interface/billing/billing_report.php

   1 <?php
   2 /**
   3 * Billing Report Program
   4 *
   5 * @package   OpenEMR
   6 * @link      http://www.open-emr.org
   7 * @author    Terry Hill <terry@lilysystems.com>
   8 * @author    Brady Miller <brady.g.miller@gmail.com>
   9 * @author    Jerry Padgett <sjpadgett@gmail.com>
  10 * @copyright Copyright (c) 2016 Terry Hill <terry@lillysystems.com>
  11 * @copyright Copyright (c) 2017 Brady Miller <brady.g.miller@gmail.com>
  12 * @copyright Copyright (c) 2018 Jerry Padgett <sjpadgett@gmail.com>
  13 * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  14 */
  15
  16 require_once "../globals.php";
  17 require_once "../../library/acl.inc";
  18 require_once "../../custom/code_types.inc.php";
  19 require_once "$srcdir/patient.inc";
  20 require_once "$srcdir/../interface/reports/report.inc.php"; // Criteria Section common php page
  21 require_once "$srcdir/billrep.inc";
  22 require_once "$srcdir/options.inc.php";
  23 require_once "adjustment_reason_codes.php";
  24
  25 use OpenEMR\Core\Header;
  26
  27 $EXPORT_INC = "$webserver_root/custom/BillingExport.php";
  28 // echo $GLOBALS['daysheet_provider_totals'];
  29
  30 $daysheet = false;
  31 $daysheet_total = false;
  32 $provider_run = false;
  33
  34 if ($GLOBALS['use_custom_daysheet'] != 0) {
  35     $daysheet = true;
  36     if ($GLOBALS['daysheet_provider_totals'] == 1) {
  37         $daysheet_total = true;
  38         $provider_run = false;
  39     }
  40     if ($GLOBALS['daysheet_provider_totals'] == 0) {
  41         $daysheet_total = false;
  42         $provider_run = true;
  43     }
  44 }
  45
  46 $alertmsg = '';
  47
  48 if (isset($_POST['mode'])) {
  49     if (!verifyCsrfToken($_POST["csrf_token_form"])) {
  50         die(xlt('Authentication Error'));
  51     }
  52
  53     if ($_POST['mode'] == 'export') {
  54         $sql = ReturnOFXSql();
  55         $db = get_db();
  56         $results = $db->Execute($sql);
  57         $billings = array();
  58         if ($results->RecordCount() == 0) {
  59             echo "<fieldset id='error_info' style='border:1px solid #ff5d5a !Important; background-color: #ff5d5a !Important; color: #fff ! Important; font-weight: bold; font-family:sans-serif; border-radius:5px; padding:20px 5px !Important;'>";
  60             echo xlt("No Bills Found to Include in OFX Export") . "<br>";
  61             echo "</fieldset>";
  62         } else {
  63             while (!$results->EOF) {
  64                 $billings[] = $results->fields;
  65                 $results->MoveNext();
  66             }
  67             $ofx = new OFX($billings);
  68             header("Pragma: public");
  69             header("Expires: 0");
  70             header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
  71             header("Content-Disposition: attachment; filename=openemr_ofx.ofx");
  72             header("Content-Type: text/xml");
  73             echo $ofx->get_OFX();
  74             exit();
  75         }
  76     }
  77 }
  78
  79 // global variables:
  80 $from_date = isset($_POST['from_date']) ? $_POST['from_date'] : date('Y-m-d');
  81 $to_date = isset($_POST['to_date']) ? $_POST['to_date'] : '';
  82 $code_type = isset($_POST['code_type']) ? $_POST['code_type'] : 'all';
  83 $unbilled = isset($_POST['unbilled']) ? $_POST['unbilled'] : 'on';
  84 $my_authorized = isset($_POST["authorized"]) ? $_POST["authorized"] : '';
  85
  86 // This tells us if only encounters that appear to be missing a "25" modifier
  87 // are to be reported.
  88 $missing_mods_only = (isset($_POST['missing_mods_only']) && !empty($_POST['missing_mods_only']));
  89
  90 $left_margin = isset($_POST["left_margin"]) ? $_POST["left_margin"] : $GLOBALS['cms_left_margin_default'];
  91 $top_margin = isset($_POST["top_margin"]) ? $_POST["top_margin"] : $GLOBALS['cms_top_margin_default'];
  92 if ($ub04_support) {
  93     $left_ubmargin = isset($_POST["left_ubmargin"]) ? $_POST["left_ubmargin"] : $GLOBALS['left_ubmargin_default'];
  94     $top_ubmargin = isset($_POST["top_ubmargin"]) ? $_POST["top_ubmargin"] : $GLOBALS['top_ubmargin_default'];
  95 }
  96 $ofrom_date = $from_date;
  97 $oto_date = $to_date;
  98 $ocode_type = $code_type;
  99 $ounbilled = $unbilled;
 100 $oauthorized = $my_authorized;
 101 ?>
 102 <!DOCTYPE html >
 103 <html>
 104 <head>
 105
 106 <?php Header::setupHeader(['datetime-picker', 'common']); ?>
 107 <style>
 108     /*.subbtn { margin-top:3px; margin-bottom:3px; margin-left:2px; margin-right:2px }*/
 109     .btn-group-pinch > .btn:nth-last-child(4):not(.dropdown-toggle) {
 110         border-top-right-radius: 3px !Important;
 111         border-bottom-right-radius: 3px !Important;
 112     }
 113 </style>
 114 <script>
 115     function select_all() {
 116         for ($i = 0; $i < document.update_form.length; $i++) {
 117             $name = document.update_form[$i].name;
 118             if ($name.substring(0, 7) == "claims[" && $name.substring($name.length -
 119                     6) == "[bill]") {
 120                 document.update_form[$i].checked = true;
 121             }
 122         }
 123         set_button_states();
 124     }
 125
 126     function set_button_states() {
 127         var f = document.update_form;
 128         var count0 = 0; // selected and not billed or queued
 129         var count1 = 0; // selected and queued
 130         var count2 = 0; // selected and billed
 131         for ($i = 0; $i < f.length; ++$i) {
 132             $name = f[$i].name;
 133             if ($name.substring(0, 7) == "claims[" && $name.substring($name.length -
 134                     6) == "[bill]" && f[$i].checked == true) {
 135                 if (f[$i].value == '0') ++count0;
 136                 else if (f[$i].value == '1' || f[$i].value == '5') ++count1;
 137                 else ++count2;
 138             }
 139         }
 140         var can_generate = (count0 > 0 || count1 > 0 || count2 > 0);
 141         var can_mark = (count1 > 0 || count0 > 0 || count2 > 0);
 142         var can_bill = (count0 == 0 && count1 == 0 && count2 > 0);
 143         <?php if (file_exists($EXPORT_INC)) { ?>
 144         f.bn_external.disabled = !can_generate;
 145         <?php } else { ?>
 146         f.bn_x12_support.disabled = !can_generate;
 147         <?php if ($GLOBALS['support_encounter_claims']) { ?>
 148         f.bn_x12_encounter.disabled = !can_generate;
 149         <?php } ?>
 150         f.bn_process_hcfa_support.disabled = !can_generate;
 151         <?php if ($GLOBALS['preprinted_cms_1500']) { ?>
 152         f.bn_process_hcfa_form.disabled = !can_generate;
 153         <?php } ?>
 154         <?php if ($GLOBALS['ub04_support']) { ?>
 155         f.bn_process_ub04_support.disabled = !can_generate;
 156         <?php } ?>
 157         f.bn_hcfa_txt_file.disabled = !can_generate;
 158         f.bn_reopen.disabled = !can_bill;
 159         <?php } ?>
 160         f.bn_mark.disabled = !can_mark;
 161     }
 162
 163     // Process a click to go to an encounter.
 164     function toencounter(pid, pubpid, pname, enc, datestr, dobstr) {
 165         top.restoreSession();
 166         encurl = 'patient_file/encounter/encounter_top.php?set_encounter=' + enc +
 167             '&pid=' + pid;
 168         parent.left_nav.setPatient(pname, pid, pubpid, '', dobstr);
 169         <?php if ($GLOBALS['new_tabs_layout']) { ?>
 170         parent.left_nav.setEncounter(datestr, enc, 'enc');
 171         parent.left_nav.loadFrame('enc2', 'enc', encurl);
 172         <?php } else { ?>
 173         var othername = (window.name == 'RTop') ? 'RBot' : 'RTop';
 174         parent.left_nav.setEncounter(datestr, enc, othername);
 175         parent.frames[othername].location.href = '../' + encurl;
 176         <?php } ?>
 177     }
 178
 179     // Process a click to go to an patient.
 180     function topatient(pid, pubpid, pname, enc, datestr, dobstr) {
 181         top.restoreSession();
 182         paturl = 'patient_file/summary/demographics_full.php?pid=' + pid;
 183         parent.left_nav.setPatient(pname, pid, pubpid, '', dobstr);
 184         <?php if ($GLOBALS['new_tabs_layout']) { ?>
 185         parent.left_nav.loadFrame('ens1', 'enc',
 186             'patient_file/history/encounters.php?pid=' + pid);
 187         parent.left_nav.loadFrame('dem1', 'pat', paturl);
 188         <?php } else { ?>
 189         var othername = (window.name == 'RTop') ? 'RBot' : 'RTop';
 190         parent.frames[othername].location.href = '../' + paturl;
 191         <?php } ?>
 192     }
 193
 194     function popMBO(pid, enc, mboid) {
 195         if (!window.focus) return true;
 196         if (!ProcessBeforeSubmitting()) return false;
 197         top.restoreSession();
 198         let qstring = "&pid=" + pid + "&enc=" + enc + "&id=" + mboid;
 199         let href = "<?php echo $GLOBALS['web_root']?>/interface/patient_file/encounter/view_form.php?formname=misc_billing_options&isBilling=1" + qstring;
 200         dlgopen(href, 'mbopop', 'modal-lg', 750, false, '', {
 201             sizeHeight: 'full' // override min height auto size.
