interface/reports/edi_270.php

   1 <?php
   2 // Copyright (C) 2010 MMF Systems, Inc>
   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 report is the batch report required for batch eligibility verification. **/
  10
  11         //SANITIZE ALL ESCAPES
  12         $sanitize_all_escapes=true;
  13         //
  14
  15         //STOP FAKE REGISTER GLOBALS
  16         $fake_register_globals=false;
  17         //
  18
  19         require_once("../globals.php");
  20         require_once("$srcdir/forms.inc");
  21         require_once("$srcdir/billing.inc");
  22         require_once("$srcdir/patient.inc");
  23         require_once("$srcdir/formatting.inc.php");
  24         require_once "$srcdir/options.inc.php";
  25         require_once "$srcdir/formdata.inc.php";
  26         include_once("$srcdir/calendar.inc");
  27         include_once("$srcdir/edi.inc");
  28
  29         // Element data seperator
  30         $eleDataSep             = "*";
  31
  32         // Segment Terminator
  33         $segTer                 = "~";
  34
  35         // Component Element seperator
  36         $compEleSep             = "^";
  37
  38         // filter conditions for the report and batch creation
  39
  40         $from_date              = fixDate($_POST['form_from_date'], date('Y-m-d'));
  41         $to_date                = fixDate($_POST['form_to_date'], date('Y-m-d'));
  42         $form_facility  = $_POST['form_facility'] ? $_POST['form_facility'] : '';
  43         $form_provider  = $_POST['form_users'] ? $_POST['form_users'] : '';
  44         $exclude_policy = $_POST['removedrows'] ? $_POST['removedrows'] : '';
  45         $X12info                = $_POST['form_x12'] ? explode("|",$_POST['form_x12']) : '';
  46
  47         //Set up the sql variable binding array (this prevents sql-injection attacks)
  48         $sqlBindArray = array();
  49
  50         $where  = "e.pc_pid IS NOT NULL AND e.pc_eventDate >= ?";
  51         array_push($sqlBindArray, $from_date);
  52
  53         //$where .="and e.pc_eventDate = (select max(pc_eventDate) from openemr_postcalendar_events where pc_aid = d.id)";
  54
  55         if ($to_date) {
  56                 $where .= " AND e.pc_eventDate <= ?";
  57                 array_push($sqlBindArray, $to_date);
  58         }
  59
  60         if($form_facility != "") {
  61                 $where .= " AND f.id = ? ";
  62                 array_push($sqlBindArray, $form_facility);
  63         }
  64
  65         if($form_provider != "") {
  66                 $where .= " AND d.id = ? ";
  67                 array_push($sqlBindArray, $form_provider);
  68         }
  69
  70         if($exclude_policy != ""){      $arrayExplode   =       explode(",", $exclude_policy);
  71                                                                 array_walk($arrayExplode, 'arrFormated');
  72                                                                 $exclude_policy = implode(",",$arrayExplode);
  73                                                                 $where .= " AND i.policy_number not in (".stripslashes($exclude_policy).")";
  74                                                         }
  75
  76         $where .= " AND (i.policy_number is not null and i.policy_number != '')";
  77
  78         $query = sprintf("              SELECT DATE_FORMAT(e.pc_eventDate, '%%Y%%m%%d') as pc_eventDate,
  79                                                                    e.pc_facility,
  80                                                                    p.lname,
  81                                                                    p.fname,
  82                                                                    p.mname,
  83                                                                    DATE_FORMAT(p.dob, '%%Y%%m%%d') as dob,
  84                                                                    p.ss,
  85                                                                    p.sex,
  86                                                                    p.pid,
  87                                                                    p.pubpid,
  88                                                                    i.policy_number,
  89                                                                    i.provider as payer_id,
  90                                                                    i.subscriber_relationship,
  91                                                                    i.subscriber_lname,
  92                                                                    i.subscriber_fname,
  93                                                                    i.subscriber_mname,
  94                                                                    DATE_FORMAT(i.subscriber_dob, '%%m/%%d/%%Y') as subscriber_dob,
  95                                                                    i.subscriber_ss,
  96                                                                    i.subscriber_sex,
  97                                                                    DATE_FORMAT(i.date,'%%Y%%m%%d') as date,
  98                                                                    d.lname as provider_lname,
  99                                                                    d.fname as provider_fname,
 100                                                                    d.npi as provider_npi,
 101                                                                    d.upin as provider_pin,
 102                                                                    f.federal_ein,
 103                                                                    f.facility_npi,
 104                                                                    f.name as facility_name,
 105                                                                    c.name as payer_name
 106                                                         FROM openemr_postcalendar_events AS e
 107                                                         LEFT JOIN users AS d on (e.pc_aid is not null and e.pc_aid = d.id)
 108                                                         LEFT JOIN facility AS f on (f.id = e.pc_facility)
 109                                                         LEFT JOIN patient_data AS p ON p.pid = e.pc_pid
 110                                                         LEFT JOIN insurance_data AS i ON (i.id =(
 111                                                                                                                                         SELECT id
 112                                                                                                                                         FROM insurance_data AS i
 113                                                                                                                                         WHERE pid = p.pid AND type = 'primary'
 114                                                                                                                                         ORDER BY date DESC
 115                                                                                                                                         LIMIT 1
