf("%.2f", $value['adj']);
 148     $line['paid']    = sprintf("%.2f", $value['chg'] - $value['bal']);
 149     $line['notice']  = $duncount + 1;
 150     $line['detail']  = $value['dtl']; // Added by Rod 2006-06-09
 151     $stmt['lines'][] = $line;
 152     $stmt['amount']  = sprintf("%.2f", $stmt['amount'] + $value['bal']);
 153    }
 154
 155    // Record something in ar.intnotes about this statement run.
 156    if ($intnotes) $intnotes .= "\n";
 157    $intnotes = addslashes($intnotes . "Statement sent $today");
 158    if (! $DEBUG && ! $_POST['form_without']) {
 159     SLQuery("UPDATE ar SET intnotes = '$intnotes' WHERE id = " . $row['id']);
 160     if ($sl_err) die($sl_err);
 161    }
 162   }
 163
 164   fwrite($fhprint, create_statement($stmt));
 165
 166   if ($DEBUG) {
 167    $alertmsg = xl("Printing skipped; see test output in ").$STMT_TEMP_FILE;
 168   } else {
 169    exec("$STMT_PRINT_CMD $STMT_TEMP_FILE");
 170    if ($_POST['form_without']) {
 171     $alertmsg = xl("Now printing statements; invoices will not be updated.");
 172    } else {
 173     $alertmsg = xl("Now printing statements and updating invoices.");
 174    }
 175   }
 176  }
 177 ?>
 178 <html>
 179 <head>
 180 <link rel=stylesheet href="<?echo $css_header;?>" type="text/css">
 181 <title><?xl('EOB Posting - Search','e')?></title>
 182 <script type="text/javascript" src="../../library/textformat.js"></script>
 183
 184 <script language="JavaScript">
 185
 186 var mypcc = '1';
 187
 188 function checkAll(checked) {
 189  var f = document.forms[0];
 190  for (var i = 0; i < f.elements.length; ++i) {
 191   var ename = f.elements[i].name;
 192   if (ename.indexOf('form_cb[') == 0)
 193    f.elements[i].checked = checked;
 194  }
 195 }
 196
 197 function npopup(pid) {
 198  window.open('sl_eob_patient_note.php?patient_id=' + pid, '_blank', 'width=500,height=250,resizable=1');
 199  return false;
 200 }
 201
 202 </script>
 203
 204 </head>
 205
 206 <body leftmargin='0' topmargin='0' marginwidth='0' marginheight='0'>
 207 <center>
 208
 209 <form method='post' action='sl_eob_search.php' enctype='multipart/form-data'>
 210
 211 <table border='0' cellpadding='5' cellspacing='0'>
 212
 213  <tr>
 214   <td height="1" colspan="10">
 215   </td>
 216  </tr>
 217
 218  <tr>
 219   <td colspan='2'>
 220    &nbsp;
 221   </td>
 222   <td>
 223    <?xl('Source:','e')?>
 224   </td>
 225   <td>
 226    <input type='text' name='form_source' size='10' value='<?php echo $_POST['form_source']; ?>'
 227     title='<?xl("A check number or claim number to identify the payment","e")?>'>
 228   </td>
 229   <td>
 230    <?xl('Pay Date:','e')?>
 231   </td>
 232   <td>
 233    <input type='text' name='form_paydate' size='10' value='<?php echo $_POST['form_paydate']; ?>'
 234     onkeyup='datekeyup(this,mypcc)' onblur='dateblur(this,mypcc)'
 235     title='<?xl("Date of payment yyyy-mm-dd","e")?>'>
 236   </td>
 237   <td>
 238    <?xl('Amount:','e')?>
 239   </td>
 240   <td>
 241    <input type='text' name='form_amount' size='10' value='<?php echo $_POST['form_amount']; ?>'
 242     title='<?xl("Paid amount that you will allocate","e")?>'>
 243   </td>
 244   <td colspan='2' align='right'>
 245    <a href='sl_eob_help.php' target='_blank'><?xl('Help','e')?></a>
 246   </td>
 247  </tr>
 248
 249  <tr>
 250   <td height="1" colspan="10">
 251   </td>
 252  </tr>
 253
 254  <tr bgcolor='#ddddff'>
 255   <td>
 256    <?xl('Name:','e')?>
 257   </td>
 258   <td>
 259    <input type='text' name='form_name' size='10' value='<?php echo $_POST['form_name']; ?>'
 260     title='<?xl("Any part of the patient name, or 'last,first', or 'X-Y'","e")?>'>
 261   </td>
