function generate_receipt($patient_id, $encounter = 0)
{
global $sl_err, $sl_cash_acc, $css_header, $details, $INTEGRATED_AR;
// Get details for what we guess is the primary facility.
$frow = sqlQuery("SELECT * FROM facility " . "ORDER BY billing_location DESC, accepts_assignment DESC, id LIMIT 1");
$patdata = getPatientData($patient_id, 'fname,mname,lname,pubpid,street,city,state,postal_code,providerID');
// Get the most recent invoice data or that for the specified encounter.
//
// Adding a provider check so that their info can be displayed on receipts
if ($INTEGRATED_AR) {
if ($encounter) {
$ferow = sqlQuery("SELECT id, date, encounter, provider_id FROM form_encounter " . "WHERE pid = ? AND encounter = ?", array($patient_id, $encounter));
} else {
$ferow = sqlQuery("SELECT id, date, encounter, provider_id FROM form_encounter " . "WHERE pid = ? " . "ORDER BY id DESC LIMIT 1", array($patient_id));
}
if (empty($ferow)) {
die(xlt("This patient has no activity."));
}
$trans_id = $ferow['id'];
$encounter = $ferow['encounter'];
$svcdate = substr($ferow['date'], 0, 10);
if ($GLOBALS['receipts_by_provider']) {
if (isset($ferow['provider_id'])) {
$encprovider = $ferow['provider_id'];
} else {
if (isset($patdata['providerID'])) {
$encprovider = $patdata['providerID'];
} else {
$encprovider = -1;
}
}
}
if ($encprovider) {
$providerrow = sqlQuery("SELECT fname, mname, lname, title, street, streetb, " . "city, state, zip, phone, fax FROM users WHERE id = ?", array($encprovider));
}
} else {
SLConnect();
//
$arres = SLQuery("SELECT * FROM ar WHERE " . "invnumber LIKE '{$patient_id}.%' " . "ORDER BY id DESC LIMIT 1");
if ($sl_err) {
die(text($sl_err));
}
if (!SLRowCount($arres)) {
die(xlt("This patient has no activity."));
}
$arrow = SLGetRow($arres, 0);
//
$trans_id = $arrow['id'];
//
// Determine the date of service. An 8-digit encounter number is
// presumed to be a date of service imported during conversion or
// associated with prescriptions only. Otherwise look it up in the
// form_encounter table.
//
$svcdate = "";
list($trash, $encounter) = explode(".", $arrow['invnumber']);
if (strlen($encounter) >= 8) {
$svcdate = substr($encounter, 0, 4) . "-" . substr($encounter, 4, 2) . "-" . substr($encounter, 6, 2);
} else {
if ($encounter) {
$tmp = sqlQuery("SELECT date FROM form_encounter WHERE " . "encounter = ?", array($encounter));
$svcdate = substr($tmp['date'], 0, 10);
}
}
}
// end not $INTEGRATED_AR
// Get invoice reference number.
$encrow = sqlQuery("SELECT invoice_refno FROM form_encounter WHERE " . "pid = ? AND encounter = ? LIMIT 1", array($patient_id, $encounter));
$invoice_refno = $encrow['invoice_refno'];
?>
<html>
<head>
<?php
html_header_show();
?>
<link rel='stylesheet' href='<?php
echo $css_header;
?>
' type='text/css'>
<title><?php
echo xlt('Receipt for Payment');
?>
</title>
<script type="text/javascript" src="../../library/dialog.js"></script>
<script language="JavaScript">
<?php
require $GLOBALS['srcdir'] . "/restoreSession.php";
?>
// Process click on Print button.
function printme() {
var divstyle = document.getElementById('hideonprint').style;
divstyle.display = 'none';
window.print();
return false;
}
// Process click on Delete button.
function deleteme() {
dlgopen('deleter.php?billing=<?php
echo attr("{$patient_id}.{$encounter}");
?>
', '_blank', 500, 450);
return false;
}
// Called by the deleteme.php window on a successful delete.
function imdeleted() {
window.close();
}
</script>
</head>
<body class="body_top">
<center>
<?php
if ($GLOBALS['receipts_by_provider'] && !empty($providerrow)) {
printProviderHeader($providerrow);
} else {
printFacilityHeader($frow);
}
echo xlt("Receipt Generated") . ":" . text(date(' F j, Y'));
if ($invoice_refno) {
echo " " . xlt("Invoice Number") . ": " . text($invoice_refno) . " " . xlt("Service Date") . ": " . text($svcdate);
}
?>
<br>
</b></p>
</center>
<p>
<?php
echo text($patdata['fname']) . ' ' . text($patdata['mname']) . ' ' . text($patdata['lname']);
?>
<br><?php
echo text($patdata['street']);
?>
<br><?php
echo text($patdata['city']) . ', ' . text($patdata['state']) . ' ' . text($patdata['postal_code']);
?>
<br>
</p>
<center>
<table cellpadding='5'>
<tr>
<td><b><?php
echo xlt('Date');
?>
</b></td>
<td><b><?php
echo xlt('Description');
?>
</b></td>
<td align='right'><b><?php
echo $details ? xlt('Price') : ' ';
?>
</b></td>
<td align='right'><b><?php
echo $details ? xlt('Qty') : ' ';
?>
</b></td>
<td align='right'><b><?php
echo xlt('Total');
?>
</b></td>
</tr>
<?php
$charges = 0.0;
if ($INTEGRATED_AR) {
// Product sales
$inres = sqlStatement("SELECT s.sale_id, s.sale_date, s.fee, " . "s.quantity, s.drug_id, d.name " . "FROM drug_sales AS s LEFT JOIN drugs AS d ON d.drug_id = s.drug_id " . "WHERE s.pid = ? AND s.encounter = ? " . "ORDER BY s.sale_id", array($patient_id, $encounter));
while ($inrow = sqlFetchArray($inres)) {
$charges += sprintf('%01.2f', $inrow['fee']);
receiptDetailLine($inrow['sale_date'], $inrow['name'], $inrow['fee'], $inrow['quantity']);
}
// Service and tax items
$inres = sqlStatement("SELECT * FROM billing WHERE " . "pid = ? AND encounter = ? AND " . "code_type != 'COPAY' AND activity = 1 " . "ORDER BY id", array($patient_id, $encounter));
while ($inrow = sqlFetchArray($inres)) {
$charges += sprintf('%01.2f', $inrow['fee']);
receiptDetailLine($svcdate, $inrow['code_text'], $inrow['fee'], $inrow['units']);
}
// Adjustments.
