print "</div>";
print "<div id='superbill_billingdata'>";
print "<h1>" . xl('Billing Information') . ":</h1>";
if (count($patient) > 0) {
$billings = array();
echo "<table width='100%'>";
echo "<tr>";
echo "<td class='bold' width='10%'>" . xl('Date') . "</td>";
echo "<td class='bold' width='20%'>" . xl('Provider') . "</td>";
echo "<td class='bold' width='40%'>" . xl('Code') . "</td>";
echo "<td class='bold' width='10%'>" . xl('Fee') . "</td></tr>\n";
$total = 0.0;
$copays = 0.0;
//foreach ($patient as $be) {
$ta = split(":", $patient);
$billing = getPatientBillingEncounter($pids[$iCounter], $ta[1]);
$billings[] = $billing;
foreach ($billing as $b) {
// grab the date to reformat it in the output
$bdate = strtotime($b['date']);
echo "<tr>\n";
echo "<td class='text' style='font-size: 0.8em'>" . oeFormatShortDate(date("Y-m-d", $bdate)) . "<BR>" . date("h:i a", $bdate) . "</td>";
echo "<td class='text'>" . $b['provider_name'] . "</td>";
echo "<td class='text'>";
echo $b['code_type'] . ":\t" . $b['code'] . " " . $b['modifier'] . " " . $b['code_text'] . " ";
echo "</td>\n";
echo "<td class='text'>";
echo oeFormatMoney($b['fee']);
echo "</td>\n";
echo "</tr>\n";
$total += $b['fee'];
print "<span class=bold>" . xl('Tertiary Insurance Data') . ":</span><br>";
printRecDataOne($insurance_data_array, getRecInsuranceData($pid, "tertiary"), $N);
echo "</div>";
} elseif ($val == "billing") {
echo "<hr />";
echo "<div class='text billing'>";
print "<h1>" . xl('Billing Information') . ":</h1>";
if (count($ar['newpatient']) > 0) {
$billings = array();
echo "<table>";
echo "<tr><td width='400' class='bold'>Code</td><td class='bold'>" . xl('Fee') . "</td></tr>\n";
$total = 0.0;
$copays = 0.0;
foreach ($ar['newpatient'] as $be) {
$ta = split(":", $be);
$billing = getPatientBillingEncounter($pid, $ta[1]);
$billings[] = $billing;
foreach ($billing as $b) {
echo "<tr>\n";
echo "<td class=text>";
echo $b['code_type'] . ":\t" . $b['code'] . " " . $b['modifier'] . " " . $b['code_text'] . " ";
echo "</td>\n";
echo "<td class=text>";
echo oeFormatMoney($b['fee']);
echo "</td>\n";
echo "</tr>\n";
$total += $b['fee'];
if ($b['code_type'] == "COPAY") {
$copays += $b['fee'];
}
}
private function getIncudes($val)
{
global $pid;
if ($val == "demographics") {
?>
<hr />
<div class='text demographics' id='DEM'>
<?php
// printRecDataOne($patient_data_array, getRecPatientData ($pid), $N);
$result1 = getPatientData($pid);
$result2 = getEmployerData($pid);
?>
<table>
<tr><td><h6><?php
echo htmlspecialchars(xl('Patient Data') . ":", ENT_QUOTES);
?>
</h6></td></tr>
<?php
display_layout_rows('DEM', $result1, $result2);
?>
</table>
</div>
<?php
} elseif ($val == "history") {
?>
<hr />
<div class='text history' id='HIS'>
<?php
$result1 = getHistoryData($pid);
?>
<table>
<tr><td><h6><?php
echo htmlspecialchars(xl('History Data') . ":", ENT_QUOTES);
?>
</h6></td></tr>
<?php
display_layout_rows('HIS', $result1);
?>
</table>
</div>
<?php
} elseif ($val == "insurance") {
?>
<hr />
<div class='text insurance'>";
<h6><?php
echo htmlspecialchars(xl('Insurance Data') . ":", ENT_QUOTES);
?>
</h6>
<br><span class=bold><?php
echo htmlspecialchars(xl('Primary Insurance Data') . ":", ENT_QUOTES);
?>
</span><br>
<?php
printRecDataOne($insurance_data_array, getRecInsuranceData($pid, "primary"), $N);
?>
<span class=bold><?php
echo htmlspecialchars(xl('Secondary Insurance Data') . ":", ENT_QUOTES);
?>
</span><br>
<?php
printRecDataOne($insurance_data_array, getRecInsuranceData($pid, "secondary"), $N);
?>
<span class=bold><?php
echo htmlspecialchars(xl('Tertiary Insurance Data') . ":", ENT_QUOTES);
?>
</span><br>
<?php
printRecDataOne($insurance_data_array, getRecInsuranceData($pid, "tertiary"), $N);
?>