 116                                                                                                                                         )
 117                                                                                                                                 )
 118                                                         LEFT JOIN insurance_companies as c ON (c.id = i.provider)
 119                                                         WHERE %s ",     $where );
 120
 121         // Run the query
 122         $res                    = sqlStatement($query, $sqlBindArray);
 123
 124         // Get the facilities information
 125         $facilities             = getUserFacilities($_SESSION['authId']);
 126
 127         // Get the Providers information
 128         $providers              = getUsernames();
 129
 130         //Get the x12 partners information
 131         $clearinghouses = getX12Partner();
 132
 133
 134         if (isset($_POST['form_savefile']) && !empty($_POST['form_savefile']) && $res) {
 135                 header('Content-Type: text/plain');
 136                 header(sprintf('Content-Disposition: attachment; filename="elig-270..%s.%s.txt"',
 137                         $from_date,
 138                         $to_date
 139                 ));
 140                 print_elig($res,$X12info,$segTer,$compEleSep);
 141                 exit;
 142         }
 143 ?>
 144
 145 <html>
 146
 147         <head>
 148
 149                 <?php html_header_show();?>
 150
 151                 <title><?php echo htmlspecialchars( xl('Eligibility 270 Inquiry Batch'), ENT_NOQUOTES); ?></title>
 152
 153                 <style type="text/css">@import url(../../library/dynarch_calendar.css);</style>
 154
 155                 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
 156
 157                 <style type="text/css">
 158
 159                         /* specifically include & exclude from printing */
 160                         @media print {
 161                                 #report_parameters {
 162                                         visibility: hidden;
 163                                         display: none;
 164                                 }
 165                                 #report_parameters_daterange {
 166                                         visibility: visible;
 167                                         display: inline;
 168                                 }
 169                                 #report_results table {
 170                                    margin-top: 0px;
 171                                 }
 172                         }
 173
 174                         /* specifically exclude some from the screen */
 175                         @media screen {
 176                                 #report_parameters_daterange {
 177                                         visibility: hidden;
 178                                         display: none;
 179                                 }
 180                         }
 181
 182                 </style>
 183
 184                 <script type="text/javascript" src="../../library/textformat.js"></script>
 185                 <script type="text/javascript" src="../../library/dialog.js"></script>
 186                 <script type="text/javascript" src="../../library/dynarch_calendar.js"></script>
 187                 <?php include_once("{$GLOBALS['srcdir']}/dynarch_calendar_en.inc.php"); ?>
 188                 <script type="text/javascript" src="../../library/dynarch_calendar_setup.js"></script>
 189                 <script type="text/javascript" src="../../library/js/jquery.1.3.2.js"></script>
 190
 191                 <script type="text/javascript">
 192
 193                         var mypcc = "<?php echo htmlspecialchars( $GLOBALS['phone_country_code'], ENT_QUOTES); ?>";
 194                         var stringDelete = "<?php echo htmlspecialchars( xl('Do you want to remove this record?'), ENT_QUOTES); ?>?";
 195                         var stringBatch  = "<?php echo htmlspecialchars( xl('Please select X12 partner, required to create the 270 batch'), ENT_QUOTES); ?>";
 196
 197                         // for form refresh
 198
 199                         function refreshme() {
 200                                 document.forms[0].submit();
 201                         }
 202
 203                         //  To delete the row from the reports section
 204                         function deletetherow(id){
 205                                 var suredelete = confirm(stringDelete);
 206                                 if(suredelete == true){
 207                                         document.getElementById('PR'+id).style.display="none";
 208                                         if(document.getElementById('removedrows').value == ""){
 209                                                 document.getElementById('removedrows').value = "'" + id + "'";
 210                                         }else{
 211                                                 document.getElementById('removedrows').value = document.getElementById('removedrows').value + ",'" + id + "'";
 212
 213                                         }
 214                                 }
 215
 216                         }
 217
 218                         //  To validate the batch file generation - for the required field [clearing house/x12 partner]
 219                         function validate_batch()
 220                         {
 221                                 if(document.getElementById('form_x12').value=='')
 222                                 {
 223                                         alert(stringBatch);
 224                                         return false;
 225                                 }
 226                                 else
 227                                 {
 228                                         document.getElementById('form_savefile').value = "true";
 229                                         document.theform.submit();
 230
 231                                 }
 232
 233
 234                         }
 235
 236                         // To Clear the hidden input field
 237
 238                         function validate_policy()
 239                         {
 240                                 document.getElementById('removedrows').value = "";
 241                                 document.getElementById('form_savefile').value = "";
 242                                 return true;
 243                         }
 244
 245                         // To toggle the clearing house empty validation message
 246                         function toggleMessage(id,x12){
 247
 248                                 var spanstyle = new String();
 249
 250                                 spanstyle               = document.getElementById(id).style.visibility;
 251                                 selectoption    = document.getElementById(x12).value;
 252
 253                                 if(selectoption != '')
 254                                 {
 255                                         document.getElementById(id).style.visibility = "hidden";
 256                                 }
 257                                 else
 258                                 {