$inres = sqlStatement("SELECT " . "a.code, a.modifier, a.memo, a.payer_type, a.adj_amount, a.pay_amount, " . "s.payer_id, s.reference, s.check_date, s.deposit_date " . "FROM ar_activity AS a " . "LEFT JOIN ar_session AS s ON s.session_id = a.session_id WHERE " . "a.pid = ? AND a.encounter = ? AND " . "a.adj_amount != 0 " . "ORDER BY s.check_date, a.sequence_no", array($patient_id, $encounter));
while ($inrow = sqlFetchArray($inres)) {
$charges -= sprintf('%01.2f', $inrow['adj_amount']);
$payer = empty($inrow['payer_type']) ? 'Pt' : 'Ins' . $inrow['payer_type'];
receiptDetailLine($svcdate, $payer . ' ' . $inrow['memo'], 0 - $inrow['adj_amount'], 1);
}
} else {
// Request all line items with money belonging to the invoice.
$inres = SLQuery("SELECT * FROM invoice WHERE " . "trans_id = {$trans_id} AND sellprice != 0 ORDER BY id");
if ($sl_err) {
die($sl_err);
}
for ($irow = 0; $irow < SLRowCount($inres); ++$irow) {
$row = SLGetRow($inres, $irow);
$amount = sprintf('%01.2f', $row['sellprice'] * $row['qty']);
$charges += $amount;
$desc = preg_replace('/^.{1,6}:/', '', $row['description']);
receiptDetailLine($svcdate, $desc, $amount, $row['qty']);
}
}
// end not $INTEGRATED_AR
?>
<tr>
<td colspan='5'> </td>
</tr>
<tr>
<td><?php
echo text(oeFormatShortDate($svcdispdate));
?>
</td>
<td><b><?php
echo xlt('Total Charges');
?>
</b></td>
<td align='right'> </td>
<td align='right'> </td>
<td align='right'><?php
echo text(oeFormatMoney($charges, true));
?>
</td>
</tr>
<tr>
<td colspan='5'> </td>
</tr>
<?php
if ($INTEGRATED_AR) {
// Get co-pays.
$inres = sqlStatement("SELECT fee, code_text FROM billing WHERE " . "pid = ? AND encounter = ? AND " . "code_type = 'COPAY' AND activity = 1 AND fee != 0 " . "ORDER BY id", array($patient_id, $encounter));
while ($inrow = sqlFetchArray($inres)) {
$charges += sprintf('%01.2f', $inrow['fee']);
receiptPaymentLine($svcdate, 0 - $inrow['fee'], $inrow['code_text']);
}
// Get other payments.
$inres = sqlStatement("SELECT " . "a.code, a.modifier, a.memo, a.payer_type, a.adj_amount, a.pay_amount, " . "s.payer_id, s.reference, s.check_date, s.deposit_date " . "FROM ar_activity AS a " . "LEFT JOIN ar_session AS s ON s.session_id = a.session_id WHERE " . "a.pid = ? AND a.encounter = ? AND " . "a.pay_amount != 0 " . "ORDER BY s.check_date, a.sequence_no", array($patient_id, $encounter));
$payer = empty($inrow['payer_type']) ? 'Pt' : 'Ins' . $inrow['payer_type'];
while ($inrow = sqlFetchArray($inres)) {
$charges -= sprintf('%01.2f', $inrow['pay_amount']);
receiptPaymentLine($svcdate, $inrow['pay_amount'], $payer . ' ' . $inrow['reference']);
}
} else {
$chart_id_cash = SLQueryValue("select id from chart where accno = '{$sl_cash_acc}'");
if ($sl_err) {
die($sl_err);
}
if (!$chart_id_cash) {
die("There is no COA entry for cash account '{$sl_cash_acc}'");
}
//
// Request all cash entries belonging to the invoice.
$atres = SLQuery("SELECT * FROM acc_trans WHERE " . "trans_id = {$trans_id} AND chart_id = {$chart_id_cash} ORDER BY transdate");
if ($sl_err) {
die($sl_err);
}
//
for ($irow = 0; $irow < SLRowCount($atres); ++$irow) {
$row = SLGetRow($atres, $irow);
$amount = sprintf('%01.2f', $row['amount']);
// negative
$charges += $amount;
$rowsource = $row['source'];
if (strtolower($rowsource) == 'co-pay') {
$rowsource = '';
}
receiptPaymentLine($row['transdate'], 0 - $amount, $rowsource);
}
}
// end not $INTEGRATED_AR
?>
<tr>
<td colspan='5'> </td>
</tr>
<tr>
<td> </td>
<td><b><?php
echo xlt('Balance Due');
?>
</b></td>
<td colspan='2'> </td>
<td align='right'><?php
echo text(oeFormatMoney($charges, true));
?>
</td>
</tr>
</table>
</center>
<div id='hideonprint'>
<p>
<a href='#' onclick='return printme();'><?php
echo xlt('Print');
?>
</a>
<?php
if (acl_check('acct', 'disc')) {
?>
<a href='#' onclick='return deleteme();'><?php
echo xlt('Undo Checkout');
?>
</a>
<?php
}
?>
<?php
if ($details) {
?>
<a href='pos_checkout.php?details=0&ptid=<?php
echo attr($patient_id);
?>
&enc=<?php
echo attr($encounter);
?>
'><?php
echo xlt('Hide Details');
?>
</a>
<?php
} else {
?>
<a href='pos_checkout.php?details=1&ptid=<?php
echo attr($patient_id);
?>
&enc=<?php
echo attr($encounter);
?>
'><?php
echo xlt('Show Details');
?>
</a>
<?php
}
?>
</p>
</div>
</body>
</html>
<?php
if (!$INTEGRATED_AR) {
SLClose();
}
}
function responsible_party($trans_id)
{
global $sl_err;
$arres = SLQuery("select * from ar where id = {$trans_id}");
if ($sl_err) {
die($sl_err);
}
$arrow = SLGetRow($arres, 0);
if (!$arrow) {
die(xl("There is no match for invoice id = ") . $trans_id);
}
if ($arrow['paid'] >= $arrow['netamount']) {
return -1;
}
$insgot = strtolower($arrow['notes']);
$insdone = strtolower($arrow['shipvia']);
for ($i = 1; $i <= 3; ++$i) {
$lcvalue = "ins{$i}";
if (strpos($insgot, $lcvalue) !== false && strpos($insdone, $lcvalue) === false) {
return $i;
}
}
return 0;
}
// echo "<!-- $query -->\n"; // debugging
$t_res = SLQuery($query);
if ($sl_err) {
die($sl_err);
}
$docname = "";
$docnameleft = "";
$main_docid = 0;
$doctotal1 = 0;
$grandtotal1 = 0;
$doctotal2 = 0;
$grandtotal2 = 0;
$last_trans_id = 0;
$skipping = false;
for ($irow = 0; $irow < SLRowCount($t_res); ++$irow) {
$row = SLGetRow($t_res, $irow);
list($patient_id, $encounter_id) = explode(".", $row['invnumber']);
// Under some conditions we may skip invoices that matched the SQL query.
