custom/BillingExport.csv.php

   1 <?php
   2 // Copyright (C) 2005 Rod Roark <rod@sunsetsystems.com>
   3 //
   4 // This program is free software; you can redistribute it and/or
   5 // modify it under the terms of the GNU General Public License
   6 // as published by the Free Software Foundation; either version 2
   7 // of the License, or (at your option) any later version.
   8
   9 // This class exports billing information to an external billing
  10 // system.  In this case we are writing a custom CSV format, but
  11 // it would be easy and more generally useful to write X12 (837p)
  12 // format and then have some separate utilities for converting to
  13 // HCFA 1500, UB-92, etc.
  14 //
  15 // To implement this feature, rename this file to BillingExport.php.
  16
  17 require_once (dirname(__FILE__) . "/../library/sql.inc");
  18
  19 class BillingExport {
  20
  21   // You should customize these paths.  They must share the same
  22   // physical disk partition so that the final rename will be an
  23   // atomic operation.
  24   var $TMP_DIR    = "/home/billing/tmp";
  25   var $TARGET_DIR = "/home/billing/ftp";
  26
  27   var $tmpname; // output filename including path
  28   var $tmpfh;   // output file handle
  29
  30   function fixString($string) {
  31     return addslashes(trim($string));
  32   }
  33
  34   function fixMI($string) {
  35     return addslashes(substr(trim($string), 0, 1));
  36   }
  37
  38   function fixSex($sex) {
  39     $sex = substr(strtoupper(trim($sex)), 0, 1);
  40     if ($sex == 'M') return 'Male';
  41     if ($sex == 'F') return 'Female';
  42     return '';
  43   }
  44
  45   function fixPhone($phone) {
  46     $tmparr = array();
  47     if (preg_match("/(\d\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/", $phone, $tmparr))
  48       return $tmparr[1] . '-' . $tmparr[2] . '-' . $tmparr[3];
  49     return '';
  50   }
  51
  52   function fixSSN($ssn) {
  53     $tmparr = array();
  54     if (preg_match("/(\d\d\d)\D*(\d\d)\D*(\d\d\d\d)/", $ssn, $tmparr))
  55       return $tmparr[1] . '-' . $tmparr[2] . '-' . $tmparr[3];
  56     return '';
  57   }
  58
  59   function fixMStatus($status) {
  60     return ucfirst(trim($status));
  61   }
  62
  63   function fixEStatus($employer) {
  64     $status = strtoupper(trim($employer));
  65     if (! $status) return '';
  66     if ($status == 'STUDENT') return 'Student';
  67     if ($status == 'RETIRED') return 'Retired';
  68     return 'Full-time';
  69   }
  70
  71   function fixRelation($rel) {
  72     return ucfirst(trim($rel));
  73   }
  74
  75   function fixCPT($code, $mod) {
  76     $code = trim($code);
  77     $mod = trim($mod);
  78     if ($mod) $code .= '-' . $mod;
  79     return addslashes($code);
  80   }
  81
  82   function fixJust($str) {
  83     return addslashes(trim(str_replace(':', ' ', $str)));
  84   }
  85
  86   function fixDate($date) {
  87     return substr($date, 0, 10);
  88   }
  89
  90   // Creating a BillingExport object opens the output file.
  91   // Filename format is "transYYYYMMDDHHMMSS.txt".
  92   //
  93   function BillingExport() {
  94     $this->tmpname = $this->TMP_DIR . '/trans' . date("YmdHis") . '.txt';
  95     $this->tmpfh = fopen($this->tmpname, 'w');
  96   }
  97
  98   // Call this once for each claim to be processed.
  99   //
 100   function addClaim($patient_id, $encounter) {
 101
 102     // Patient information:
 103
 104     $query = "SELECT p.pubpid, p.ss, p.lname, p.fname, p.mname, p.DOB, " .
 105       "p.street, p.city, p.state, p.postal_code, p.phone_home, p.phone_biz, " .
 106       "p.status, p.sex, e.name " .