 262   <td>
 263    <?xl('Chart ID:','e')?>
 264   </td>
 265   <td>
 266    <input type='text' name='form_pid' size='10' value='<?php echo $_POST['form_pid']; ?>'
 267     title='<?xl("Patient chart ID","e")?>'>
 268   </td>
 269   <td>
 270    <?xl('Encounter:','e')?>
 271   </td>
 272   <td>
 273    <input type='text' name='form_encounter' size='10' value='<?php echo $_POST['form_encounter']; ?>'
 274     title='<?xl("Encounter number","e")?>'>
 275   </td>
 276   <td>
 277    <?xl('Svc Date:','e')?>
 278   </td>
 279   <td>
 280    <input type='text' name='form_date' size='10' value='<?php echo $_POST['form_date']; ?>'
 281     title='<?xl("Date of service mm/dd/yyyy","e")?>'>
 282   </td>
 283   <td>
 284    <?xl('To:','e')?>
 285   </td>
 286   <td>
 287    <input type='text' name='form_to_date' size='10' value='<?php echo $_POST['form_to_date']; ?>'
 288     title='<?xl("Ending DOS mm/dd/yyyy if you wish to enter a range","e")?>'>
 289   </td>
 290   <td>
 291    <select name='form_category'>
 292 <?php
 293  foreach (array(xl('Open'), xl('All'), xl('Due Pt'), xl('Due Ins')) as $value) {
 294   echo "    <option value='$value'";
 295   if ($_POST['form_category'] == $value) echo " selected";
 296   echo ">$value</option>\n";
 297  }
 298 ?>
 299    </select>
 300   </td>
 301   <td>
 302    <input type='submit' name='form_search' value='<?xl("Search","e")?>'>
 303   </td>
 304  </tr>
 305
 306  <!-- Support for X12 835 upload -->
 307  <tr bgcolor='#ddddff'>
 308   <td colspan='12'>
 309    <?xl('Or upload ERA file:','e')?>
 310    <input type="hidden" name="MAX_FILE_SIZE" value="5000000" />
 311    <input name="form_erafile" type="file" />
 312   </td>
 313  </tr>
 314
 315  <tr>
 316   <td height="1" colspan="10">
 317   </td>
 318  </tr>
 319
 320 </table>
 321
 322 <?php
 323   if ($_POST['form_search'] || $_POST['form_print']) {
 324     $form_name      = trim($_POST['form_name']);
 325     $form_pid       = trim($_POST['form_pid']);
 326     $form_encounter = trim($_POST['form_encounter']);
 327     $form_date      = fixDate($_POST['form_date'], "");
 328     $form_to_date   = fixDate($_POST['form_to_date'], "");
 329
 330     $where = "";
 331
 332     // Handle X12 835 file upload.
 333     //
 334     if ($_FILES['form_erafile']['size']) {
 335       $tmp_name = $_FILES['form_erafile']['tmp_name'];
 336
 337       // Handle .zip extension if present.  Probably won't work on Windows.
 338       if (strtolower(substr($_FILES['form_erafile']['name'], -4)) == '.zip') {
 339         rename($tmp_name, "$tmp_name.zip");
 340         exec("unzip -p $tmp_name.zip > $tmp_name");
 341         unlink("$tmp_name.zip");
 342       }
 343
 344       echo "<!-- Notes from ERA upload processing:\n";
 345       $alertmsg .= parse_era($tmp_name, 'era_callback');
 346       echo "-->\n";
 347       $erafullname = "$webserver_root/era/$eraname.edi";
 348
 349       if (is_file($erafullname)) {
 350         $alertmsg .= "Warning: Set $eraname was already uploaded ";
 351         if (is_file("$webserver_root/era/$eraname.html"))
 352           $alertmsg .= "and processed. ";
 353         else
 354           $alertmsg .= "but not yet processed. ";
 355       }
 356       // if (!move_uploaded_file($_FILES['form_erafile']['tmp_name'], $erafullname)) {
 357       //   die("Upload failed! $alertmsg");
 358       // }
 359       rename($tmp_name, $erafullname);
 360     }
 361
 362     if ($eracount) {
 363       if (! $where) $where = '1 = 2';
 364     }
 365     else {
 366       if ($form_name) {
 367         if ($where) $where .= " AND ";
 368         // Allow the last name to be followed by a comma and some part of a first name.