 259                                         document.getElementById(id).style.visibility = "visible";
 260                                         document.getElementById(id).style.display = "inline";
 261                                 }
 262                                 return true;
 263
 264                         }
 265
 266                 </script>
 267
 268         </head>
 269         <body class="body_top">
 270
 271                 <!-- Required for the popup date selectors -->
 272                 <div id="overDiv" style="position:absolute; visibility:hidden; z-index:1000;"></div>
 273
 274                 <span class='title'><?php echo htmlspecialchars( xl('Report'), ENT_NOQUOTES); ?> - <?php echo htmlspecialchars( xl('Eligibility 270 Inquiry Batch'), ENT_NOQUOTES); ?></span>
 275
 276                 <div id="report_parameters_daterange">
 277                         <?php echo htmlspecialchars( date("d F Y", strtotime($form_from_date)), ENT_NOQUOTES) .
 278                                 " &nbsp; " . htmlspecialchars( xl('to'), ENT_NOQUOTES) .
 279                                 "&nbsp; ". htmlspecialchars( date("d F Y", strtotime($form_to_date)), ENT_NOQUOTES); ?>
 280                 </div>
 281
 282                 <form method='post' name='theform' id='theform' action='edi_270.php' onsubmit="return top.restoreSession()">
 283                         <input type="hidden" name="removedrows" id="removedrows" value="">
 284                         <div id="report_parameters">
 285                                 <table>
 286                                         <tr>
 287                                                 <td width='550px'>
 288                                                         <div style='float:left'>
 289                                                                 <table class='text'>
 290                                                                         <tr>
 291                                                                                 <td class='label'>
 292                                                                                    <?php xl('From','e'); ?>:
 293                                                                                 </td>
 294                                                                                 <td>
 295                                                                                    <input type='text' name='form_from_date' id="form_from_date" size='10' value='<?php echo htmlspecialchars( $from_date, ENT_QUOTES) ?>' onkeyup='datekeyup(this,mypcc)' onblur='dateblur(this,mypcc)' title='yyyy-mm-dd'>
 296                                                                                    <img src='../pic/show_calendar.gif' align='absbottom' width='24' height='22'
 297                                                                                         id='img_from_date' border='0' alt='[?]' style='cursor:pointer'
 298                                                                                         title='<?php echo htmlspecialchars( xl('Click here to choose a date'), ENT_QUOTES); ?>'>
 299                                                                                 </td>
 300                                                                                 <td class='label'>
 301                                                                                    <?php echo htmlspecialchars( xl('To'), ENT_NOQUOTES); ?>:
 302                                                                                 </td>
 303                                                                                 <td>
 304                                                                                    <input type='text' name='form_to_date' id="form_to_date" size='10' value='<?php echo htmlspecialchars( $to_date, ENT_QUOTES) ?>'
 305                                                                                         onkeyup='datekeyup(this,mypcc)' onblur='dateblur(this,mypcc)' title='yyyy-mm-dd'>
 306                                                                                    <img src='../pic/show_calendar.gif' align='absbottom' width='24' height='22'
 307                                                                                         id='img_to_date' border='0' alt='[?]' style='cursor:pointer'
 308                                                                                         title='<?php echo htmlspecialchars( xl('Click here to choose a date'), ENT_QUOTES); ?>'>
 309                                                                                 </td>
 310                                                                                 <td>&nbsp;</td>
 311                                                                         </tr>
 312
 313                                                                         <tr>
 314                                                                                 <td class='label'>
 315                                                                                         <?php echo htmlspecialchars( xl('Facility'), ENT_NOQUOTES); ?>:
 316                                                                                 </td>
 317                                                                                 <td>
 318                                                                                         <?php dropdown_facility($form_facility,'form_facility',false);  ?>
 319                                                                                 </td>
 320                                                                                 <td class='label'>
 321                                                                                    <?php echo htmlspecialchars( xl('Provider'), ENT_NOQUOTES); ?>:
 322                                                                                 </td>
 323                                                                                 <td>
 324                                                                                         <select name='form_users' onchange='form.submit();'>
 325                                                                                                 <option value=''>-- <?php echo htmlspecialchars( xl('All'), ENT_NOQUOTES); ?> --</option>
 326                                                                                                 <?php foreach($providers as $user): ?>
 327                                                                                                         <option value='<?php echo htmlspecialchars( $user['id'], ENT_QUOTES); ?>'
 328                                                                                                                 <?php echo $form_provider == $user['id'] ? " selected " : null; ?>
 329                                                                                                         ><?php echo htmlspecialchars( $user['fname']." ".$user['lname'], ENT_NOQUOTES); ?></option>
 330                                                                                                 <?php endforeach; ?>
 331                                                                                         </select>