 107       "FROM patient_data AS p " .
 108       "LEFT OUTER JOIN employer_data AS e ON e.pid = '$patient_id' " .
 109       "WHERE p.pid = '$patient_id' " .
 110       "LIMIT 1";
 111     $prow = sqlQuery($query);
 112
 113     // Patient line.
 114     fwrite($this->tmpfh, 'PT' .
 115       ',"' . $this->fixString($prow['pubpid'])      . '"' .
 116       ',"' . $this->fixString($prow['lname'])       . '"' .
 117       ',"' . $this->fixString($prow['fname'])       . '"' .
 118       ',"' . $this->fixMI($prow['mname'])           . '"' .
 119       ',"' . $this->fixString($prow['street'])      . '"' .
 120       ',""'                                  .
 121       ',"' . $this->fixString($prow['city'])        . '"' .
 122       ',"' . $this->fixString($prow['state'])       . '"' .
 123       ',"' . $this->fixString($prow['postal_code']) . '"' .
 124       ',"' . $this->fixPhone($prow['phone_home'])   . '"' .
 125       ',"' . $this->fixPhone($prow['phone_biz'])    . '"' .
 126       ',"' . $this->fixSex($prow['sex'])            . '"' .
 127       ',"' . $prow['DOB']                    . '"' .
 128       ',"' . $this->fixSSN($prow['ss'])             . '"' .
 129       ',"' . $this->fixEStatus($prow['name'])       . '"' .
 130       ',"' . $this->fixString($prow['name'])        . '"' .
 131     "\n");
 132
 133     // Encounter information:
 134
 135     $query = "SELECT e.date, e.facility, " .
 136       "u.id, u.lname, u.fname, u.mname, u.upin, " .
 137       "f.street, f.city, f.state, f.postal_code, f.pos_code, " .
 138       "f.domain_identifier AS clia_code " .
 139       "FROM form_encounter AS e " .
 140       "LEFT OUTER JOIN forms ON forms.formdir = 'newpatient' AND " .
 141       "forms.form_id = e.id AND forms.pid = '$patient_id' " .
 142       "LEFT OUTER JOIN users AS u ON u.username = forms.user " .
 143       "LEFT OUTER JOIN facility AS f ON f.name = e.facility " .
 144       "WHERE e.pid = '$patient_id' AND e.encounter = '$encounter' " .
 145       "LIMIT 1";
 146     $erow = sqlQuery($query);
 147
 148     // Performing Provider line.
 149     fwrite($this->tmpfh, 'PP' .
 150       ',"' . $this->fixString($erow['lname'])       . '"' .
 151       ',"' . $this->fixString($erow['fname'])       . '"' .
 152       ',"' . $this->fixMI($erow['mname'])           . '"' .
 153       ',"' . $this->fixString($erow['upin'])        . '"' .
 154     "\n");
 155
 156     // TBD: Referring Provider line when we have such a thing.
 157
 158     // Insurance information, up to 3 lines:
 159
 160     $query = "SELECT " .
 161       "d.type, d.policy_number, d.group_number, " .
 162       "d.subscriber_lname, d.subscriber_fname, d.subscriber_mname, " .
 163       "d.subscriber_street, d.subscriber_city, d.subscriber_state, " .
 164       "d.subscriber_postal_code, d.subscriber_DOB, d.subscriber_sex, " .
 165       "d.subscriber_relationship, " .
 166       "c.name, " .
 167       "a.line1, a.line2, a.city, a.state, a.zip, " .
 168       "p.area_code, p.prefix, p.number, " .
 169       "n.provider_number " .
 170       "FROM insurance_data AS d " .
 171       "LEFT OUTER JOIN insurance_companies AS c ON c.id = d.provider " .
 172       "LEFT OUTER JOIN addresses AS a ON a.foreign_id = c.id " .
 173       "LEFT OUTER JOIN phone_numbers AS p ON p.foreign_id = c.id AND p.type = 2 " .