 202         });
 203         return true;
 204     }
 205
 206     function popUB04(pid, enc) {
 207         if (!window.focus) return true;
 208         if (!ProcessBeforeSubmitting()) return false;
 209         top.restoreSession();
 210         let href = "<?php echo $GLOBALS['web_root']?>/interface/billing/ub04_form.php?pid=" + pid + "&enc=" + enc;
 211         dlgopen(href, 'ub04pop', 1175, 750, false, '', {
 212             sizeHeight: 'full' // override min height auto size.
 213         });
 214         return true;
 215     }
 216 </script>
 217 <script>
 218     var EncounterDateArray = new Array;
 219     var CalendarCategoryArray = new Array;
 220     var EncounterIdArray = new Array;
 221     var EncounterNoteArray = new Array;
 222
 223     function SubmitTheScreen() { //Action on Update List link
 224         if (!ProcessBeforeSubmitting()) return false;
 225         $("#update-tooltip").replaceWith("<i class='fa fa-refresh fa-spin fa-1x' style=\"color:red\"></i>");
 226         top.restoreSession();
 227         document.the_form.mode.value = 'change';
 228         document.the_form.target = '_self';
 229         document.the_form.action = 'billing_report.php';
 230         document.the_form.submit();
 231         return true;
 232     }
 233
 234     function SubmitTheScreenPrint() { //Action on View Printable Report link
 235         if (!ProcessBeforeSubmitting()) return false;
 236         top.restoreSession();
 237         document.the_form.target = 'new';
 238         document.the_form.action = 'print_billing_report.php';
 239         document.the_form.submit();
 240         return true;
 241     }
 242
 243     function SubmitTheEndDayPrint() { //Action on View End of Day Report link
 244         if (!ProcessBeforeSubmitting()) return false;
 245         top.restoreSession();
 246         document.the_form.target = 'new';
 247         <?php if ($GLOBALS['use_custom_daysheet'] == 1) { ?>
 248         document.the_form.action = 'print_daysheet_report_num1.php';
 249         <?php } ?>
 250         <?php if ($GLOBALS['use_custom_daysheet'] == 2) { ?>
 251         document.the_form.action = 'print_daysheet_report_num2.php';
 252         <?php } ?>
 253         <?php if ($GLOBALS['use_custom_daysheet'] == 3) { ?>
 254         document.the_form.action = 'print_daysheet_report_num3.php';
 255         <?php } ?>
 256         document.the_form.submit();
 257         return true;
 258     }
 259
 260     function SubmitTheScreenExportOFX() { //Action on Export OFX link
 261         if (!ProcessBeforeSubmitting()) return false;
 262         top.restoreSession();
 263         document.the_form.mode.value = 'export';
 264         document.the_form.target = '_self';
 265         document.the_form.action = 'billing_report.php';
 266         document.the_form.submit();
 267         return true;
 268     }
 269
 270     function TestExpandCollapse() { //Checks whether the Expand All, Collapse All labels need to be placed.If any result set is there these will be placed.
 271         var set = -1;
 272         for (i = 1; i <= document.getElementById("divnos").value; i++) {
 273             var ele = document.getElementById("divid_" + i);
 274             if (ele) {
 275                 set = 1;
 276                 break;
 277             }
 278         }
 279         if (set == -1) {
 280             if (document.getElementById("ExpandAll")) {
 281                 document.getElementById("ExpandAll").innerHTML = '';
 282                 document.getElementById("CollapseAll").innerHTML = '';
 283             }
 284         }
 285     }
 286
 287     function expandcollapse(atr) {
 288         if (atr == "expand") { //Called in the Expand All, Collapse All links(All items will be expanded or collapsed)
 289             for (i = 1; i <= document.getElementById("divnos").value; i++) {
 290                 var mydivid = "divid_" + i;
 291                 var myspanid = "spanid_" + i;
 292                 var ele = document.getElementById(mydivid);
 293                 var text = document.getElementById(myspanid);
 294                 if (ele) {
 295                     ele.style.display = "inline";
 296                     text.innerHTML =
 297                         "<?php echo xla('Collapse'); ?>";
 298                 }
 299             }
 300         } else {
 301             for (i = 1; i <= document.getElementById("divnos").value; i++) {
 302                 var mydivid = "divid_" + i;
 303                 var myspanid = "spanid_" + i;
 304                 var ele = document.getElementById(mydivid);
 305                 var text = document.getElementById(myspanid);
 306                 if (ele) {
 307                     ele.style.display = "none";
 308                     text.innerHTML =
 309                         "<?php echo xla('Expand'); ?>";
 310                 }
 311             }
 312         }
 313     }
 314
 315     function divtoggle(spanid, divid) { //Called in the Expand, Collapse links(This is for a single item)
 316         var ele = document.getElementById(divid);
 317         if (ele) {
 318             var text = document.getElementById(spanid);
 319             if (ele.style.display == "inline") {
 320                 ele.style.display = "none";
 321                 text.innerHTML =
 322                     "<?php echo xla('Expand'); ?>";
 323             } else {
 324                 ele.style.display = "inline";
 325                 text.innerHTML =
 326                     "<?php echo xla('Collapse'); ?>";
 327             }
 328         }
 329     }
 330
 331     function MarkAsCleared(Type) {
 332         CheckBoxBillingCount = 0;
 333         for (var CheckBoxBillingIndex = 0; ; CheckBoxBillingIndex++) {
 334             CheckBoxBillingObject = document.getElementById('CheckBoxBilling' +
 335                 CheckBoxBillingIndex);
 336             if (!CheckBoxBillingObject) break;
 337             if (CheckBoxBillingObject.checked) {
 338                 ++CheckBoxBillingCount;
 339             }
 340         }
 341         if (Type == 1) {
 342             Message = '<?php echo xla('After saving your batch, click[View Log] to check for errors.'); ?>';
 343         }
 344         if (Type == 2) {
 345             Message = '<?php echo xla('After saving the PDF, click[View Log] to check for errors.'); ?>';
 346         }
 347         if (Type == 3) {
 348             Message = '<?php echo xla('After saving the TEXT file(s), click[View Log] to check for errors.'); ?>';
 349         }
 350         if (confirm(Message + "\n\n\n<?php echo xls('Total'); ?>" + ' ' +
 351                 CheckBoxBillingCount + ' ' +
 352                 "<?php echo xls('Selected'); ?>\n" +
 353                 "<?php echo xls('Would You Like them to be Marked as Cleared.'); ?>\n" +
 354                 "<?php echo xls('Click OK to Clear or Cancel to continue processing.'); ?>"
 355             )) {
 356             document.getElementById('HiddenMarkAsCleared').value = 'yes';
 357         } else {
 358             document.getElementById('HiddenMarkAsCleared').value = '';
 359         }
 360     }
 361 </script>
 362 <?php require_once "$srcdir/../interface/reports/report.script.php"; ?>
 363 <!-- Criteria Section common javascript page-->
 364 <!-- =============Included for Insurance ajax criteria==== -->
 365 <?php require_once "{$GLOBALS['srcdir']}/ajax/payment_ajax_jav.inc.php"; ?>
 366 <style>
 367     #ajax_div_insurance {
 368         position: absolute;
 369         z-index: 10;
 370         background-color: #FBFDD0;
 371         border: 1px solid #ccc;
 372         padding: 10px;
 373     }
 374     button[type="submit"].subbtn-warning {
 375         background: #ec971f !important;
 376         color: black !important;
 377     }
 378     button[type="submit"].subbtn-warning:hover {
 379         background: #da8104 !important;
 380         color: #fff !important;
 381     }
 382     @media only screen and (max-width: 1024px) {
 383         [class*="col-"] {
 384             width: 100%;
 385             text-align: left !Important;
 386         }
 387     }
 388     .table {
 389         margin: auto;
 390     }
 391     @media (min-width: 992px) {
 392         .modal-lg {
 393             width: 1000px !Important;
 394         }
 395     }
 396     .table th, .table td {
 397         border-top: none !important;
 398     }
 399     .form-control {
 400         font-family: "FontAwesome"
 401     }
 402     ul > li {
 403         line-height: 1.86em;
 404     }
 405     a, a:visited, a:hover {
 406         text-decoration: none;
 407         color: #000000;
 408     }
 409 </style>
 410 <script>
 411     document.onclick = TakeActionOnHide;
 412 </script>
 413 <!-- =============Included for Insurance ajax criteria==== -->
 414 <title><?php echo xlt('Billing Manager'); ?></title>
 415 </head>
 416 <body class="body_top" onLoad="TestExpandCollapse()">
 417 <div class="container">
 418 <div class="row">
 419     <div class="page-header">
 420         <h2><?php echo xlt('Billing Manager') ?> &nbsp <i id="show_hide" class="fa fa-eye-slash fa-2x small"
 421                                                           title="<?php echo xla('Click to Hide'); ?>"></i></h2>
 422     </div>
 423 </div>
 424 <div class="row">
 425     <form name='the_form' method='post' action='billing_report.php' onsubmit='return top.restoreSession()' style="display:inline">
 426         <input type="hidden" name="csrf_token_form" value="<?php echo attr(collectCsrfToken()); ?>" />
 427         <input type='hidden' name='mode' value='change'>
 428         <div class="col-xs-9">
 429             <!-- ============================================================================================================================================= -->
 430             <!-- Criteria section Starts -->
 431             <!-- ============================================================================================================================================= -->
 432             <?php
 433             // The following are the search criteria per page.All the following variable which ends with 'Master' need to be filled properly.