//
if ($row['trans_id'] == $last_trans_id) {
if ($skipping) {
continue;
}
// same invoice and not skipping, do nothing.
} else {
// new invoice
$skipping = false;
// If a diagnosis code was given then skip any invoices without
// that diagnosis.
if ($form_icdcode) {
if (!SLQueryValue("SELECT count(*) FROM invoice WHERE " . "invoice.trans_id = '" . $row['trans_id'] . "' AND " . "( invoice.description ILIKE 'ICD9:{$form_icdcode} %' OR " . "invoice.serialnumber ILIKE 'ICD9:{$form_icdcode}' )")) {
function era_callback(&$out)
{
global $encount, $debug, $claim_status_codes, $adjustment_reasons, $remark_codes;
global $invoice_total, $last_code, $paydate, $INTEGRATED_AR;
global $InsertionId;
//last inserted ID of
// Some heading information.
$chk_123 = $out['check_number'];
$chk_123 = str_replace(' ', '_', $chk_123);
if (isset($_REQUEST['chk' . $chk_123])) {
if ($encount == 0) {
writeMessageLine('#ffffff', 'infdetail', "Payer: " . htmlspecialchars($out['payer_name'], ENT_QUOTES));
if ($debug) {
writeMessageLine('#ffffff', 'infdetail', "WITHOUT UPDATE is selected; no changes will be applied.");
}
}
$last_code = '';
$invoice_total = 0.0;
$bgcolor = ++$encount & 1 ? "#ddddff" : "#ffdddd";
list($pid, $encounter, $invnumber) = slInvoiceNumber($out);
// Get details, if we have them, for the invoice.
$inverror = true;
$codes = array();
if ($pid && $encounter) {
// Get invoice data into $arrow or $ferow.
if ($INTEGRATED_AR) {
$ferow = sqlQuery("SELECT e.*, p.fname, p.mname, p.lname " . "FROM form_encounter AS e, patient_data AS p WHERE " . "e.pid = '{$pid}' AND e.encounter = '{$encounter}' AND " . "p.pid = e.pid");
if (empty($ferow)) {
$pid = $encounter = 0;
$invnumber = $out['our_claim_id'];
} else {
$inverror = false;
$codes = ar_get_invoice_summary($pid, $encounter, true);
// $svcdate = substr($ferow['date'], 0, 10);
}
} else {
$arres = SLQuery("SELECT ar.id, ar.notes, ar.shipvia, customer.name " . "FROM ar, customer WHERE ar.invnumber = '{$invnumber}' AND " . "customer.id = ar.customer_id");
if ($sl_err) {
die($sl_err);
}
$arrow = SLGetRow($arres, 0);
if ($arrow) {
$inverror = false;
$codes = get_invoice_summary($arrow['id'], true);
} else {
// oops, no such invoice
$pid = $encounter = 0;
$invnumber = $out['our_claim_id'];
}
}
// end not internal a/r
}
// Show the claim status.
$csc = $out['claim_status_code'];
$inslabel = 'Ins1';
if ($csc == '1' || $csc == '19') {
$inslabel = 'Ins1';
}
if ($csc == '2' || $csc == '20') {
$inslabel = 'Ins2';
}
if ($csc == '3' || $csc == '21') {
$inslabel = 'Ins3';
}
$primary = $inslabel == 'Ins1';
writeMessageLine($bgcolor, 'infdetail', "Claim status {$csc}: " . $claim_status_codes[$csc]);
// Show an error message if the claim is missing or already posted.
if ($inverror) {
writeMessageLine($bgcolor, 'errdetail', "The following claim is not in our database");
} else {
// Skip this test. Claims can get multiple CLPs from the same payer!
//
// $insdone = strtolower($arrow['shipvia']);
// if (strpos($insdone, 'ins1') !== false) {
// $inverror = true;
// writeMessageLine($bgcolor, 'errdetail',
// "Primary insurance EOB was already posted for the following claim");
// }
}
if ($csc == '4') {
//Denial case, code is stored in the claims table for display in the billing manager screen with reason explained.
$inverror = true;
if (!$debug) {
if ($pid && $encounter) {
$code_value = '';
foreach ($out['svc'] as $svc) {
foreach ($svc['adj'] as $adj) {
//Per code and modifier the reason will be showed in the billing manager.
$code_value .= $svc['code'] . '_' . $svc['mod'] . '_' . $adj['group_code'] . '_' . $adj['reason_code'] . ',';
}
}
$code_value = substr($code_value, 0, -1);
//We store the reason code to display it with description in the billing manager screen.