 369         if (preg_match('/^(.*\S)\s*,\s*(.*)/', $form_name, $matches)) {
 370           $where .= "customer.name ILIKE '" . $matches[2] . '% ' . $matches[1] . "%'";
 371         // Allow a filter like "A-C" on the first character of the last name.
 372         } else if (preg_match('/^(\S)\s*-\s*(\S)$/', $form_name, $matches)) {
 373           $tmp = '1 = 2';
 374           while (ord($matches[1]) <= ord($matches[2])) {
 375             $tmp .= " OR customer.name ILIKE '% " . $matches[1] . "%'";
 376             $matches[1] = chr(ord($matches[1]) + 1);
 377           }
 378           $where .= "( $tmp ) ";
 379         } else {
 380           $where .= "customer.name ILIKE '%$form_name%'";
 381         }
 382       }
 383       if ($form_pid && $form_encounter) {
 384         if ($where) $where .= " AND ";
 385         $where .= "ar.invnumber = '$form_pid.$form_encounter'";
 386       }
 387       else if ($form_pid) {
 388         if ($where) $where .= " AND ";
 389         $where .= "ar.invnumber LIKE '$form_pid.%'";
 390       }
 391       else if ($form_encounter) {
 392         if ($where) $where .= " AND ";
 393         $where .= "ar.invnumber like '%.$form_encounter'";
 394       }
 395
 396       if ($form_date) {
 397         if ($where) $where .= " AND ";
 398         $date1 = substr($form_date, 0, 4) . substr($form_date, 5, 2) .
 399           substr($form_date, 8, 2);
 400         if ($form_to_date) {
 401           $date2 = substr($form_to_date, 0, 4) . substr($form_to_date, 5, 2) .
 402             substr($form_to_date, 8, 2);
 403           $where .= "((CAST (substring(ar.invnumber from position('.' in ar.invnumber) + 1 for 8) AS integer) " .
 404             "BETWEEN '$date1' AND '$date2')";
 405           $tmp = "date >= '$form_date' AND date <= '$form_to_date'";
 406         }
 407         else {
 408           // This catches old converted invoices where we have no encounters:
 409           $where .= "(ar.invnumber LIKE '%.$date1'";
 410           $tmp = "date = '$form_date'";
 411         }
 412         // Pick out the encounters from MySQL with the desired DOS:
 413         $rez = sqlStatement("SELECT pid, encounter FROM form_encounter WHERE $tmp");
 414         while ($row = sqlFetchArray($rez)) {
 415           $where .= " OR ar.invnumber = '" . $row['pid'] . "." . $row['encounter'] . "'";
 416         }
 417         $where .= ")";
 418       }
 419
 420       if (! $where) {
 421         if ($_POST['form_category'] == 'All') {
 422           die("At least one search parameter is required if you select All.");
 423         } else {
 424           $where = "1 = 1";
 425         }
 426       }
 427     }
 428
 429     $query = "SELECT ar.id, ar.invnumber, ar.duedate, ar.amount, ar.paid, " .
 430       "ar.intnotes, ar.notes, ar.shipvia, customer.name, " .
 431       "substring(trim(both from customer.name) from '% #\"%#\"' for '#') AS lname, " .
 432       "substring(trim(both from customer.name) from '#\"%#\" %' for '#') AS fname, " .
 433       "(SELECT SUM(invoice.fxsellprice) FROM invoice WHERE " .
 434       "invoice.trans_id = ar.id AND invoice.fxsellprice > 0) AS charges, " .
 435       "(SELECT SUM(invoice.fxsellprice) FROM invoice WHERE " .