</div>
<?php
} elseif ($val == "billing") {
?>
<hr />
<div class='text billing'>
<h6><?php
echo htmlspecialchars(xl('Billing Information') . ":", ENT_QUOTES);
?>
</h6>
<?php
if (count($ar['newpatient']) > 0) {
$billings = array();
?>
<table>
<tr><td width='400' class='bold'><?php
echo htmlspecialchars(xl('Code'), ENT_QUOTES);
?>
</td><td class='bold'><?php
echo htmlspecialchars(xl('Fee'), ENT_QUOTES);
?>
</td></tr>
<?php
$total = 0.0;
$copays = 0.0;
foreach ($ar['newpatient'] as $be) {
$ta = split(":", $be);
$billing = getPatientBillingEncounter($pid, $ta[1]);
$billings[] = $billing;
foreach ($billing as $b) {
?>
<tr>
<td class=text>
<?php
echo htmlspecialchars($b['code_type'], ENT_QUOTES) . ":\t" . htmlspecialchars($b['code'], ENT_QUOTES) . " " . htmlspecialchars($b['modifier'], ENT_QUOTES) . " " . htmlspecialchars($b['code_text'], ENT_QUOTES) . " ";
?>
</td>
<td class=text>
<?php
echo htmlspecialchars(oeFormatMoney($b['fee']), ENT_QUOTES);
?>
</td>
</tr>
<?php
$total += $b['fee'];
if ($b['code_type'] == "COPAY") {
$copays += $b['fee'];
}
}
}
echo "<tr><td> </td></tr>";
echo "<tr><td class=bold>" . htmlspecialchars(xl('Sub-Total'), ENT_QUOTES) . "</td><td class=text>" . htmlspecialchars(oeFormatMoney($total + abs($copays)), ENT_QUOTES) . "</td></tr>";
echo "<tr><td class=bold>" . htmlspecialchars(xl('Paid'), ENT_QUOTES) . "</td><td class=text>" . htmlspecialchars(oeFormatMoney(abs($copays)), ENT_QUOTES) . "</td></tr>";
echo "<tr><td class=bold>" . htmlspecialchars(xl('Total'), ENT_QUOTES) . "</td><td class=text>" . htmlspecialchars(oeFormatMoney($total), ENT_QUOTES) . "</td></tr>";
echo "</table>";
echo "<pre>";
//print_r($billings);
echo "</pre>";
} else {
printPatientBilling($pid);
}
echo "</div>\n";
// end of billing DIV
} elseif ($val == "immunizations") {
?>
<hr />
<div class='text immunizations'>
<h6><?php
echo htmlspecialchars(xl('Patient Immunization') . ":", ENT_QUOTES);
?>
</h6>
<?php
$sql = "select i1.immunization_id as immunization_id, if(i1.administered_date,concat(i1.administered_date,' - ') ,substring(i1.note,1,20) ) as immunization_data from immunizations i1 where i1.patient_id = ? order by administered_date desc";
$result = sqlStatement($sql, array($pid));
while ($row = sqlFetchArray($result)) {
echo htmlspecialchars($row['immunization_data'], ENT_QUOTES);
echo generate_display_field(array('data_type' => '1', 'list_id' => 'immunizations'), $row['immunization_id']);
?>
<br>
<?php
}
?>
</div>
<?php
} elseif ($val == "batchcom") {
?>
<hr />
<div class='text transactions'>
<h6><?php
htmlspecialchars(xl('Patient Communication sent') . ":", ENT_QUOTES);
?>
</h6>
<?php
$sql = "SELECT concat( 'Messsage Type: ', batchcom.msg_type, ', Message Subject: ', batchcom.msg_subject, ', Sent on:', batchcom.msg_date_sent ) AS batchcom_data, batchcom.msg_text, concat( users.fname, users.lname ) AS user_name FROM `batchcom` JOIN `users` ON users.id = batchcom.sent_by WHERE batchcom.patient_id=?";
$result = sqlStatement($sql, array($pid));
while ($row = sqlFetchArray($result)) {
echo htmlspecialchars($row['batchcom_data'] . ", " . xl('By') . ": " . $row['user_name'], ENT_QUOTES);
?>
<br><?php
echo htmlspecialchars(xl('Text'), ENT_QUOTES);
?>
:<br><?php
echo htmlspecialchars($row['msg_txt'], ENT_QUOTES);
?>
<br>
<?php
}
?>
</div>
<?php
} elseif ($val == "notes") {
?>
<hr />
<div class='text notes'>
<h6><?php
echo htmlspecialchars(xl('Patient Notes') . ":", ENT_QUOTES);
?>
</h6>
<?php
printPatientNotes($pid);
?>
</div>
<?php
} elseif ($val == "transactions") {
?>
<hr />
<div class='text transactions'>
<h6><?php
echo htmlspecialchars(xl('Patient Transactions') . ":", ENT_QUOTES);
?>
</h6>
<?php
printPatientTransactions($pid);
?>
</div>
<?php
}
}