//process_file is used as for the denial case file name will not be there, and extra field(to store reason) can be avoided.
updateClaim(true, $pid, $encounter, $_REQUEST['InsId'], substr($inslabel, 3), 7, 0, $code_value);
}
}
writeMessageLine($bgcolor, 'errdetail', "Not posting adjustments for denied claims, please follow up manually!");
} else {
if ($csc == '22') {
$inverror = true;
writeMessageLine($bgcolor, 'errdetail', "Payment reversals are not automated, please enter manually!");
}
}
if ($out['warnings']) {
writeMessageLine($bgcolor, 'infdetail', nl2br(rtrim($out['warnings'])));
}
// Simplify some claim attributes for cleaner code.
$service_date = parse_date($out['dos']);
$check_date = $paydate ? $paydate : parse_date($out['check_date']);
$production_date = $paydate ? $paydate : parse_date($out['production_date']);
if ($INTEGRATED_AR) {
$insurance_id = arGetPayerID($pid, $service_date, substr($inslabel, 3));
if (empty($ferow['lname'])) {
$patient_name = $out['patient_fname'] . ' ' . $out['patient_lname'];
} else {
$patient_name = $ferow['fname'] . ' ' . $ferow['lname'];
}
} else {
$insurance_id = 0;
foreach ($codes as $cdata) {
if ($cdata['ins']) {
$insurance_id = $cdata['ins'];
break;
}
}
$patient_name = $arrow['name'] ? $arrow['name'] : $out['patient_fname'] . ' ' . $out['patient_lname'];
}
$error = $inverror;
// This loops once for each service item in this claim.
foreach ($out['svc'] as $svc) {
// Treat a modifier in the remit data as part of the procedure key.
// This key will then make its way into SQL-Ledger.
$codekey = $svc['code'];
if ($svc['mod']) {
$codekey .= ':' . $svc['mod'];
}
$prev = $codes[$codekey];
$codetype = '';
//will hold code type, if exists
// This reports detail lines already on file for this service item.
if ($prev) {
$codetype = $codes[$codekey]['code_type'];
//store code type
writeOldDetail($prev, $patient_name, $invnumber, $service_date, $codekey, $bgcolor);
// Check for sanity in amount charged.
$prevchg = sprintf("%.2f", $prev['chg'] + $prev['adj']);
if ($prevchg != abs($svc['chg'])) {
writeMessageLine($bgcolor, 'errdetail', "EOB charge amount " . $svc['chg'] . " for this code does not match our invoice");
$error = true;
}
// Check for already-existing primary remittance activity.
// Removed this check because it was not allowing for copays manually
// entered into the invoice under a non-copay billing code.
/****
if ((sprintf("%.2f",$prev['chg']) != sprintf("%.2f",$prev['bal']) ||
$prev['adj'] != 0) && $primary)
{
writeMessageLine($bgcolor, 'errdetail',
"This service item already has primary payments and/or adjustments!");
$error = true;
}
****/
unset($codes[$codekey]);
} else {
// This is not an error. If we are not in error mode and not debugging,
// insert the service item into SL. Then display it (in green if it
// was inserted, or in red if we are in error mode).
$description = "CPT4:{$codekey} Added by {$inslabel} {$production_date}";
if (!$error && !$debug) {
if ($INTEGRATED_AR) {
arPostCharge($pid, $encounter, 0, $svc['chg'], 1, $service_date, $codekey, $description, $debug, '', $codetype);
} else {
slPostCharge($arrow['id'], $svc['chg'], 1, $service_date, $codekey, $insurance_id, $description, $debug);
}
$invoice_total += $svc['chg'];
}
$class = $error ? 'errdetail' : 'newdetail';
writeDetailLine($bgcolor, $class, $patient_name, $invnumber, $codekey, $production_date, $description, $svc['chg'], $error ? '' : $invoice_total);
}
$class = $error ? 'errdetail' : 'newdetail';
// Report Allowed Amount.
if ($svc['allowed']) {
// A problem here is that some payers will include an adjustment
// reflecting the allowed amount, others not. So here we need to
// check if the adjustment exists, and if not then create it. We
// assume that any nonzero CO (Contractual Obligation) or PI
// (Payer Initiated) adjustment is good enough.
$contract_adj = sprintf("%.2f", $svc['chg'] - $svc['allowed']);
foreach ($svc['adj'] as $adj) {
if (($adj['group_code'] == 'CO' || $adj['group_code'] == 'PI') && $adj['amount'] != 0) {
$contract_adj = 0;
}
}
if ($contract_adj > 0) {
$svc['adj'][] = array('group_code' => 'CO', 'reason_code' => 'A2', 'amount' => $contract_adj);
}
writeMessageLine($bgcolor, 'infdetail', 'Allowed amount is ' . sprintf("%.2f", $svc['allowed']));
}
// Report miscellaneous remarks.
if ($svc['remark']) {
$rmk = $svc['remark'];
writeMessageLine($bgcolor, 'infdetail', "{$rmk}: " . $remark_codes[$rmk]);
}
// Post and report the payment for this service item from the ERA.