 436       "invoice.trans_id = ar.id AND invoice.fxsellprice < 0) AS adjustments " .
 437       "FROM ar, customer WHERE ( $where ) AND customer.id = ar.customer_id ";
 438     if ($_POST['form_category'] != 'All' && !$eracount) {
 439       $query .= "AND ar.amount != ar.paid ";
 440       // if ($_POST['form_category'] == 'Due') {
 441       //   $query .= "AND ar.duedate <= CURRENT_DATE ";
 442       // }
 443     }
 444     $query .= "ORDER BY lname, fname, ar.invnumber";
 445
 446     echo "<!-- $query -->\n"; // debugging
 447
 448     $t_res = SLQuery($query);
 449     if ($sl_err) die($sl_err);
 450
 451     $num_invoices = SLRowCount($t_res);
 452     if ($eracount && $num_invoices != $eracount) {
 453       $alertmsg .= "Of $eracount remittances, there are $num_invoices " .
 454         "matching claims in OpenEMR. ";
 455     }
 456 ?>
 457
 458 <table border='0' cellpadding='1' cellspacing='2' width='98%'>
 459
 460  <tr bgcolor="#dddddd">
 461   <td class="dehead">
 462    &nbsp;<?xl('Patient','e')?>
 463   </td>
 464   <td class="dehead">
 465    &nbsp;<?xl('Invoice','e')?>
 466   </td>
 467   <td class="dehead">
 468    &nbsp;<?xl('Svc Date','e')?>
 469   </td>
 470   <td class="dehead">
 471    &nbsp;<?xl('Due Date','e')?>
 472   </td>
 473   <td class="dehead" align="right">
 474    <?xl('Charge','e')?>&nbsp;
 475   </td>
 476   <td class="dehead" align="right">
 477    <?xl('Adjust','e')?>&nbsp;
 478   </td>
 479   <td class="dehead" align="right">
 480    <?xl('Paid','e')?>&nbsp;
 481   </td>
 482   <td class="dehead" align="right">
 483    <?xl('Balance','e')?>&nbsp;
 484   </td>
 485   <td class="dehead" align="center">
 486    <?xl('Prv','e')?>
 487   </td>
 488 <?php if (!$eracount) { ?>
 489   <td class="dehead" align="center">
 490    <?xl('Sel','e')?>
 491   </td>
 492 <?php } ?>
 493  </tr>
 494
 495 <?php
 496     $orow = -1;
 497     for ($irow = 0; $irow < $num_invoices; ++$irow) {
 498       $row = SLGetRow($t_res, $irow);
 499
 500       // $duncount was originally supposed to be the number of times that
 501       // the patient was sent a statement for this invoice.
 502       //
 503       $duncount = substr_count(strtolower($row['intnotes']), "statement sent");
 504
 505       // But if we have not yet billed the patient, then compute $duncount as a
 506       // negative count of the number of insurance plans for which we have not
 507       // yet closed out insurance.
 508       //
 509       if (! $duncount) {
 510         $insgot = strtolower($row['notes']);
 511         $inseobs = strtolower($row['shipvia']);
 512         foreach (array('ins1', 'ins2', 'ins3') as $value) {
 513           if (strpos($insgot, $value) !== false &&
 514               strpos($inseobs, $value) === false)
 515             --$duncount;
 516         }
 517       }
 518
 519 //    $isdue = ($row['duedate'] <= $today && $row['amount'] > $row['paid']) ? " checked" : "";
 520
 521       $isdueany = sprintf("%.2f",$row['amount']) > sprintf("%.2f",$row['paid']);
 522
 523       // An invoice is now due from the patient if money is owed and we are
 524       // not waiting for insurance to pay.  We no longer look at the due date
 525       // for this.
 526       //
 527       $isduept = ($duncount >= 0 && $isdueany) ? " checked" : "";
 528
 529       // Skip invoices not in the desired "Due..." category.
