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
  18 class BillingExport
  19 {
  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     {
  32         return addslashes(trim($string));
  33     }
  34
  35     function fixMI($string)
  36     {
  37         return addslashes(substr(trim($string), 0, 1));
  38     }
  39
  40     function fixSex($sex)
  41     {
  42         $sex = substr(strtoupper(trim($sex)), 0, 1);
  43         if ($sex == 'M') {
  44             return 'Male';
  45         }
  46
  47         if ($sex == 'F') {
  48             return 'Female';
  49         }
  50
  51         return '';
  52     }
  53
  54     function fixPhone($phone)
  55     {
  56         $tmparr = array();
  57         if (preg_match("/(\d\d\d)\D*(\d\d\d)\D*(\d\d\d\d)/", $phone, $tmparr)) {
  58             return $tmparr[1] . '-' . $tmparr[2] . '-' . $tmparr[3];
  59         }
  60
  61         return '';
  62     }
  63
  64     function fixSSN($ssn)
  65     {
  66         $tmparr = array();
  67         if (preg_match("/(\d\d\d)\D*(\d\d)\D*(\d\d\d\d)/", $ssn, $tmparr)) {
  68             return $tmparr[1] . '-' . $tmparr[2] . '-' . $tmparr[3];
  69         }
  70
  71         return '';
  72     }
  73
  74     function fixMStatus($status)
  75     {
  76         return ucfirst(trim($status));
  77     }
  78
  79     function fixEStatus($employer)
  80     {
  81         $status = strtoupper(trim($employer));
  82         if (! $status) {
  83             return '';
  84         }
  85
  86         if ($status == 'STUDENT') {
  87             return 'Student';
  88         }
  89
  90         if ($status == 'RETIRED') {
  91             return 'Retired';
  92         }
  93
  94         return 'Full-time';
  95     }
  96
  97     function fixRelation($rel)
  98     {
  99         return ucfirst(trim($rel));
 100     }
 101
 102     function fixCPT($code, $mod)
 103     {
 104         $code = trim($code);
 105         $mod = trim($mod);
 106         if ($mod) {
 107             $code .= '-' . $mod;
 108         }
 109
 110         return addslashes($code);
 111     }
 112
 113     function fixJust($str)
 114     {
 115         return addslashes(trim(str_replace(':', ' ', $str)));
 116     }
 117
 118     function fixDate($date)
 119     {
 120         return substr($date, 0, 10);
 121     }
 122
 123   // Creating a BillingExport object opens the output file.
 124   // Filename format is "transYYYYMMDDHHMMSS.txt".
 125   //
 126     function __construct()
 127     {
 128         $this->tmpname = $this->TMP_DIR . '/trans' . date("YmdHis") . '.txt';
 129         $this->tmpfh = fopen($this->tmpname, 'w');
 130     }
 131
 132   // Call this once for each claim to be processed.
 133   //
 134     function addClaim($patient_id, $encounter)
 135     {
 136
 137         // Patient information:
 138
 139         $query = "SELECT p.pubpid, p.ss, p.lname, p.fname, p.mname, p.DOB, " .
 140         "p.street, p.city, p.state, p.postal_code, p.phone_home, p.phone_biz, " .
 141         "p.status, p.sex, e.name " .
 142         "FROM patient_data AS p " .
 143         "LEFT OUTER JOIN employer_data AS e ON e.pid = ? " .
 144         "WHERE p.pid = ? " .
 145         "LIMIT 1";
 146         $prow = sqlQuery($query, array($patient_id, $patient_id));
 147
 148         // Patient line.
 149         fwrite($this->tmpfh, 'PT' .
 150         ',"' . $this->fixString($prow['pubpid'])      . '"' .
 151         ',"' . $this->fixString($prow['lname'])       . '"' .
 152         ',"' . $this->fixString($prow['fname'])       . '"' .
 153         ',"' . $this->fixMI($prow['mname'])           . '"' .
 154         ',"' . $this->fixString($prow['street'])      . '"' .
 155         ',""'                                  .
 156         ',"' . $this->fixString($prow['city'])        . '"' .
 157         ',"' . $this->fixString($prow['state'])       . '"' .
 158         ',"' . $this->fixString($prow['postal_code']) . '"' .
 159         ',"' . $this->fixPhone($prow['phone_home'])   . '"' .
 160         ',"' . $this->fixPhone($prow['phone_biz'])    . '"' .
 161         ',"' . $this->fixSex($prow['sex'])            . '"' .
 162         ',"' . $prow['DOB']                    . '"' .
 163         ',"' . $this->fixSSN($prow['ss'])             . '"' .
 164         ',"' . $this->fixEStatus($prow['name'])       . '"' .
 165         ',"' . $this->fixString($prow['name'])        . '"' .
 166         "\n");
 167
 168         // Encounter information:
 169
 170         $query = "SELECT e.date, e.facility, " .
 171           "u.id, u.lname, u.fname, u.mname, u.upin, " .
 172           "f.street, f.city, f.state, f.postal_code, f.pos_code, " .
 173           "f.domain_identifier AS clia_code " .
 174           "FROM form_encounter AS e " .
 175           "LEFT OUTER JOIN forms ON forms.formdir = 'newpatient' AND " .
 176           "forms.form_id = e.id AND forms.pid = ? " .
 177           "LEFT OUTER JOIN users AS u ON u.username = forms.user " .
 178           "LEFT OUTER JOIN facility AS f ON f.name = e.facility " .
 179           "WHERE e.pid = ? AND e.encounter = ? " .