// By the way a 'Claim' level payment is probably going to be negative,
// i.e. a payment reversal.
if ($svc['paid']) {
if (!$error && !$debug) {
if ($INTEGRATED_AR) {
arPostPayment($pid, $encounter, $InsertionId[$out['check_number']], $svc['paid'], $codekey, substr($inslabel, 3), $out['check_number'], $debug, '', $codetype);
} else {
slPostPayment($arrow['id'], $svc['paid'], $check_date, "{$inslabel}/" . $out['check_number'], $codekey, $insurance_id, $debug);
}
$invoice_total -= $svc['paid'];
}
$description = "{$inslabel}/" . $out['check_number'] . ' payment';
if ($svc['paid'] < 0) {
$description .= ' reversal';
}
writeDetailLine($bgcolor, $class, $patient_name, $invnumber, $codekey, $check_date, $description, 0 - $svc['paid'], $error ? '' : $invoice_total);
}
// Post and report adjustments from this ERA. Posted adjustment reasons
// must be 25 characters or less in order to fit on patient statements.
foreach ($svc['adj'] as $adj) {
$description = $adj['reason_code'] . ': ' . $adjustment_reasons[$adj['reason_code']];
if ($adj['group_code'] == 'PR' || !$primary) {
// Group code PR is Patient Responsibility. Enter these as zero
// adjustments to retain the note without crediting the claim.
if ($primary) {
/****
$reason = 'Pt resp: '; // Reasons should be 25 chars or less.
if ($adj['reason_code'] == '1') $reason = 'To deductible: ';
else if ($adj['reason_code'] == '2') $reason = 'Coinsurance: ';
else if ($adj['reason_code'] == '3') $reason = 'Co-pay: ';
****/
$reason = "{$inslabel} ptresp: ";
// Reasons should be 25 chars or less.
if ($adj['reason_code'] == '1') {
$reason = "{$inslabel} dedbl: ";
} else {
if ($adj['reason_code'] == '2') {
$reason = "{$inslabel} coins: ";
} else {
if ($adj['reason_code'] == '3') {
$reason = "{$inslabel} copay: ";
}
}
}
} else {
$reason = "{$inslabel} note " . $adj['reason_code'] . ': ';
/****
$reason .= sprintf("%.2f", $adj['amount']);
****/
}
$reason .= sprintf("%.2f", $adj['amount']);
// Post a zero-dollar adjustment just to save it as a comment.
if (!$error && !$debug) {
if ($INTEGRATED_AR) {
arPostAdjustment($pid, $encounter, $InsertionId[$out['check_number']], 0, $codekey, substr($inslabel, 3), $reason, $debug, '', $codetype);
} else {
slPostAdjustment($arrow['id'], 0, $production_date, $out['check_number'], $codekey, $insurance_id, $reason, $debug);
}
}
writeMessageLine($bgcolor, $class, $description . ' ' . sprintf("%.2f", $adj['amount']));
} else {
if (!$error && !$debug) {
if ($INTEGRATED_AR) {
arPostAdjustment($pid, $encounter, $InsertionId[$out['check_number']], $adj['amount'], $codekey, substr($inslabel, 3), "Adjust code " . $adj['reason_code'], $debug, '', $codetype);
} else {
slPostAdjustment($arrow['id'], $adj['amount'], $production_date, $out['check_number'], $codekey, $insurance_id, "{$inslabel} adjust code " . $adj['reason_code'], $debug);
}
$invoice_total -= $adj['amount'];
}
writeDetailLine($bgcolor, $class, $patient_name, $invnumber, $codekey, $production_date, $description, 0 - $adj['amount'], $error ? '' : $invoice_total);
}
}
}
// End of service item
// Report any existing service items not mentioned in the ERA, and
// determine if any of them are still missing an insurance response
// (if so, then insurance is not yet done with the claim).
$insurance_done = true;
foreach ($codes as $code => $prev) {
// writeOldDetail($prev, $arrow['name'], $invnumber, $service_date, $code, $bgcolor);
writeOldDetail($prev, $patient_name, $invnumber, $service_date, $code, $bgcolor);
$got_response = false;
foreach ($prev['dtl'] as $ddata) {
if ($ddata['pmt'] || $ddata['rsn']) {
$got_response = true;
}
}
if (!$got_response) {
$insurance_done = false;
}
}
// Cleanup: If all is well, mark Ins<x> done and check for secondary billing.
if (!$error && !$debug && $insurance_done) {
if ($INTEGRATED_AR) {
$level_done = 0 + substr($inslabel, 3);
if ($out['crossover'] == 1) {
//Automatic forward case.So need not again bill from the billing manager screen.
sqlStatement("UPDATE form_encounter " . "SET last_level_closed = {$level_done},last_level_billed=" . $level_done . " WHERE " . "pid = '{$pid}' AND encounter = '{$encounter}'");
writeMessageLine($bgcolor, 'infdetail', 'This claim is processed by Insurance ' . $level_done . ' and automatically forwarded to Insurance ' . ($level_done + 1) . ' for processing. ');
} else {
"UPDATE form_encounter " . "SET last_level_closed = {$level_done} WHERE " . "pid = '{$pid}' AND encounter = '{$encounter}'";
}
// Check for secondary insurance.
if ($primary && arGetPayerID($pid, $service_date, 2)) {
arSetupSecondary($pid, $encounter, $debug, $out['crossover']);
if ($out['crossover'] != 1) {
writeMessageLine($bgcolor, 'infdetail', 'This claim is now re-queued for secondary paper billing');
}
}
} else {
$shipvia = 'Done: Ins1';
if ($inslabel != 'Ins1') {
$shipvia .= ',Ins2';
}
if ($inslabel == 'Ins3') {
$shipvia .= ',Ins3';
}
$query = "UPDATE ar SET shipvia = '{$shipvia}' WHERE id = " . $arrow['id'];
SLQuery($query);
if ($sl_err) {
die($sl_err);
}
// Check for secondary insurance.
$insgot = strtolower($arrow['notes']);
if ($primary && strpos($insgot, 'ins2') !== false) {
slSetupSecondary($arrow['id'], $debug);
if ($out['crossover'] != 1) {
writeMessageLine($bgcolor, 'infdetail', 'This claim is now re-queued for secondary paper billing');
}
}
}
}
}
}
$duept = $brow['amount'] + $srow['amount'] - $drow['payments'] - $drow['adjustments'];
}
echoLine("form_upay[{$enc}]", $dispdate, $value['charges'], $dpayment_pat, $dpayment + $dadjustment, $duept, $enc, $inscopay, $patcopay);
}
// Now list previously billed visits.
if ($INTEGRATED_AR) {
} else {
// Query for all open invoices.