 434             // Each item is seperated by a comma(,).
 435             // $ThisPageSearchCriteriaDisplayMaster ==>It is the display on screen for the set of criteria.
 436             // $ThisPageSearchCriteriaKeyMaster ==>Corresponding database fields in the same order.
 437             // $ThisPageSearchCriteriaDataTypeMaster ==>Corresponding data type in the same order.
 438             $ThisPageSearchCriteriaDisplayRadioMaster = array();
 439             $ThisPageSearchCriteriaRadioKeyMaster = array();
 440             $ThisPageSearchCriteriaQueryDropDownMaster = array();
 441             $ThisPageSearchCriteriaQueryDropDownMasterDefault = array();
 442             $ThisPageSearchCriteriaQueryDropDownMasterDefaultKey = array();
 443             $ThisPageSearchCriteriaIncludeMaster = array();
 444
 445             if ($daysheet) {
 446                 $ThisPageSearchCriteriaDisplayMaster = array(
 447                     xl("Date of Service"),
 448                     xl("Date of Entry"),
 449                     xl("Date of Billing"),
 450                     xl("Claim Type"),
 451                     xl("Patient Name"),
 452                     xl("Patient Id"),
 453                     xl("Insurance Company"),
 454                     xl("Encounter"),
 455                     xl("Whether Insured"),
 456                     xl("Charge Coded"),
 457                     xl("Billing Status"),
 458                     xl("Authorization Status"),
 459                     xl("Last Level Billed"),
 460                     xl("X12 Partner"),
 461                     xl("User")
 462                 );
 463                 $ThisPageSearchCriteriaKeyMaster = "form_encounter.date,billing.date,claims.process_time,claims.target,patient_data.fname," . "form_encounter.pid,claims.payer_id,form_encounter.encounter,insurance_data.provider,billing.id,billing.billed," . "billing.authorized,form_encounter.last_level_billed,billing.x12_partner_id,billing.user";
 464                 $ThisPageSearchCriteriaDataTypeMaster = "datetime,datetime,datetime,radio,text_like," . "text,include,text,radio,radio,radio," . "radio_like,radio,query_drop_down,text";
 465             } else {
 466                 $ThisPageSearchCriteriaDisplayMaster = array(
 467                     xl("Date of Service"),
 468                     xl("Date of Entry"),
 469                     xl("Date of Billing"),
 470                     xl("Claim Type"),
 471                     xl("Patient Name"),
 472                     xl("Patient Id"),
 473                     xl("Insurance Company"),
 474                     xl("Encounter"),
 475                     xl("Whether Insured"),
 476                     xl("Charge Coded"),
 477                     xl("Billing Status"),
 478                     xl("Authorization Status"),
 479                     xl("Last Level Billed"),
 480                     xl("X12 Partner")
 481                 );
 482                 $ThisPageSearchCriteriaKeyMaster = "form_encounter.date,billing.date,claims.process_time,claims.target,patient_data.fname," . "form_encounter.pid,claims.payer_id,form_encounter.encounter,insurance_data.provider,billing.id,billing.billed," . "billing.authorized,form_encounter.last_level_billed,billing.x12_partner_id";
 483                 $ThisPageSearchCriteriaDataTypeMaster = "datetime,datetime,datetime,radio,text_like," . "text,include,text,radio,radio,radio," . "radio_like,radio,query_drop_down";
 484             }
 485             // The below section is needed if there is any 'radio' or 'radio_like' type in the $ThisPageSearchCriteriaDataTypeMaster
 486             // $ThisPageSearchCriteriaDisplayRadioMaster,$ThisPageSearchCriteriaRadioKeyMaster ==>For each radio data type this pair comes.
 487             // The key value 'all' indicates that no action need to be taken based on this.For that the key must be 'all'.Display value can be any thing.
 488             $ThisPageSearchCriteriaDisplayRadioMaster[1] = array(
 489                 xl("All"),
 490                 xl("eClaims"),
 491                 xl("Paper")
 492             ); // Display Value
 493             $ThisPageSearchCriteriaRadioKeyMaster[1] = "all,standard,hcfa"; // Key
 494             $ThisPageSearchCriteriaDisplayRadioMaster[2] = array(
 495                 xl("All"),
 496                 xl("Insured"),
 497                 xl("Non-Insured")
 498             ); // Display Value
 499             $ThisPageSearchCriteriaRadioKeyMaster[2] = "all,1,0"; // Key
 500             $ThisPageSearchCriteriaDisplayRadioMaster[3] = array(
 501                 xl("All"),
 502                 xl("Coded"),
 503                 xl("Not Coded")
 504             ); // Display Value
 505             $ThisPageSearchCriteriaRadioKeyMaster[3] = "all,not null,null"; // Key
 506             $ThisPageSearchCriteriaDisplayRadioMaster[4] = array(
 507                 xl("All"),
 508                 xl("Unbilled"),
 509                 xl("Billed"),
 510                 xl("Denied")
 511             ); // Display Value
 512             $ThisPageSearchCriteriaRadioKeyMaster[4] = "all,0,1,7"; // Key
 513             $ThisPageSearchCriteriaDisplayRadioMaster[5] = array(
 514                 xl("All"),
 515                 xl("Authorized"),
 516                 xl("Unauthorized")
 517             );
 518             $ThisPageSearchCriteriaRadioKeyMaster[5] = "%,1,0";
 519             $ThisPageSearchCriteriaDisplayRadioMaster[6] = array(
 520                 xl("All"),
 521                 xl("None"),
 522                 xl("Ins 1"),
 523                 xl("Ins 2 or Ins 3")
 524             );
 525             $ThisPageSearchCriteriaRadioKeyMaster[6] = "all,0,1,2";
 526             // The below section is needed if there is any 'query_drop_down' type in the $ThisPageSearchCriteriaDataTypeMaster
 527             $ThisPageSearchCriteriaQueryDropDownMaster[1] = "SELECT name,id FROM x12_partners;";
 528             $ThisPageSearchCriteriaQueryDropDownMasterDefault[1] = xl("All"); // Only one item will be here
 529             $ThisPageSearchCriteriaQueryDropDownMasterDefaultKey[1] = "all"; // Only one item will be here
 530             // The below section is needed if there is any 'include' type in the $ThisPageSearchCriteriaDataTypeMaster
 531             // Function name is added here.Corresponding include files need to be included in the respective pages as done in this page.
 532             // It is labled(Included for Insurance ajax criteria)(Line:-279-299).