 174       "LEFT OUTER JOIN insurance_numbers AS n ON n.provider_id = " .
 175       $erow['id'] . " AND n.insurance_company_id = c.id " .
 176       "WHERE d.pid = '$patient_id' AND d.provider != '' " .
 177       "ORDER BY d.type ASC, d.date DESC";
 178     $ires = sqlStatement($query);
 179
 180     $prev_type = '?';
 181     while ($irow = sqlFetchArray($ires)) {
 182       if (strcmp($irow['type'], $prev_type) == 0) continue;
 183       $prev_type = $irow['type'];
 184
 185       fwrite($this->tmpfh, 'IN' .
 186         ',"' . $this->fixString($irow['subscriber_lname'])          . '"' .
 187         ',"' . $this->fixString($irow['subscriber_fname'])          . '"' .
 188         ',"' . $this->fixMI($irow['subscriber_mname'])              . '"' .
 189         ',"' . $this->fixString($irow['subscriber_street'])         . '"' .
 190         ',"' . $this->fixString($irow['subscriber_city'])           . '"' .
 191         ',"' . $this->fixString($irow['subscriber_state'])          . '"' .
 192         ',"' . $this->fixString($irow['subscriber_postal_code'])    . '"' .
 193         ',"' . $irow['subscriber_DOB']                       . '"' .
 194         ',"' . $this->fixRelation($irow['subscriber_relationship']) . '"' .
 195         ',"' . $this->fixString($irow['policy_number'])             . '"' .
 196         ',"' . $this->fixString($irow['group_number'])              . '"' .
 197         ',"' . $this->fixString($irow['name'])                      . '"' .
 198         ',"' . $this->fixString($irow['line1'])                     . '"' .
 199         ',"' . $this->fixString($irow['line2'])                     . '"' .
 200         ',"' . $this->fixString($irow['city'])                      . '"' .
 201         ',"' . $this->fixString($irow['state'])                     . '"' .
 202         ',"' . $this->fixString($irow['zip'])                       . '"' .
 203         ',"' . $this->fixPhone($irow['area_code'] . $irow['prefix'] . $irow['number']) . '"' .
 204         ',"' . $this->fixString($irow['provider_number'])           . '"' .
 205         ',"' . $this->fixString($irow['provider_number'])           . '"' . // TBD: referring provider
 206       "\n");
 207     }
 208
 209     // Procedure information:
 210
 211     $query = "SELECT id, code, modifier, justify " .
 212       "FROM billing " .
 213       "WHERE pid = '$patient_id' AND encounter = '$encounter' " .
 214       "AND activity = 1 AND code_type = 'CPT4' " .
 215       "ORDER BY id";
 216     $bres = sqlStatement($query);
 217
 218     while ($brow = sqlFetchArray($bres)) {
 219       fwrite($this->tmpfh, 'PR' .
 220         ',"' . $this->fixCPT($brow['code'], $brow['modifier']) . '"' .
 221         ',"' . $this->fixJust($brow['justify'])                . '"' .
 222         ',"' . $this->fixDate($erow['date'])                   . '"' .
 223         ',"' . $this->fixString($erow['pos_code'])             . '"' .
 224         ',"' . $this->fixString($erow['clia_code'])            . '"' .
 225         ',"' . $this->fixString($erow['facility'])             . '"' .
 226         ',"' . $this->fixString($erow['street'])               . '"' .
 227         ',""'                                           .
 228         ',"' . $this->fixString($erow['city'])                 . '"' .
 229         ',"' . $this->fixString($erow['state'])                . '"' .
 230         ',"' . $this->fixString($erow['postal_code'])          . '"' .
 231       "\n");
 232     }
 233   }
 234
 235   // Close the output file and move it to the ftp download area.
 236   //
 237   function close() {
 238     fclose($this->tmpfh);
 239     chmod($this->tmpname, 0666);
 240     rename($this->tmpname, $this->TARGET_DIR . '/' . basename($this->tmpname));
 241   }
 242 }
 243
 244 ?>