$query = "SELECT ar.id, ar.invnumber, ar.amount, ar.paid, " . "ar.intnotes, ar.notes, ar.shipvia, " . "(SELECT SUM(invoice.sellprice * invoice.qty) FROM invoice WHERE " . "invoice.trans_id = ar.id AND invoice.sellprice > 0) AS charges, " . "(SELECT SUM(invoice.sellprice * invoice.qty) FROM invoice WHERE " . "invoice.trans_id = ar.id AND invoice.sellprice < 0) AS adjustments, " . "(SELECT SUM(acc_trans.amount) FROM acc_trans WHERE " . "acc_trans.trans_id = ar.id AND acc_trans.chart_id = ? " . "AND acc_trans.source NOT LIKE 'Ins%') AS ptpayments " . "FROM ar WHERE ar.invnumber LIKE ? AND " . "ar.amount != ar.paid " . "ORDER BY ar.invnumber";
$ires = SLQuery($query, array($chart_id_cash, $pid . "%"));
if ($sl_err) {
die($sl_err);
}
$num_invoices = SLRowCount($ires);
for ($ix = 0; $ix < $num_invoices; ++$ix) {
$irow = SLGetRow($ires, $ix);
// Get encounter ID and date of service.
list($patient_id, $enc) = explode(".", $irow['invnumber']);
$tmp = sqlQuery("SELECT LEFT(date, 10) AS encdate FROM form_encounter " . "WHERE encounter = ?", array($enc));
$svcdate = $tmp['encdate'];
// Compute $duncount as in sl_eob_search.php to determine if
// this invoice is at patient responsibility.
$duncount = substr_count(strtolower($irow['intnotes']), "statement sent");
if (!$duncount) {
$insgot = strtolower($irow['notes']);
$inseobs = strtolower($irow['shipvia']);
foreach (array('ins1', 'ins2', 'ins3') as $value) {
if (strpos($insgot, $value) !== false && strpos($inseobs, $value) === false) {
--$duncount;
}
}
function slSetupSecondary($invid, $debug)
{
global $sl_err, $GLOBALS;
if ($GLOBALS['oer_config']['ws_accounting']['enabled'] === 2) {
die("Internal error calling slSetupSecondary()");
}
$info_msg = '';
// Get some needed items from the SQL-Ledger invoice.
$arres = SLQuery("select invnumber, transdate, customer_id, employee_id, " . "shipvia from ar where ar.id = {$invid}");
if ($sl_err) {
die($sl_err);
}
$arrow = SLGetRow($arres, 0);
if (!$arrow) {
die(xl('There is no match for invoice id') . ' = ' . "{$trans_id}.");
}
$customer_id = $arrow['customer_id'];
$date_of_service = $arrow['transdate'];
list($trash, $encounter) = explode(".", $arrow['invnumber']);
// Get the OpenEMR PID corresponding to the customer.
$pdrow = sqlQuery("SELECT patient_data.pid " . "FROM integration_mapping, patient_data WHERE " . "integration_mapping.foreign_id = {$customer_id} AND " . "integration_mapping.foreign_table = 'customer' AND " . "patient_data.id = integration_mapping.local_id");
$pid = $pdrow['pid'];
if (!$pid) {
die(xl("Cannot find patient from SQL-Ledger customer id") . " = {$customer_id}.");
}
// Determine the ID of the next insurance company (if any) to be billed.
$new_payer_id = -1;
$new_payer_type = -1;
$insdone = strtolower($arrow['shipvia']);
foreach (array('ins1' => 'primary', 'ins2' => 'secondary', 'ins3' => 'tertiary') as $key => $value) {
if (strpos($insdone, $key) === false) {
$nprow = sqlQuery("SELECT provider FROM insurance_data WHERE " . "pid = '{$pid}' AND type = '{$value}' AND date <= '{$date_of_service}' " . "ORDER BY date DESC LIMIT 1");
if (!empty($nprow['provider'])) {
$new_payer_id = $nprow['provider'];
$new_payer_type = substr($key, 3);
}
break;
}
}
// Find out if the encounter exists.
$ferow = sqlQuery("SELECT pid FROM form_encounter WHERE " . "encounter = {$encounter}");
$encounter_pid = $ferow['pid'];
// If it exists, just update the billing items.
if ($encounter_pid) {
if ($encounter_pid != $pid) {
die(xl("Expected form_encounter.pid to be ") . $pid . ', ' . xl(' but was ') . $encounter_pid);
}
// If there's a payer ID queue it up, otherwise just reopen it.
if ($new_payer_id > 0) {
// TBD: implement a default bill_process and target in config.php,
// it should not really be hard-coded here.
if (!$debug) {
updateClaim(true, $pid, $encounter, $new_payer_id, $new_payer_type, 1, 5, '', 'hcfa');
}
} else {
if (!$debug) {
updateClaim(true, $pid, $encounter, -1, -1, 1, 0, '');
}
}
$info_msg = xl("Encounter ") . $encounter . xl(" is ready for re-billing.");
return;
}
// If we get here then the encounter does not already exist. This should
// only happen if A/R was converted from an earlier system. In this case
// the encounter ID should be the date of service, and we will create the
// encounter.
// If it does not exist then it better be (or start with) a date.
if (!preg_match("/^20\\d\\d\\d\\d\\d\\d/", $encounter)) {
die(xl("Internal error: encounter '") . $encounter . xl("' should exist but does not."));
}
$employee_id = $arrow['employee_id'];
// Get the OpenEMR provider info corresponding to the SQL-Ledger salesman.
$drrow = sqlQuery("SELECT users.id, users.username, users.facility_id " . "FROM integration_mapping, users WHERE " . "integration_mapping.foreign_id = {$employee_id} AND " . "integration_mapping.foreign_table = 'salesman' AND " . "users.id = integration_mapping.local_id");
$provider_id = $drrow['id'];
if (!$provider_id) {
die(xl("Cannot find provider from SQL-Ledger employee = ") . $employee_id);
}
if (!$date_of_service) {
die(xl("Invoice has no date!"));
}
// Generate a new encounter number.
$conn = $GLOBALS['adodb']['db'];
$new_encounter = $conn->GenID("sequences");
// Create the "new encounter".