 533             $ThisPageSearchCriteriaIncludeMaster[1] = "InsuranceCompanyDisplay"; // This is php function defined in the file 'report.inc.php'
 534
 535             if (!isset($_REQUEST['mode'])) {// default case
 536                 $_REQUEST['final_this_page_criteria'][0] = "(form_encounter.date between '" . date("Y-m-d 00:00:00") . "' and '" . date("Y-m-d 23:59:59") . "')";
 537                 $_REQUEST['final_this_page_criteria'][1] = "billing.billed = '0'";
 538                 $_REQUEST['final_this_page_criteria_text'][0] = xl("Date of Service = Today");
 539                 $_REQUEST['final_this_page_criteria_text'][1] = xl("Billing Status = Unbilled");
 540                 $_REQUEST['date_master_criteria_form_encounter_date'] = "today";
 541                 $_REQUEST['master_from_date_form_encounter_date'] = date("Y-m-d");
 542                 $_REQUEST['master_to_date_form_encounter_date'] = date("Y-m-d");
 543                 $_REQUEST['radio_billing_billed'] = 0;
 544             }
 545             ?>
 546             <div class="hideaway">
 547                 <?php require_once "$srcdir/../interface/reports/criteria.tab.php"; ?>
 548             </div>
 549             <?php
 550             // ============================================================================================================================================= -->
 551             // Criteria section Ends -->
 552             // ============================================================================================================================================= -->
 553             ?>
 554
 555         </div>
 556         <div class="form-group col-xs-3 hideaway">
 557             <fieldset>
 558                 <legend><?php echo xlt('Select Action'); ?></legend>
 559                 <div class="form-group col-xs-12">
 560                     <div class='text'>
 561                         <ul>
 562                             <li><a class="link_submit" href="#"
 563                                    onclick="javascript:return SubmitTheScreen();"><strong><?php echo xlt('Update List') ?></strong>
 564                                 </a><i id='update-tooltip' class="fa fa-info-circle text-primary" aria-hidden="true"></i></li>
 565                             <li><a class='link_submit' href="#"
 566                                    onclick="javascript:return SubmitTheScreenExportOFX();"><strong><?php echo xlt('Export OFX'); ?></strong></a>
 567                             </li>
 568                             <li><a class='link_submit' href="#" onclick="javascript:return SubmitTheScreenPrint();"><strong><?php echo xlt('View Printable Report'); ?></strong></a>
 569                             </li>
 570                             <span>
 571                                 <?php if ($daysheet) { ?>
 572                                     <li><a class='link_submit' href="#"
 573                                            onclick="javascript:return SubmitTheEndDayPrint();"><strong><?php echo xlt('End Of Day Report') . ' - ' ?></strong></a>
 574                                     <?php if ($daysheet_total) { ?>
 575                                         <span class="text"><strong><?php echo xlt('Totals'); ?></strong></span>
 576                                         <input name="end_of_day_totals_only" type="checkbox" value="1"></li>
 577                                     <?php } ?>
 578                                     <?php if ($provider_run) { ?>
 579                                         <span class="text"><strong><?php echo xlt('Provider'); ?></strong></span>
 580                                         <input name="end_of_day_provider_only" type="checkbox" value="1"></li>
 581                                     <?php } ?>
 582                                 <?php } ?>
 583                                 </span>
 584                             <?php if (!file_exists($EXPORT_INC)) { ?>
 585                                 <li><a href='#' id="view-log-link"  data-toggle="modal"  data-target="#myModal" class='link_submit'
 586                                        title='<?php xla('See messages from the last set of generated claims'); ?>'><strong><?php echo xlt('View Log'); ?></strong></a>
 587                                 </li>
 588                             <?php } ?>
 589                             <li><a class="link_submit"
 590                                    href="JavaScript:void(0);" onclick="select_all(); return false;"><strong><?php echo xlt('Select All'); ?></strong></a>
 591                             </li>
 592                         </ul>
 593                         <ul>
 594                     </div>
 595                 </div>
 596             </fieldset>
 597         </div>
 598     </form>
 599 </div>
 600 <div class="row">
 601     <form class="form-inline" name='update_form' method='post' action='billing_process.php' onsubmit='return top.restoreSession()' style="display:inline">
 602         <input type="hidden" name="csrf_token_form" value="<?php echo attr(collectCsrfToken()); ?>" />
 603         <?php //can change position of buttons by creating a class 'position-override' and adding rule text-alig:center or right as the case may be in individual stylesheets ?>
 604         <div class="form-group clearfix">
 605             <div class="btn-group btn-group-pinch position-override" role="group">
 606                 <div class="btn-group">
 607                     <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"
 608                             name="bn_x12_support"
 609                             title="<?php echo xla('A claim must be selected to enable this menu.') ?>"><?php echo xla('X12 OPTIONS') ?>
 610                         <span class="caret"></span></button>
 611                     <ul class="dropdown-menu" role="menu">
 612                         <?php if (file_exists($EXPORT_INC)) { ?>
 613                             <li>
 614                                 <button type="submit" data-open-popup="true" class="btn btn-default btn-download"
 615                                         name="bn_external"
 616                                         title="<?php echo xla('Export to external billing system') ?>"
 617                                         value="<?php echo xla("Export Billing") ?>"><?php echo xla("Export Billing") ?></button>
 618                             </li>
 619                             <li>
 620                                 <button type="submit" data-open-popup="true" class="btn btn-default btn-download"
 621                                         name="bn_mark"
 622                                         title="<?php echo xla('Mark as billed but skip billing') ?>"><?php echo xla("Mark as Cleared") ?></button>
 623                             </li>
 624                         <?php } else { ?>
 625                             <li>
 626                                 <button type="submit" class="btn btn-default btn-download" name="bn_x12"
 627                                         onclick="MarkAsCleared(1)"
 628                                         title="<?php echo xla('Generate and download X12 batch') ?>"><?php echo xla('Generate X12') ?></button>
 629                             </li>
 630                         <?php } ?>
 631                         <?php if ($GLOBALS['ub04_support']) { ?>
 632                             <li>
 633                                 <button type="submit" class="btn btn-default btn-download" name="bn_ub04_x12"
 634                                         title="<?php echo xla('Generate Institutional X12 837I') ?>"><?php echo xla('Generate X12 837I') ?></button>
 635                             </li>
 636                         <?php } ?>
 637                         <?php if ($GLOBALS['support_encounter_claims']) { ?>
 638                             <li>
 639                                 <button type="submit" class="btn btn-default btn-download" name="bn_x12_encounter"
 640                                         onclick="MarkAsCleared(1)"
 641                                         title="<?php echo xla('Generate and download X12 encounter claim batch') ?>"><?php echo xla('Generate X12 Encounter') ?></button>
 642                             </li>
 643                         <?php } ?>
 644                     </ul>
 645                 </div>
 646                 <div class="btn-group">
 647                     <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"
 648                             name="bn_process_hcfa_support"
 649                             title="<?php echo xla('A claim must be selected to enable this menu.') ?>"><?php echo xla('HCFA FORM') ?>
 650                         <span class="caret"></span></button>
 651                     <ul class="dropdown-menu" role="menu">
 652                         <li>
 653                             <button type="submit" class="btn btn-default btn-download" name="bn_process_hcfa"
 654                                     onclick="MarkAsCleared(2)"
 655                                     title="<?php echo xla('Generate and download CMS 1500 paper claims') ?>"><?php echo xla('CMS 1500 PDF') ?></button>
 656                         </li>
 657                         <?php if ($GLOBALS['preprinted_cms_1500']) { ?>
 658                             <li>
 659                                 <button type="submit" class="btn btn-default btn-download"
 660                                         name="bn_process_hcfa_form" onclick="MarkAsCleared(2)"
 661                                         title="<?php echo xla('Generate and download CMS 1500 paper claims on Preprinted form') ?>"><?php echo xla('CMS 1500 incl FORM') ?></button>
 662                             </li>
 663                         <?php } ?>
 664                         <li>
 665                             <button type="submit" class="btn btn-default btn-download" name="bn_hcfa_txt_file"
 666                                     onclick="MarkAsCleared(3)"
 667                                     title="<?php echo xla('Making batch text files for uploading to Clearing House and will mark as billed') ?>"><?php echo xla('CMS 1500 TEXT') ?></button>
 668                         </li>
 669                     </ul>
 670                 </div>
 671                 <?php if ($GLOBALS['ub04_support']) { ?>
 672                     <div class="btn-group">
 673                         <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"
 674                                 name="bn_process_ub04_support"
 675                                 title="<?php echo xla('A claim must be selected to enable this menu.') ?>"><?php echo xla('UB04 FORM') ?>
 676                             <span class="caret"></span></button>
 677                         <ul class="dropdown-menu" role="menu">
 678                             <li>
 679                                 <button type="submit" class="btn btn-default btn-download"
 680                                         name="bn_process_ub04_form"
 681                                         title="<?php echo xla('Generate and download UB-04 CMS1450 with form') ?>"><?php echo xla('UB04 FORM PDF') ?></button>
 682                             </li>
 683                             <li>
 684                                 <button type="submit" class="btn btn-default btn-download" name="bn_process_ub04"
 685                                         title="<?php echo xla('Generate and download UB-04 CMS1450') ?>"><?php echo xla('UB04 TEXT PDF') ?></button>
 686                             </li>
 687                         </ul>
 688                     </div>
 689                 <?php } ?>
 690                 <button class="btn btn-default btn-download" data-open-popup="true" name="bn_mark"
 691                         title="<?php echo xla('Post to accounting and mark as billed') ?>"
 692                         type="submit"><?php echo xla('Mark as Cleared') ?></button>
 693                 <button class="btn btn-default btn-undo" data-open-popup="true" name="bn_reopen"
 694                         title="<?php echo xla('Mark as not billed') ?>"
 695                         type="submit"><?php echo xla('Re-Open') ?></button>
 696             </div>
 697             <div class="input-group">
 698                 <label for="left_margin"><?php echo xlt('CMS 1500 Margins Left'); ?>:</label>
 699                 <input type='text' size='2' id='left_margin' name='left_margin'
 700                        value='<?php echo attr($left_margin); ?>'
 701                        title='<?php echo xla('HCFA left margin in points'); ?>'/>
 702                 <label for="top_margin"><?php echo xlt('Top'); ?>:</label>