 530       //
 531       if (substr($_POST['form_category'], 0, 3) == 'Due' && !$isdueany) continue;
 532       if ($_POST['form_category'] == 'Due Ins' && ($duncount >= 0 || !$isdueany)) continue;
 533       if ($_POST['form_category'] == 'Due Pt'  && ($duncount <  0 || !$isdueany)) continue;
 534
 535       $bgcolor = ((++$orow & 1) ? "#ffdddd" : "#ddddff");
 536
 537       // Determine the date of service.  If this was a search parameter
 538       // then we already know it.  Or an 8-digit encounter number is
 539       // presumed to be a date of service imported during conversion.
 540       // Otherwise look it up in the form_encounter table.
 541       //
 542       $svcdate = "";
 543       list($pid, $encounter) = explode(".", $row['invnumber']);
 544       // if ($form_date) {
 545       //   $svcdate = $form_date;
 546       // } else
 547       if (strlen($encounter) == 8) {
 548         $svcdate = substr($encounter, 0, 4) . "-" . substr($encounter, 4, 2) .
 549           "-" . substr($encounter, 6, 2);
 550       }
 551       else if ($encounter) {
 552         $tmp = sqlQuery("SELECT date FROM form_encounter WHERE " .
 553           "encounter = $encounter");
 554         $svcdate = substr($tmp['date'], 0, 10);
 555       }
 556 ?>
 557  <tr bgcolor='<?php echo $bgcolor ?>'>
 558   <td class="detail">
 559    &nbsp;<a href="" onclick="return npopup(<?php echo $pid ?>)"
 560    ><?php echo $row['lname'] . ', ' . $row['fname']; ?></a>
 561   </td>
 562   <td class="detail">
 563    &nbsp;<a href="sl_eob_invoice.php?id=<?php echo $row['id'] ?>"
 564     target="_blank"><?php echo $row['invnumber'] ?></a>
 565   </td>
 566   <td class="detail">
 567    &nbsp;<?php echo $svcdate ?>
 568   </td>
 569   <td class="detail">
 570    &nbsp;<?php echo $row['duedate'] ?>
 571   </td>
 572   <td class="detail" align="right">
 573    <?php bucks($row['charges']) ?>&nbsp;
 574   </td>
 575   <td class="detail" align="right">
 576    <?php bucks($row['adjustments']) ?>&nbsp;
 577   </td>
 578   <td class="detail" align="right">
 579    <?php bucks($row['paid']) ?>&nbsp;
 580   </td>
 581   <td class="detail" align="right">
 582    <?php bucks($row['charges'] + $row['adjustments'] - $row['paid']) ?>&nbsp;
 583   </td>
 584   <td class="detail" align="center">
 585    <?php echo $duncount ? $duncount : "&nbsp;" ?>
 586   </td>
 587 <?php if (!$eracount) { ?>
 588   <td class="detail" align="center">
 589    <input type='checkbox' name='form_cb[<?php echo($row['id']) ?>]'<?php echo $isduept ?> />
 590   </td>
 591 <?php } ?>
 592  </tr>
 593 <?
 594     }
 595   }
 596   SLClose();
 597 ?>
 598
 599 </table>
 600
 601 <p>
 602 <?php if ($eracount) { ?>
 603 <input type='button' value='Process ERA File' onclick='processERA()' /> &nbsp;
 604 <?php } else { ?>
 605 <input type='button' value='Select All' onclick='checkAll(true)' /> &nbsp;
 606 <input type='button' value='Clear All' onclick='checkAll(false)' /> &nbsp;
 607 <input type='submit' name='form_print' value='Print Selected Statements' /> &nbsp;
 608 <?php } ?>
 609 <input type='checkbox' name='form_without' value='1' /> <?xl('Without Update','e')?>
 610 </p>
 611
 612 </form>
 613 </center>
 614 <script language="JavaScript">
 615  function processERA() {
 616   var f = document.forms[0];
 617   var debug = f.form_without.checked ? '1' : '0';
 618   var paydate = f.form_paydate.value;
 619   window.open('sl_eob_process.php?eraname=<?php echo $eraname ?>&debug=' + debug + '&paydate=' + paydate, '_blank');
 620   return false;
 621  }
 622 <?php
 623  if ($alertmsg) {
 624   echo "alert('" . htmlentities($alertmsg) . "');\n";
 625  }
 626 ?>
 627 </script>
 628 </body>
 629 </html>