 180           "LIMIT 1";
 181         $erow = sqlQuery($query, array($patient_id, $patient_id, $encounter));
 182
 183         // Performing Provider line.
 184         fwrite($this->tmpfh, 'PP' .
 185           ',"' . $this->fixString($erow['lname'])       . '"' .
 186           ',"' . $this->fixString($erow['fname'])       . '"' .
 187           ',"' . $this->fixMI($erow['mname'])           . '"' .
 188           ',"' . $this->fixString($erow['upin'])        . '"' .
 189         "\n");
 190
 191         // TBD: Referring Provider line when we have such a thing.
 192
 193         // Insurance information, up to 3 lines:
 194
 195         $query = "SELECT " .
 196           "d.type, d.policy_number, d.group_number, " .
 197           "d.subscriber_lname, d.subscriber_fname, d.subscriber_mname, " .
 198           "d.subscriber_street, d.subscriber_city, d.subscriber_state, " .
 199           "d.subscriber_postal_code, d.subscriber_DOB, d.subscriber_sex, " .
 200           "d.subscriber_relationship, " .
 201           "c.name, " .
 202           "a.line1, a.line2, a.city, a.state, a.zip, " .
 203           "p.area_code, p.prefix, p.number, " .
 204           "n.provider_number " .
 205           "FROM insurance_data AS d " .
 206           "LEFT OUTER JOIN insurance_companies AS c ON c.id = d.provider " .
 207           "LEFT OUTER JOIN addresses AS a ON a.foreign_id = c.id " .
 208           "LEFT OUTER JOIN phone_numbers AS p ON p.foreign_id = c.id AND p.type = 2 " .
 209           "LEFT OUTER JOIN insurance_numbers AS n ON n.provider_id = ? " .
 210           "AND n.insurance_company_id = c.id " .
 211           "WHERE d.pid = ? AND d.provider != '' " .
 212           "ORDER BY d.type ASC, d.date DESC";
 213         $ires = sqlStatement($query, array($erow['id'], $patient_id));
 214
 215         $prev_type = '?';
 216         while ($irow = sqlFetchArray($ires)) {
 217             if (strcmp($irow['type'], $prev_type) == 0) {
 218                 continue;
 219             }
 220
 221               $prev_type = $irow['type'];
 222
 223               fwrite($this->tmpfh, 'IN' .
 224               ',"' . $this->fixString($irow['subscriber_lname'])          . '"' .
 225               ',"' . $this->fixString($irow['subscriber_fname'])          . '"' .
 226               ',"' . $this->fixMI($irow['subscriber_mname'])              . '"' .
 227               ',"' . $this->fixString($irow['subscriber_street'])         . '"' .
 228               ',"' . $this->fixString($irow['subscriber_city'])           . '"' .
 229               ',"' . $this->fixString($irow['subscriber_state'])          . '"' .
 230               ',"' . $this->fixString($irow['subscriber_postal_code'])    . '"' .
 231               ',"' . $irow['subscriber_DOB']                       . '"' .
 232               ',"' . $this->fixRelation($irow['subscriber_relationship']) . '"' .
 233               ',"' . $this->fixString($irow['policy_number'])             . '"' .
 234               ',"' . $this->fixString($irow['group_number'])              . '"' .
 235               ',"' . $this->fixString($irow['name'])                      . '"' .
 236               ',"' . $this->fixString($irow['line1'])                     . '"' .
 237               ',"' . $this->fixString($irow['line2'])                     . '"' .
 238               ',"' . $this->fixString($irow['city'])                      . '"' .
 239               ',"' . $this->fixString($irow['state'])                     . '"' .
 240               ',"' . $this->fixString($irow['zip'])                       . '"' .
 241               ',"' . $this->fixPhone($irow['area_code'] . $irow['prefix'] . $irow['number']) . '"' .
 242               ',"' . $this->fixString($irow['provider_number'])           . '"' .
 243               ',"' . $this->fixString($irow['provider_number'])           . '"' . // TBD: referring provider
 244               "\n");
 245         }
 246
 247         // Procedure information:
 248
 249         $query = "SELECT id, code, modifier, justify " .
 250         "FROM billing " .
 251         "WHERE pid = ? AND encounter = ? " .
 252         "AND activity = 1 AND code_type = 'CPT4' " .
 253         "ORDER BY id";
 254         $bres = sqlStatement($query, array($patient_id, $encounter));
 255
 256         while ($brow = sqlFetchArray($bres)) {
 257               fwrite($this->tmpfh, 'PR' .
 258                 ',"' . $this->fixCPT($brow['code'], $brow['modifier']) . '"' .
 259                 ',"' . $this->fixJust($brow['justify'])                . '"' .
 260                 ',"' . $this->fixDate($erow['date'])                   . '"' .
 261                 ',"' . $this->fixString($erow['pos_code'])             . '"' .
 262                 ',"' . $this->fixString($erow['clia_code'])            . '"' .
 263                 ',"' . $this->fixString($erow['facility'])             . '"' .
 264                 ',"' . $this->fixString($erow['street'])               . '"' .
 265                 ',""'                                           .
 266                 ',"' . $this->fixString($erow['city'])                 . '"' .
 267                 ',"' . $this->fixString($erow['state'])                . '"' .
 268                 ',"' . $this->fixString($erow['postal_code'])          . '"' .
 269               "\n");
 270         }
 271     }
 272
 273   // Close the output file and move it to the ftp download area.
 274   //
 275     function close()
 276     {
 277         fclose($this->tmpfh);
 278         chmod($this->tmpname, 0666);
 279         rename($this->tmpname, $this->TARGET_DIR . '/' . basename($this->tmpname));
 280     }
 281 }