 703                 <input type='text' size='2' id='top_margin' name='top_margin'
 704                        value='<?php echo attr($top_margin); ?>'
 705                        title='<?php echo xla('HCFA top margin in points'); ?>'/>
 706             </div>
 707             <?php if ($ub04_support) { ?>
 708                 <div class="input-group">
 709                     <label for="left_ubmargin"><?php echo xlt('UB04 Margins Left'); ?>:</label>
 710                     <input type='text' size='2' id='left_ubmargin' name='left_ubmargin'
 711                            value='<?php echo attr($left_ubmargin); ?>'
 712                            title='<?php echo xla('UB04 left margin in points'); ?>'/>
 713                     <label for="top_ubmargin"><?php echo xlt('Top'); ?>:</label>
 714                     <input type='text' size='2' id='top_ubmargin' name='top_ubmargin'
 715                            value='<?php echo attr($top_ubmargin); ?>'
 716                            title='<?php echo xla('UB04 top margin in points'); ?>'/>
 717                 </div>
 718             <?php } ?>
 719         </div>
 720         <input id='HiddenMarkAsCleared' name='HiddenMarkAsCleared' type='hidden' value="">
 721         <input name='mode' type='hidden' value="bill">
 722         <input name='authorized' type='hidden' value="<?php echo attr($my_authorized); ?>">
 723         <input name='unbilled' type='hidden' value="<?php echo attr($unbilled); ?>">
 724         <input name='code_type' type='hidden' value="%">
 725         <input name='to_date' type='hidden' value="<?php echo attr($to_date); ?>">
 726         <input name='from_date' type='hidden' value="<?php echo attr($from_date); ?>">
 727         <?php
 728         if ($my_authorized == "on") {
 729             $my_authorized = "1";
 730         } else {
 731             $my_authorized = "%";
 732         }
 733         if ($unbilled == "on") {
 734             $unbilled = "0";
 735         } else {
 736             $unbilled = "%";
 737         }
 738         $list = getBillsListBetween("%");
 739         ?>
 740         <input name='bill_list' type='hidden' value="<?php echo attr($list); ?>"> <!-- new form for uploading -->
 741         <?php
 742         if (!isset($_POST["mode"])) {
 743             if (!isset($_POST["from_date"])) {
 744                 $from_date = date("Y-m-d");
 745             } else {
 746                 $from_date = $_POST["from_date"];
 747             }
 748             if (empty($_POST["to_date"])) {
 749                 $to_date = '';
 750             } else {
 751                 $to_date = $_POST["to_date"];
 752             }
 753             if (!isset($_POST["code_type"])) {
 754                 $code_type = "all";
 755             } else {
 756                 $code_type = $_POST["code_type"];
 757             }
 758             if (!isset($_POST["unbilled"])) {
 759                 $unbilled = "on";
 760             } else {
 761                 $unbilled = $_POST["unbilled"];
 762             }
 763             if (!isset($_POST["authorized"])) {
 764                 $my_authorized = "on";
 765             } else {
 766                 $my_authorized = $_POST["authorized"];
 767             }
 768         } else {
 769             $from_date = $_POST["from_date"];
 770             $to_date = $_POST["to_date"];
 771             $code_type = $_POST["code_type"];
 772             $unbilled = $_POST["unbilled"];
 773             $my_authorized = $_POST["authorized"];
 774         }
 775
 776         if ($my_authorized == "on") {
 777             $my_authorized = "1";
 778         } else {
 779             $my_authorized = "%";
 780         }
 781
 782         if ($unbilled == "on") {
 783             $unbilled = "0";
 784         } else {
 785             $unbilled = "%";
 786         }
 787
 788         if (isset($_POST["mode"]) && $_POST["mode"] == "bill") {
 789             billCodesList($list);
 790         }
 791         ?>
 792         <div class="table-responsive">
 793             <table class="table table-condensed">
 794                 <?php
 795                 $divnos = 0;
 796                 if ($ret = getBillsBetween("%")) {
 797                     if (is_array($ret)) {
 798                         ?>
 799                         <tr>
 800                         <td colspan='9' align="right">
 801                             <table width="250" border="0" cellspacing="0" cellpadding="0">
 802                                 <tr>
 803                                     <td width="100" id='ExpandAll'><a
 804                                             onclick="expandcollapse('expand');" class='small'
 805                                             href="JavaScript:void(0);"><?php echo '(' . xla('Expand All') . ')' ?></a>
 806                                     </td>
 807                                     <td width="100" id='CollapseAll'><a
 808                                             onclick="expandcollapse('collapse');" class='small'
 809                                             href="JavaScript:void(0);"><?php echo '(' . xla('Collapse All') . ')' ?></a>
 810                                     </td>
 811                                     <td width="50">&nbsp;</td>
 812                                 </tr>
 813                             </table>
 814                         </td>
 815                     </tr>
 816                     <?php
 817                     }
 818                     $loop = 0;
 819                     $oldcode = "";
 820                     $last_encounter_id = "";
 821                     $lhtml = "";
 822                     $rhtml = "";
 823                     $lcount = 0;
 824                     $rcount = 0;
 825                     $bgcolor = "";
 826                     $skipping = false;
 827
 828                     $mmo_empty_mod = false;
 829                     $mmo_num_charges = 0;
 830
 831                     foreach ($ret as $iter) {
 832                     // We include encounters here that have never been billed. However
 833                     // if it had no selected billing items but does have non-selected
 834                     // billing items, then it is not of interest.
 835                         if (!$iter['id']) {
 836                             $res = sqlQuery(
 837                                 "SELECT count(*) AS count FROM billing WHERE " .
 838                                 "encounter = ? AND " .
 839                                 "pid=? AND " .
 840                                 "activity = 1",
 841                                 array(
 842                                 $iter['enc_encounter'],
 843                                 $iter['enc_pid']
 844                                 )
 845                             );
 846                             if ($res['count'] > 0) {
 847                                 continue;
 848                             }
 849                         }
 850
 851                         $this_encounter_id = $iter['enc_pid'] . "-" . $iter['enc_encounter'];
 852
 853                         if ($last_encounter_id != $this_encounter_id) {
 854                         // This dumps all HTML for the previous encounter.
 855                         //
 856                             if ($lhtml) {
 857                                 while ($rcount < $lcount) {
 858                                     $rhtml .= "<tr bgcolor='$bgcolor'><td colspan='9'></td></tr>";
 859                                     ++$rcount;
 860                                 }
 861                                 // This test handles the case where we are only listing encounters
 862                                 // that appear to have a missing "25" modifier.
 863                                 if (!$missing_mods_only || ($mmo_empty_mod && $mmo_num_charges > 1)) {
 864                                     if ($DivPut == 'yes') {
 865                                         $lhtml .= '</div>';
 866                                         $DivPut = 'no';
 867                                     }
 868                                     echo "<tr bgcolor='$bgcolor'>\n<td rowspan='" . attr($rcount) . "' valign='top'>\n$lhtml</td>$rhtml\n";
 869                                     echo "<tr bgcolor='$bgcolor'><td colspan='9' height='5'></td></tr>\n\n";
 870                                     ++$encount;
 871                                 }
 872                             }
 873
 874                             $lhtml = "";
 875                             $rhtml = "";
 876                             $mmo_empty_mod = false;
 877                             $mmo_num_charges = 0;
 878
 879                         // If there are ANY unauthorized items in this encounter and this is
 880                         // the normal case of viewing only authorized billing, then skip the
 881                         // entire encounter.
 882                         //
 883                             $skipping = false;
 884                             if ($my_authorized == '1') {
 885                                 $res = sqlQuery(
 886                                     "SELECT count(*) AS count FROM billing WHERE " .
 887                                     "encounter = ? AND " .
 888                                     "pid=? AND " .
 889                                     "activity = 1 AND authorized = 0",
 890                                     array(
 891                                     $iter['enc_encounter'],
 892                                     $iter['enc_pid']
 893                                     )
 894                                 );
 895                                 if ($res['count'] > 0) {
 896                                     $skipping = true;
 897                                     $last_encounter_id = $this_encounter_id;
 898                                     continue;
 899                                 }
 900                             }
 901                         // Is there a MBO
 902                         //
 903                             $mboid = sqlQuery("SELECT forms.form_id FROM forms WHERE forms.encounter = ? AND forms.authorized = 1 AND forms.formdir = 'misc_billing_options' AND forms.deleted != 1 LIMIT 1", array($iter['enc_encounter']));
 904                             $iter['mboid'] = $mboid ? attr($mboid['form_id']) : 0;
 905
 906                             $name = getPatientData($iter['enc_pid'], "fname, mname, lname, pubpid, billing_note, DATE_FORMAT(DOB,'%Y-%m-%d') as DOB_YMD");
 907
 908                         // Check if patient has primary insurance and a subscriber exists for it.
 909                         // If not we will highlight their name in red.
 910                         // TBD: more checking here.
 911                         //
 912                             $res = sqlQuery(
 913                                 "SELECT count(*) AS count FROM insurance_data WHERE " .
 914                                 "pid = ? AND " .
 915                                 "type='primary' AND " .
 916                                 "subscriber_lname IS NOT NULL AND " .
 917                                 "subscriber_lname != '' LIMIT 1",
 918                                 array(
 919                                 $iter['enc_pid']
 920                                 )
 921                             );
 922                             $namecolor = ($res['count'] > 0) ? "black" : "#ff7777";
 923
 924                             $bgcolor = "#" . (($encount & 1) ? "FFFAEF" : "F8F8FF");
 925                             echo "<tr bgcolor='$bgcolor'><td colspan='9' height='5'></td></tr>\n";
 926                             $lcount = 1;
 927                             $rcount = 0;
 928                             $oldcode = "";
 929
 930                             $ptname = $name['fname'] . " " . $name['lname'];
 931                             $raw_encounter_date = date("Y-m-d", strtotime($iter['enc_date']));
 932                             $billing_note = $name['billing_note'];
 933                         // Add Encounter Date to display with "To Encounter" button 2/17/09 JCH
 934                             $lhtml .= "<span class=bold><font color='$namecolor'>" . text($ptname) . "</font></span><span class=small>&nbsp;(" . text($iter['enc_pid']) . "-" . text($iter['enc_encounter']) . ")</span>";
 935
 936                         // Encounter details are stored to javacript as array.
 937                             $result4 = sqlStatement(
 938                                 "SELECT fe.encounter,fe.date,fe.billing_note,openemr_postcalendar_categories.pc_catname FROM form_encounter AS fe " .