 332                                                                                 </td>
 333                                                                                 <td>&nbsp;
 334                                                                                 </td>
 335                                                                         </tr>
 336
 337                                                                         <tr>
 338                                                                                 <td class='label'>
 339                                                                                         <?php echo htmlspecialchars( xl('X12 Partner'), ENT_NOQUOTES); ?>:
 340                                                                                 </td>
 341                                                                                 <td colspan='5'>
 342                                                                                         <select name='form_x12' id='form_x12' onchange='return toggleMessage("emptyVald","form_x12");' >
 343                                                                                                                 <option value=''>--<?php echo htmlspecialchars( xl('select'), ENT_NOQUOTES); ?>--</option>
 344                                                                                                                 <?php
 345                                                                                                                         if(isset($clearinghouses) && !empty($clearinghouses))
 346                                                                                                                         {
 347                                                                                                                                 foreach($clearinghouses as $clearinghouse): ?>
 348                                                                                                                                         <option value='<?php echo htmlspecialchars( $clearinghouse['id']."|".$clearinghouse['id_number']."|".$clearinghouse['x12_sender_id']."|".$clearinghouse['x12_receiver_id']."|".$clearinghouse['x12_version']."|".$clearinghouse['processing_format'], ENT_QUOTES); ?>'
 349                                                                                                                                                 <?php echo $clearinghouse['id'] == $X12info[0] ? " selected " : null; ?>
 350                                                                                                                                         ><?php echo htmlspecialchars( $clearinghouse['name'], ENT_NOQUOTES); ?></option>
 351                                                                                                                 <?php   endforeach;
 352                                                                                                                         }
 353
 354                                                                                                                 ?>
 355                                                                                                 </select>
 356                                                                                                 <span id='emptyVald' style='color:red;font-size:12px;'> * <?php echo htmlspecialchars( xl('Clearing house info required for EDI 270 batch creation.'), ENT_NOQUOTES); ?></span>
 357                                                                                 </td>
 358                                                                         </tr>
 359                                                                 </table>
 360                                                         </div>
 361                                                 </td>
 362                                                 <td align='left' valign='middle' height="100%">
 363                                                         <table style='border-left:1px solid; width:100%; height:100%' >
 364                                                                 <tr>
 365                                                                         <td>
 366                                                                                 <div style='margin-left:15px'>
 367                                                                                         <a href='#' class='css_button' onclick='validate_policy(); $("#theform").submit();'>
 368                                                                                         <span>
 369                                                                                                 <?php echo htmlspecialchars( xl('Refresh'), ENT_NOQUOTES); ?>
 370                                                                                         </span>
 371                                                                                         </a>
 372
 373                                                                                         <a href='#' class='css_button' onclick='return validate_batch();'>
 374                                                                                                 <span>
 375                                                                                                         <?php echo htmlspecialchars( xl('Create batch'), ENT_NOQUOTES); ?>
 376                                                                                                         <input type='hidden' name='form_savefile' id='form_savefile' value=''></input>
 377                                                                                                 </span>
 378                                                                                         </a>
 379
 380                                                                                 </div>
 381                                                                         </td>
 382                                                                 </tr>
 383                                                         </table>
 384                                                 </td>
 385                                         </tr>
 386                                 </table>
 387                         </div>
 388
 389                         <div class='text'>
 390                                 <?php echo htmlspecialchars( xl('Please choose date range criteria above, and click Refresh to view results.'), ENT_NOQUOTES); ?>
 391                         </div>
 392
 393                 </form>
 394
 395                 <?php
 396                         if ($res){
 397                                 show_elig($res,$X12info,$segTer,$compEleSep);
 398                         }
 399                 ?>
 400         </body>
 401
 402         <script language='JavaScript'>
 403                 Calendar.setup({inputField:"form_from_date", ifFormat:"%Y-%m-%d", button:"img_from_date"});
 404                 Calendar.setup({inputField:"form_to_date", ifFormat:"%Y-%m-%d", button:"img_to_date"});
 405                 <?php if ($alertmsg) { echo " alert('$alertmsg');\n"; } ?>
 406         </script>
 407
 408 </html>