$encounter_id = 0;
$query = "INSERT INTO form_encounter ( " . "date, reason, facility_id, pid, encounter, onset_date, provider_id " . ") VALUES ( " . "'{$date_of_service}', " . "'" . xl('Imported from Accounting') . "', " . "'" . addslashes($drrow['facility_id']) . "', " . "{$pid}, " . "{$new_encounter}, " . "'{$date_of_service}', " . "'{$provider_id}' " . ")";
if ($debug) {
echo $query . "<br>\n";
echo xl("Call to addForm() goes here.<br>") . "\n";
} else {
$encounter_id = idSqlStatement($query);
if (!$encounter_id) {
die(xl("Insert failed: ") . $query);
}
addForm($new_encounter, xl("New Patient Encounter"), $encounter_id, "newpatient", $pid, 1, $date_of_service);
$info_msg = xl("Encounter ") . $new_encounter . xl(" has been created. ");
}
// For each invoice line item with a billing code we will insert
// a billing row with payer_id set to -1. Order the line items
// chronologically so that each procedure code will be followed by
// its associated icd9 code.
$inres = SLQuery("SELECT * FROM invoice WHERE trans_id = {$invid} " . "ORDER BY id");
if ($sl_err) {
die($sl_err);
}
// When nonzero, this will be the ID of a billing row that needs to
// have its justify field set.
$proc_ins_id = 0;
for ($irow = 0; $irow < SLRowCount($inres); ++$irow) {
$row = SLGetRow($inres, $irow);
$amount = sprintf('%01.2f', $row['sellprice'] * $row['qty']);
// Extract the billing code.
$code = xl("Unknown");
if (preg_match("/([A-Za-z0-9]\\d\\d\\S*)/", $row['serialnumber'], $matches)) {
$code = strtoupper($matches[1]);
} else {
if (preg_match("/([A-Za-z0-9]\\d\\d\\S*)/", $row['description'], $matches)) {
$code = strtoupper($matches[1]);
}
}
list($code, $modifier) = explode("-", $code);
// Set the billing code type and description.
$code_type = "";
$code_text = "";
foreach ($code_types as $key => $value) {
if (preg_match("/{$key}/", $row['serialnumber'])) {
$code_type = $key;
if ($value['fee']) {
$code_text = xl("Procedure") . " {$code}";
} else {
$code_text = xl("Diagnosis") . " {$code}";
if ($proc_ins_id) {
$query = "UPDATE billing SET justify = '{$code}' WHERE id = {$proc_ins_id}";
if ($debug) {
echo $query . "<br>\n";
} else {
sqlQuery($query);
}
$proc_ins_id = 0;
}
}
break;
}
}
// Skip adjustments.
if (!$code_type) {
continue;
}
// Insert the billing item. If this for a procedure code then save
// the row ID so that we can update the "justify" field with the ICD9
// code, which should come next in the loop.
//
$query = "INSERT INTO billing ( " . "date, code_type, code, pid, provider_id, user, groupname, authorized, " . "encounter, code_text, activity, payer_id, billed, bill_process, " . "bill_date, modifier, units, fee, justify, target " . ") VALUES ( " . "NOW(), " . "'{$code_type}', " . "'{$code}', " . "{$pid}, " . "0, " . "'" . $_SESSION['authId'] . "', " . "'" . $_SESSION['authProvider'] . "', " . "1, " . "{$new_encounter}, " . "'{$code_text}', " . "1, " . "{$new_payer_id}, " . ($new_payer_id > 0 ? "1, " : "0, ") . ($new_payer_id > 0 ? "5, " : "0, ") . ($new_payer_id > 0 ? "NOW(), " : "NULL, ") . "'{$modifier}', " . "0, " . "{$amount}, " . "'', " . ($new_payer_id > 0 ? "'hcfa' " : "NULL ") . ")";
if ($debug) {
echo $query . "<br>\n";
} else {
$proc_ins_id = idSqlStatement($query);
if ($code_type != "CPT4" && $code_type != "HCPCS") {
$proc_ins_id = 0;
}
}
}
// Finally, change this invoice number to contain the new encounter number.
//
$new_invnumber = "{$pid}.{$new_encounter}";
$query = "UPDATE ar SET invnumber = '{$new_invnumber}' WHERE id = {$invid}";
if ($debug) {
echo $query . "<br>\n";
} else {
SLQuery($query);
if ($sl_err) {
die($sl_err);
}
$info_msg .= xl("This invoice number has been changed to ") . $new_invnumber;
}
return $info_msg;
}
$ferow = sqlQuery("SELECT e.*, p.fname, p.mname, p.lname " .
"FROM form_encounter AS e, patient_data AS p WHERE " .
"e.pid = '$patient_id' AND e.encounter = '$encounter_id' AND ".
"p.pid = e.pid");
if (empty($ferow)) die("There is no encounter $patient_id.$encounter_id.");
$svcdate = substr($ferow['date'], 0, 10);
*****************************************************************/
// Get invoice charge details.
$codes = ar_get_invoice_summary($patient_id, $encounter_id, true);
} else {
// Get invoice data into $arrow.
$arres = SLQuery("select ar.*, customer.name, employee.name as doctor " . "from ar, customer, employee where ar.id = {$trans_id} and " . "customer.id = ar.customer_id and employee.id = ar.employee_id");
if ($sl_err) {
die($sl_err);
}
$arrow = SLGetRow($arres, 0);
if (!$arrow) {
die(xl("There is no match for invoice id = ") . $trans_id);
}
//
// Determine the date of service. An 8-digit encounter number is
// presumed to be a date of service imported during conversion.
// Otherwise look it up in the form_encounter table.
//
$svcdate = "";
list($patient_id, $encounter) = explode(".", $arrow['invnumber']);
if (strlen($encounter) == 8) {
$svcdate = substr($encounter, 0, 4) . "-" . substr($encounter, 4, 2) . "-" . substr($encounter, 6, 2);
} else {
if ($encounter) {
$tmp = sqlQuery("SELECT date FROM form_encounter WHERE " . "encounter = {$encounter}");
function loadPayerInfo(&$billrow)
{
global $sl_err;
$encounter_date = substr($this->encounter['date'], 0, 10);
// Create the $payers array. This contains data for all insurances
// with the current one always at index 0, and the others in payment
// order starting at index 1.