 939                                 " LEFT JOIN openemr_postcalendar_categories ON fe.pc_catid=openemr_postcalendar_categories.pc_catid  WHERE fe.pid = ? ORDER BY fe.date DESC",
 940                                 array(
 941                                 $iter['enc_pid']
 942                                 )
 943                             );
 944                             if (sqlNumRows($result4) > 0) {
 945                                 ;
 946                             } ?>
 947                         <script>
 948                         Count = 0;
 949                         EncounterDateArray[<?php echo attr($iter['enc_pid']); ?>] = new Array;
 950                         CalendarCategoryArray[<?php echo attr($iter['enc_pid']); ?>] = new Array;
 951                         EncounterIdArray[<?php echo attr($iter['enc_pid']); ?>] = new Array;
 952                         EncounterNoteArray[<?php echo attr($iter['enc_pid']); ?>] = new Array;
 953                         <?php
 954                         while ($rowresult4 = sqlFetchArray($result4)) {
 955                         ?>
 956                         EncounterIdArray[<?php echo attr($iter['enc_pid']); ?>][Count] = '<?php echo attr($rowresult4['encounter']); ?>';
 957                         EncounterDateArray[<?php echo attr($iter['enc_pid']); ?>][Count] = '<?php echo attr(oeFormatShortDate(date("Y-m-d", strtotime($rowresult4['date'])))); ?>';
 958                         CalendarCategoryArray[<?php echo attr($iter['enc_pid']); ?>][Count] = '<?php echo attr(xl_appt_category($rowresult4['pc_catname'])); ?>';
 959                         EncounterNoteArray[<?php echo attr($iter['enc_pid']); ?>][Count] = '<?php echo attr($rowresult4['billing_note']); ?>';
 960                         Count++;
 961                         <?php
 962                         $enc_billing_note = $rowresult4['billing_note'];
 963                         }
 964                         ?>
 965                         </script>
 966                         <?php
 967                         $lhtml .= "<div class='button-group'>";
 968                         // Not sure why the next section seems to do nothing except post "To Encounter" button 2/17/09 JCH
 969                         $lhtml .= "<a class=\"btn btn-xs btn-default\" role=\"button\" " . "href=\"javascript:window.toencounter(" . attr(addslashes($iter['enc_pid'])) . ",'" . attr(addslashes($name['pubpid'])) . "','" . attr(addslashes($ptname)) . "'," . attr(addslashes($iter['enc_encounter'])) . ",'" . attr(addslashes(oeFormatShortDate($raw_encounter_date))) . "',' " . attr(xls('DOB')) . ": " . attr(addslashes(oeFormatShortDate($name['DOB_YMD']))) . " " . attr(xls('Age')) . ": " . attr(addslashes(getPatientAge($name['DOB_YMD']))) . "');
 970                      top.window.parent.left_nav.setPatientEncounter(EncounterIdArray[" . attr(addslashes($iter['enc_pid'])) . "],EncounterDateArray[" . attr(addslashes($iter['enc_pid'])) . "], CalendarCategoryArray[" . attr(addslashes($iter['enc_pid'])) . "])\">" . xlt('Encounter') . " " . text(oeFormatShortDate($raw_encounter_date)) . "</a>";
 971
 972                         // Changed "To xxx" buttons to allow room for encounter date display 2/17/09 JCH
 973                         $lhtml .= "<a class=\"btn btn-xs btn-default\" role=\"button\" " . "href=\"javascript:window.topatient(" . attr(addslashes($iter['enc_pid'])) . ",'" . attr(addslashes($name['pubpid'])) . "','" . attr(addslashes($ptname)) . "'," . attr(addslashes($iter['enc_encounter'])) . ",'" . attr(addslashes(oeFormatShortDate($raw_encounter_date))) . "',' " . attr(xls('DOB')) . ": " . attr(addslashes(oeFormatShortDate($name['DOB_YMD']))) . " " . attr(xls('Age')) . ": " . attr(addslashes(getPatientAge($name['DOB_YMD']))) . "');
 974                     top.window.parent.left_nav.setPatientEncounter(EncounterIdArray[" . attr(addslashes($iter['enc_pid'])) . "],EncounterDateArray[" . attr(addslashes($iter['enc_pid'])) . "], CalendarCategoryArray[" . attr(addslashes($iter['enc_pid'])) . "])\">" . xlt('Patient') . "</a>";
 975                         $is_edited = $iter['mboid'] ? 'btn-success' : 'btn-default';
 976                         $title = $iter['mboid'] ? xlt("This claim has HCFA 1500 miscellaneous billing options") : xlt("Click to add HCFA 1500 miscellaneous billing options");
 977                         $lhtml .= "<a class='btn btn-xs $is_edited' role='button' title='" . attr($title) . "' onclick='popMBO(" . attr(addslashes($iter['enc_pid'])) . "," . attr(addslashes($iter['enc_encounter'])) . "," . attr(addslashes($iter['mboid'])) . "); return false;'>" . xlt('MBO ') . "</a>";
 978                         if ($ub04_support && isset($iter['billed'])) {
 979                             $c = sqlQuery(
 980                                 "SELECT submitted_claim AS status FROM claims WHERE " .
 981                                 "encounter_id = ? AND " .
 982                                 "patient_id=? " .
 983                                 "ORDER BY version DESC LIMIT 1",
 984                                 array(
 985                                 $iter['enc_encounter'],
 986                                 $iter['enc_pid']
 987                                 )
 988                             );
 989                             $is_edited = $c['status'] ? 'btn-success' : 'btn-warning';
 990                             $bname = $c['status'] ? xl('Reviewed') : xl('Review UB04');
 991                             $lhtml .= "<a class='btn btn-xs $is_edited' role='button' onclick='popUB04(" . attr(addslashes($iter['enc_pid'])) . "," . attr(addslashes($iter['enc_encounter'])) . "); return false;'>" . text($bname) . "</a>";
 992                         }
 993                         $lhtml .= "</div>";
 994                         $divnos = $divnos + 1;
 995                         $lhtml .= "&nbsp;&nbsp;&nbsp;<a onclick='divtoggle(\"spanid_" . attr(addslashes($divnos)) . "\",\"divid_" . attr(addslashes($divnos)) . "\");' class='small' id='aid_" . attr($divnos) . "' href=\"JavaScript:void(0);" . "\">(<span id=spanid_" . attr($divnos) . " class=\"indicator\">" . xlt('Expand') . '</span>)<br></a>';
 996                         if ($GLOBALS['notes_to_display_in_Billing'] == 2 || $GLOBALS['notes_to_display_in_Billing'] == 3) {
 997                             $lhtml .= '<span style="margin-left: 20px; font-weight: bold; color: red">' . text($billing_note) . '</span>';
 998                         }
 999
1000                         if ($iter['id']) {
1001                             $lcount += 2;
1002                             $lhtml .= "<br />\n";
1003                             $lhtml .= "&nbsp;<span class='form-group'>" . xlt('Bill') . ": ";
1004                             $lhtml .= "<select name='claims[" . attr($this_encounter_id) . "][payer]' style='background-color:$bgcolor'>";
1005
1006                             $query = "SELECT id.provider AS id, id.type, id.date, " .
1007                             "ic.x12_default_partner_id AS ic_x12id, ic.name AS provider " .
1008                             "FROM insurance_data AS id, insurance_companies AS ic WHERE " .
1009                             "ic.id = id.provider AND " .
1010                             "id.pid = ? AND " .
1011                             "id.date <= ? " .
1012                             "ORDER BY id.type ASC, id.date DESC";
1013
1014                             $result = sqlStatement(
1015                                 $query,
1016                                 array(
1017                                 $iter['enc_pid'],
1018                                 $raw_encounter_date
1019                                 )
1020                             );
1021                             $count = 0;
1022                             $default_x12_partner = $iter['ic_x12id'];
1023                             $prevtype = '';
1024
1025                             while ($row = sqlFetchArray($result)) {
1026                                 if (strcmp($row['type'], $prevtype) == 0) {
1027                                     continue;
1028                                 }
1029                                 $prevtype = $row['type'];
1030                                 if (strlen($row['provider']) > 0) {
1031                                     // This preserves any existing insurance company selection, which is
1032                                     // important when EOB posting has re-queued for secondary billing.
1033                                     $lhtml .= "<option value=\"" . attr(substr($row['type'], 0, 1) . $row['id']) . "\"";
1034                                     if (($count == 0 && !$iter['payer_id']) || $row['id'] == $iter['payer_id']) {
1035                                         $lhtml .= " selected";
1036                                         if (!is_numeric($default_x12_partner)) {
1037                                             $default_x12_partner = $row['ic_x12id'];
1038                                         }
1039                                     }
1040                                     $lhtml .= ">" . text($row['type']) . ": " . text($row['provider']) . "</option>";
1041                                 }
1042                                 $count++;
1043                             }
1044
1045                             $lhtml .= "<option value='-1'>" . xlt("Unassigned") . "</option>\n";
1046                             $lhtml .= "</select>&nbsp;&nbsp;\n";
1047                             $lhtml .= "&nbsp;<span class='form-group'>X12: ";
1048                             $lhtml .= "<select name='claims[" . attr($this_encounter_id) . "][partner]' style='background-color:$bgcolor'>";
1049                             $x = new X12Partner();
1050                             $partners = $x->_utility_array($x->x12_partner_factory());
1051                             foreach ($partners as $xid => $xname) {
1052                                 $lhtml .= '<option label="' . attr($xname) . '" value="' . attr($xid) . '"';
1053                                 if ($xid == $default_x12_partner) {
1054                                     $lhtml .= "selected";
1055                                 }
1056                                 $lhtml .= '>' . text($xname) . '</option>';
1057                             }
1058                             $lhtml .= "<option value='-1' label='Unassigned'>" . xlt("Unassigned") . "</option>\n";
1059                             $lhtml .= "</select></span>";
1060                             $DivPut = 'yes';
1061
1062                             if ($GLOBALS['notes_to_display_in_Billing'] == 1 || $GLOBALS['notes_to_display_in_Billing'] == 3) {
1063                                 $lhtml .= "<br><span style='margin-left: 20px; font-weight: bold; color: green'>" . text($enc_billing_note) . "</span>";
1064                             }
1065                             $lhtml .= "<br>\n&nbsp;<div id='divid_$divnos' style='display:none'>" . text(oeFormatShortDate(substr($iter['date'], 0, 10))) . text(substr($iter['date'], 10, 6)) . " " . xlt("Encounter was coded");
1066
1067                             $query = "SELECT * FROM claims WHERE patient_id = ? AND encounter_id = ? ORDER BY version";
1068                             $cres = sqlStatement(
1069                                 $query,
1070                                 array(
1071                                 $iter['enc_pid'],
1072                                 $iter['enc_encounter']
1073                                 )
1074                             );
1075
1076                             $lastcrow = false;
1077
1078                             while ($crow = sqlFetchArray($cres)) {
1079                                 $query = "SELECT id.type, ic.name " .
1080                                     "FROM insurance_data AS id, insurance_companies AS ic WHERE " .
1081                                     "id.pid = ? AND " .
1082                                     "id.provider = ? AND " .
1083                                     "id.date <= ? AND " .
1084                                     "ic.id = id.provider " .
1085                                     "ORDER BY id.type ASC, id.date DESC";
1086
1087                                 $irow = sqlQuery(
1088                                     $query,
1089                                     array(
1090                                     $iter['enc_pid'],
1091                                     $crow['payer_id'],
1092                                     $raw_encounter_date
1093                                     )
1094                                 );
1095
1096                                 if ($crow['bill_process']) {
1097                                     $lhtml .= "<br>\n&nbsp;" . text(oeFormatShortDate(substr($crow['bill_time'], 0, 10))) . text(substr($crow['bill_time'], 10, 6)) . " " . xlt("Queued for") . " " . text($irow['type']) . " " . text($crow['target']) . " " . xlt("billing to ") . text($irow['name']);
1098                                     ++$lcount;
1099                                 } elseif ($crow['status'] < 6) {
1100                                     if ($crow['status'] > 1) {
1101                                         $lhtml .= "<br>\n&nbsp;" . text(oeFormatShortDate(substr($crow['bill_time'], 0, 10))) . text(substr($crow['bill_time'], 10, 6)) . " " . xlt("Marked as cleared");
1102                                         ++$lcount;
1103                                     } else {
1104                                         $lhtml .= "<br>\n&nbsp;" . text(oeFormatShortDate(substr($crow['bill_time'], 0, 10))) . text(substr($crow['bill_time'], 10, 6)) . " " . xlt("Re-opened");
1105                                         ++$lcount;
1106                                     }
1107                                 } elseif ($crow['status'] == 6) {
1108                                     $lhtml .= "<br>\n&nbsp;" . text(oeFormatShortDate(substr($crow['bill_time'], 0, 10))) . text(substr($crow['bill_time'], 10, 6)) . " " . xlt("This claim has been forwarded to next level.");
1109                                     ++$lcount;
1110                                 } elseif ($crow['status'] == 7) {
1111                                     $lhtml .= "<br>\n&nbsp;" . text(oeFormatShortDate(substr($crow['bill_time'], 0, 10))) . text(substr($crow['bill_time'], 10, 6)) . " " . xlt("This claim has been denied.Reason:-");
1112                                     if ($crow['process_file']) {
1113                                         $code_array = explode(',', $crow['process_file']);
1114                                         foreach ($code_array as $code_key => $code_value) {
1115                                             $lhtml .= "<br>\n&nbsp;&nbsp;&nbsp;";
1116                                             $reason_array = explode('_', $code_value);
1117                                             if (!isset($adjustment_reasons[$reason_array[3]])) {
1118                                                 $lhtml .= xlt("For code") . ' [' . text($reason_array[0]) . '] ' . xlt("and modifier") . ' [' . text($reason_array[1]) . '] ' . xlt("the Denial code is") . ' [' . text($reason_array[2]) . ' ' . text($reason_array[3]) . ']';
1119                                             } else {
1120                                                 $lhtml .= xlt("For code") . ' [' . text($reason_array[0]) . '] ' . xlt("and modifier") . ' [' . text($reason_array[1]) . '] ' . xlt("the Denial Group code is") . ' [' . text($reason_array[2]) . '] ' . xlt("and the Reason is") . ':- ' . text($adjustment_reasons[$reason_array[3]]);
1121                                             }
1122                                         }
1123                                     } else {
1124                                         $lhtml .= xlt("Not Specified.");
1125                                     }
1126                                     ++$lcount;
1127                                 }
1128
1129                                 if ($crow['process_time']) {
1130                                     $lhtml .= "<br>\n&nbsp;" . text(oeFormatShortDate(substr($crow['process_time'], 0, 10))) . text(substr($crow['process_time'], 10, 6)) . " " . xlt("Claim was generated to file") . " " . "<a href='get_claim_file.php?key=" . attr($crow['process_file']) . "&csrf_token_form=" . attr(urlencode(collectCsrfToken())) . "' onclick='top.restoreSession()'>" . text($crow['process_file']) . "</a>";
1131                                     ++$lcount;
1132                                 }
1133
1134                                 $lastcrow = $crow;
1135                             } // end while ($crow = sqlFetchArray($cres))
1136
1137                             if ($lastcrow && $lastcrow['status'] == 4) {
1138                                 $lhtml .= "<br>\n&nbsp;" . xlt("This claim has been closed.");
1139                                 ++$lcount;
1140                             }
1141
1142                             if ($lastcrow && $lastcrow['status'] == 5) {
1143                                 $lhtml .= "<br>\n&nbsp;" . xlt("This claim has been canceled.");
1144                                 ++$lcount;
1145                             }
1146                         } // end if ($iter['id'])
1147                         } // end if ($last_encounter_id != $this_encounter_id)
1148
1149                         if ($skipping) {
1150                             continue;
1151                         }
1152
1153                     // Collect info related to the missing modifiers test.
1154                         if ($iter['fee'] > 0) {
1155                             ++$mmo_num_charges;
1156                             $tmp = substr($iter['code'], 0, 3);
1157                             if (($tmp == '992' || $tmp == '993') && empty($iter['modifier'])) {
1158                                 $mmo_empty_mod = true;
1159                             }
1160                         }
1161
1162                         ++$rcount;
1163
1164                         if ($rhtml) {
1165                             $rhtml .= "<tr bgcolor='$bgcolor'>\n";
1166                         }
1167                         $rhtml .= "<td width='50'>";
1168                         if ($iter['id'] && $oldcode != $iter['code_type']) {
1169                             $rhtml .= "<span class=text>" . text($iter['code_type']) . ": </span>";
1170                         }
1171
1172                         $oldcode = $iter['code_type'];
1173                         $rhtml .= "</td>\n";
1174                         $justify = "";
1175
1176                         if ($iter['id'] && $code_types[$iter['code_type']]['just']) {
1177                             $js = explode(":", $iter['justify']);
1178                             $counter = 0;
1179                             foreach ($js as $j) {
1180                                 if (!empty($j)) {
1181                                     if ($counter == 0) {
1182                                         $justify .= " (<b>" . text($j) . "</b>)";
1183                                     } else {
1184                                         $justify .= " (" . text($j) . ")";
1185                                     }
1186                                     $counter++;
1187                                 }
1188                             }
1189                         }
1190
1191                         $rhtml .= "<td><span class='text'>" . ($iter['code_type'] == 'COPAY' ? text(oeFormatMoney($iter['code'])) : text($iter['code']));
1192                         if ($iter['modifier']) {
1193                             $rhtml .= ":" . text($iter['modifier']);
1194                         }
1195                         $rhtml .= "</span><span style='font-size:8pt;'>$justify</span></td>\n";
1196
1197                         $rhtml .= '<td align="right"><span style="font-size:8pt;">&nbsp;&nbsp;&nbsp;';
1198                         if ($iter['id'] && $iter['fee'] > 0) {
1199                             $rhtml .= text(oeFormatMoney($iter['fee']));
1200                         }
1201                         $rhtml .= "</span></td>\n";
1202                         $rhtml .= '<td><span style="font-size:8pt;">&nbsp;&nbsp;&nbsp;';
1203                         if ($iter['id']) {
1204                             $rhtml .= getProviderName(empty($iter['provider_id']) ? text($iter['enc_provider_id']) : text($iter['provider_id']));
1205                         }
1206                         $rhtml .= "</span></td>\n";
1207                         $rhtml .= '<td><span style="font-size:8pt;">&nbsp;&nbsp;&nbsp;';
1208                         if ($GLOBALS['display_units_in_billing'] != 0) {
1209                             if ($iter['id']) {
1210                                 $rhtml .= xlt("Units") . ":" . text($iter{"units"});
1211                             }
1212                         }
1213                         $rhtml .= "</span></td>\n";
1214                         $rhtml .= '<td width=100>&nbsp;&nbsp;&nbsp;<span style="font-size:8pt;">';
1215                         if ($iter['id']) {
1216                             $rhtml .= text(oeFormatSDFT(strtotime($iter{"date"})));
1217                         }
1218                         $rhtml .= "</span></td>\n";
1219                     // This error message is generated if the authorized check box is not checked
1220                         if ($iter['id'] && $iter['authorized'] != 1) {
1221                             $rhtml .= "<td><span class=alert>" . xlt("Note: This code has not been authorized.") . "</span></td>\n";
1222                         } else {
1223                             $rhtml .= "<td></td>\n";
1224                         }
1225                         if ($iter['id'] && $last_encounter_id != $this_encounter_id) {
1226                             $tmpbpr = $iter['bill_process'];
1227                             if ($tmpbpr == '0' && $iter['billed']) {
1228                                 $tmpbpr = '2';
1229                             }
1230                             $rhtml .= "<td><input type='checkbox' value='" . attr($tmpbpr) . "' name='claims[" . attr($this_encounter_id) . "][bill]' onclick='set_button_states()' id='CheckBoxBilling" . attr($CheckBoxBilling * 1) . "'>&nbsp;</td>\n";
1231                             $CheckBoxBilling++;
1232                         } else {
1233                             $rhtml .= "<td></td>\n";
1234                         }
1235                         if ($last_encounter_id != $this_encounter_id) {
1236                             $rhtml2 = "";
1237                             $rowcnt = 0;
1238                             $resMoneyGot = sqlStatement(
1239                                 "SELECT pay_amount AS PatientPay,date(post_time) AS date FROM ar_activity WHERE " .