//
$this->payers = array();
$this->payers[0] = array();
$query = "SELECT * FROM insurance_data WHERE " . "pid = '{$this->pid}' AND " . "date <= '{$encounter_date}' " . "ORDER BY type ASC, date DESC";
$dres = sqlStatement($query);
$prevtype = '';
while ($drow = sqlFetchArray($dres)) {
if (strcmp($prevtype, $drow['type']) == 0) {
continue;
}
$prevtype = $drow['type'];
// Very important to look at entries with a missing provider because
// they indicate no insurance as of the given date.
if (empty($drow['provider'])) {
continue;
}
$ins = count($this->payers);
if ($drow['provider'] == $billrow['payer_id'] && empty($this->payers[0]['data'])) {
$ins = 0;
}
$crow = sqlQuery("SELECT * FROM insurance_companies WHERE " . "id = '" . $drow['provider'] . "'");
$orow = new InsuranceCompany($drow['provider']);
$this->payers[$ins] = array();
$this->payers[$ins]['data'] = $drow;
$this->payers[$ins]['company'] = $crow;
$this->payers[$ins]['object'] = $orow;
}
// This kludge hands most cases of a rare ambiguous situation, where
// the primary insurance company is the same as the secondary. It seems
// nobody planned for that!
//
for ($i = 1; $i < count($this->payers); ++$i) {
if ($billrow['process_date'] && $this->payers[0]['data']['provider'] == $this->payers[$i]['data']['provider']) {
$tmp = $this->payers[0];
$this->payers[0] = $this->payers[$i];
$this->payers[$i] = $tmp;
}
}
$this->using_modifiers = true;
// Get payment and adjustment details if there are any previous payers.
//
$this->invoice = array();
if ($this->payerSequence() != 'P') {
if ($GLOBALS['oer_config']['ws_accounting']['enabled'] === 2) {
$this->invoice = ar_get_invoice_summary($this->pid, $this->encounter_id, true);
} else {
if ($GLOBALS['oer_config']['ws_accounting']['enabled']) {
SLConnect();
$arres = SLQuery("select id from ar where invnumber = " . "'{$this->pid}.{$this->encounter_id}'");
if ($sl_err) {
die($sl_err);
}
$arrow = SLGetRow($arres, 0);
if ($arrow) {
$this->invoice = get_invoice_summary($arrow['id'], true);
}
SLClose();
}
}
// Secondary claims might not have modifiers in SQL-Ledger data.
// In that case, note that we should not try to match on them.
$this->using_modifiers = false;
foreach ($this->invoice as $key => $trash) {
if (strpos($key, ':')) {
$this->using_modifiers = true;
}
}
}
}
$arow = sqlQuery("SELECT SUM(fee) AS amount FROM billing WHERE " . "pid = '{$patient_id}' AND encounter = '{$encounter_id}' AND " . "activity = 1 AND code_type != 'COPAY'");
$inv_amount += $arow['amount'];
$arow = sqlQuery("SELECT SUM(fee) AS amount FROM billing WHERE " . "pid = '{$patient_id}' AND encounter = '{$encounter_id}' AND " . "activity = 1 AND code_type = 'COPAY'");
$inv_paid = 0 - $arow['amount'];
$arow = sqlQuery("SELECT SUM(pay_amount) AS pay, " . "sum(adj_amount) AS adj FROM ar_activity WHERE " . "pid = '{$patient_id}' AND encounter = '{$encounter_id}'");
$inv_paid += $arow['pay'];
$inv_amount -= $arow['adj'];
} else {
$ares = SLQuery("SELECT duedate, amount, paid FROM ar WHERE " . "ar.invnumber = '{$invnumber}'");
if ($sl_err) {
die($sl_err);
}
if (SLRowCount($ares) == 0) {
continue;
}
$arow = SLGetRow($ares, 0);
$inv_amount = $arow['amount'];
$inv_paid = $arow['paid'];
$inv_duedate = $arow['duedate'];
}
$total_amount += bucks($inv_amount);
$total_paid += bucks($inv_paid);
$bgcolor = $irow & 1 ? "#ffdddd" : "#ddddff";
?>
<tr bgcolor='<?php
echo $bgcolor;
?>
'>
<td class="detail">
<?php
echo $row['lname'] . ', ' . $row['fname'] . ' ' . $row['mname'];
<br><br>
<span class='text'>
<?php
SLConnect();
echo "<p>Be patient, this will take a while...</p>";
flush();
// This marker will eventually tell us which encounters have no
// matching invoice.
if (!$dry_run) {
sqlStatement("UPDATE form_encounter SET last_level_billed = -1");
}
$invoice_count = 0;
$activity_count = 0;
$res = SLQuery("SELECT id, invnumber, transdate, shipvia, intnotes " . "FROM ar WHERE invnumber LIKE '%.%' ORDER BY id");
for ($irow = 0; $irow < SLRowCount($res); ++$irow) {
$row = SLGetRow($res, $irow);
list($pid, $encounter) = explode(".", $row['invnumber']);
$tmp = sqlQuery("SELECT count(*) AS count FROM form_encounter WHERE " . "pid = '{$pid}' AND encounter = '{$encounter}'");
if ($tmp['count'] == 0) {
echo "SQL-Ledger invoice {$pid}.{$encounter} has no matching encounter " . "and is ignored. This will affect financial reports!<br />\n";
continue;
}
$billing = array();
$provider_id = 0;
$last_biller = 0;
$svcdate = $row['transdate'];
if (!$dry_run) {
// Delete any TAX rows from billing for encounters in SQL-Ledger.
sqlStatement("UPDATE billing SET activity = 0 WHERE " . "pid = '{$pid}' AND encounter = '{$encounter}' AND " . "code_type = 'TAX'");
}
// Get all billing table items with money for this encounter, and