1240                                 "pid = ? AND encounter = ? AND payer_type=0 AND account_code='PCP'",
1241                                 array(
1242                                 $iter['enc_pid'],
1243                                 $iter['enc_encounter']
1244                                 )
1245                             );
1246                             // new fees screen copay gives account_code='PCP'
1247                             if (sqlNumRows($resMoneyGot) > 0) {
1248                                 $lcount += 2;
1249                                 $rcount++;
1250                             }
1251                             // checks whether a copay exists for the encounter and if exists displays it.
1252                             while ($rowMoneyGot = sqlFetchArray($resMoneyGot)) {
1253                                 $rowcnt++;
1254                                 $PatientPay = $rowMoneyGot['PatientPay'];
1255                                 $date = $rowMoneyGot['date'];
1256                                 if ($PatientPay > 0) {
1257                                     if ($rhtml) {
1258                                         $rhtml2 .= "<tr bgcolor='$bgcolor'>\n";
1259                                     }
1260                                     $rhtml2 .= "<td width='50'>";
1261                                     $rhtml2 .= "<span class='text'>" . xlt('COPAY') . ": </span>";
1262                                     $rhtml2 .= "</td>\n";
1263                                     $rhtml2 .= "<td><span class='text'>" . text(oeFormatMoney($PatientPay)) . "</span><span style='font-size:8pt;'>&nbsp;</span></td>\n";
1264                                     $rhtml2 .= '<td align="right"><span style="font-size:8pt;">&nbsp;&nbsp;&nbsp;';
1265                                     $rhtml2 .= "</span></td>\n";
1266                                     $rhtml2 .= '<td><span style="font-size:8pt;">&nbsp;&nbsp;&nbsp;';
1267                                     $rhtml2 .= "</span></td>\n";
1268                                     $rhtml2 .= '<td><span style="font-size:8pt;">&nbsp;&nbsp;&nbsp;';
1269                                     $rhtml2 .= "</span></td>\n";
1270                                     $rhtml2 .= '<td width=100>&nbsp;&nbsp;&nbsp;<span style="font-size:8pt;">';
1271                                     $rhtml2 .= text(oeFormatSDFT(strtotime($date)));
1272                                     $rhtml2 .= "</span></td>\n";
1273                                     if ($iter['id'] && $iter['authorized'] != 1) {
1274                                         $rhtml2 .= "<td><span class=alert>" . xlt("Note: This copay was entered against billing that has not been authorized. Please review status.") . "</span></td>\n";
1275                                     } else {
1276                                         $rhtml2 .= "<td></td>\n";
1277                                     }
1278                                     if (!$iter['id'] && $rowcnt == 1) {
1279                                         $rhtml2 .= "<td><input type='checkbox' value='0' name='claims[" . attr($this_encounter_id) . "][bill]' onclick='set_button_states()' id='CheckBoxBilling" . attr($CheckBoxBilling * 1) . "'>&nbsp;</td>\n";
1280                                         $CheckBoxBilling++;
1281                                     } else {
1282                                         $rhtml2 .= "<td></td>\n";
1283                                     }
1284                                 }
1285                             }
1286                             $rhtml .= $rhtml2;
1287                         }
1288                         $rhtml .= "</tr>\n";
1289                         $last_encounter_id = $this_encounter_id;
1290                     } // end foreach
1291
1292                     if ($lhtml) {
1293                         while ($rcount < $lcount) {
1294                             $rhtml .= "<tr bgcolor='$bgcolor'><td colspan='9'></td></tr>";
1295                             ++$rcount;
1296                         }
1297                         if (!$missing_mods_only || ($mmo_empty_mod && $mmo_num_charges > 1)) {
1298                             if ($DivPut == 'yes') {
1299                                 $lhtml .= '</div>';
1300                                 $DivPut = 'no';
1301                             }
1302                             echo "<tr bgcolor='$bgcolor'>\n<td rowspan='" . attr($rcount) . "' valign='top' width='25%'>\n$lhtml</td>$rhtml\n";
1303                             echo "<tr bgcolor='$bgcolor'><td colspan='9' height='5'></td></tr>\n";
1304                         }
1305                     }
1306                 }
1307
1308                 ?>
1309
1310             </table>
1311     </form>
1312 </div>
1313 </div><!--end of container div -->
1314 <div class="row">
1315 <div class="modal fade" id="myModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true">
1316     <div class="modal-dialog oe-modal-dialog modal-lg">
1317         <div class="modal-content oe-modal-content">
1318             <div class="modal-header clearfix">
1319                 <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true"
1320                                                                                                   style="color:#000000; font-size:1.5em;">×</span>
1321                 </button>
1322             </div>
1323             <div class="modal-body">
1324                 <iframe src="" id="targetiframe" style="height:650px; width:100%; overflow-x: hidden; border:none"
1325                         allowtransparency="true"></iframe>
1326             </div>
1327             <div class="modal-footer" style="margin-top:0px;">
1328                 <button class="btn btn-link btn-cancel pull-right" data-dismiss="modal"
1329                         type="button"><?php echo xlt('close'); ?></button>
1330             </div>
1331         </div>
1332     </div>
1333 </div>
1334 </div>
1335 <script>
1336 $(document).ready(function () {
1337     $('#help-href').click(function () {
1338         document.getElementById('targetiframe').src = '';
1339     })
1340     $('#view-log-link').click(function () {
1341         document.getElementById('targetiframe').src = 'customize_log.php';
1342     })
1343 });
1344 </script>
1345 <script>
1346 $('#show_hide').click(function () {
1347     var elementTitle = $('#show_hide').prop('title');
1348     var hideTitle = '<?php echo xla('Click to Hide'); ?>';
1349     var showTitle = '<?php echo xla('Click to Show'); ?>';
1350     $('.hideaway').toggle('1000');
1351     $(this).toggleClass('fa-eye-slash fa-eye');
1352     if (elementTitle == hideTitle) {
1353         elementTitle = showTitle;
1354     } else if (elementTitle == showTitle) {
1355         elementTitle = hideTitle;
1356     }
1357     $('#show_hide').prop('title', elementTitle);
1358 });
1359 </script>
1360 <script>
1361 set_button_states();
1362 <?php
1363 if ($alertmsg) {
1364     echo "alert('" . addslashes($alertmsg) . "');\n";
1365 }
1366 ?>
1367 $(document).ready(function () {
1368     $('button[type="submit"]').click(function () {
1369         top.restoreSession();
1370         $(this).attr('data-clicked', true);
1371     });
1372
1373     $('form[name="update_form"]').submit(function (e) {
1374         var clickedButton = $("button[type=submit][data-clicked='true'")[0];
1375         // clear clicked button indicator
1376         $('button[type="submit"]').attr('data-clicked', false);
1377
1378         if (!clickedButton || $(clickedButton).attr("data-open-popup") !== "true") {
1379             $(this).removeAttr("target");
1380             return top.restoreSession();
1381         } else {
1382             top.restoreSession();
1383             var w = window.open('about:blank', 'Popup_Window', 'toolbar=0,scrollbars=0,location=0,statusbar=0,menubar=0,resizable=0,width=400,height=300,left = 312,top = 234');
1384             this.target = 'Popup_Window';
1385         }
1386     });
1387
1388     $('.datepicker').datetimepicker({
1389         <?php $datetimepicker_timepicker = false; ?>
1390         <?php $datetimepicker_showseconds = false; ?>
1391         <?php $datetimepicker_formatInput = false; ?>
1392         <?php require $GLOBALS['srcdir'] . '/js/xl/jquery-datetimepicker-2-5-4.js.php'; ?>
1393         <?php // can add any additional javascript settings to datetimepicker here; need to prepend first setting with a comma ?>
1394     });
1395 });
1396 </script>
1397 <script>
1398 $(document).ready(function () {
1399     $('#update-tooltip').tooltip({title: "<?php echo xla('Click Update List to display billing information filtered by the selected Current Criteria'); ?>"});
1400 });
1401 </script>
1402 <input type="hidden" name="divnos" id="divnos" value="<?php echo attr($divnos) ?>"/>
1403 <input type='hidden' name='ajax_mode' id='ajax_mode' value=''/>
1404 </body>
1405 </html>