/** * Produce an html display of information in * the x12 edi 271 eligibility report for a particular patient * * @uses edih_271_codes() * @uses edih_format_money() * @uses edih_format_date() * @uses edih_format_percent() * * @param object edih_x12_file type 271 * @param string bht03 or clm01 reference for transaction * @return string */ function edih_271_transaction_html($obj271, $bht03) { // $trans = $obj271->edih_x12_transaction($bht03); if (empty($trans) || !count($trans)) { $str_html = "<p>Did not find transaction {$bht03} in " . $obj271->edih_filename() . "</p>"; return $str_html; } $de = $obj271->edih_delimiters()['e']; $ds = $obj271->edih_delimiters()['s']; $dr = $obj271->edih_delimiters()['r']; $fn = $obj271->edih_filename(); // $cd271 = new edih_271_codes($ds, $dr); // $str_html = ""; // $hdr_html = "<table id={$bht03} class='h271' columns=4><caption>Eligibility Benefit Response</caption>" . PHP_EOL; $hdr_html .= "<thead>" . PHP_EOL; $hdr_html .= "<tr><th>Reference</th><th colspan=2>Information</th><th colspan=2>{$fn}</th></tr>" . PHP_EOL; $hdr_html .= "</thead>" . PHP_EOL . "<tbody>" . PHP_EOL; $src_html = ""; $rcv_html = ""; $sbr_nm1_html = ""; $dep_nm1_html = ""; $sbr_ref_html = ""; $dep_ref_html = ""; $sbr_eb_html = ""; $dep_eb_html = ""; // $ebct = 0; // $trns_ct = count($trans); for ($i = 0; $i < $trns_ct; $i++) { foreach ($trans[$i] as $seg) { // $idtype = ''; $name = ''; $var = ''; $rej_reason = ''; $follow = ''; $addr = ''; // if (strncmp('BHT' . $de, $seg, 4) === 0) { $loopid = 'Heading'; $sar = explode($de, $seg); $bht01 = isset($sar[1]) && $sar[1] == '022' ? "Src, Rcv, Sbr, Dep" : "Order unspecified"; $bht02 = isset($sar[2]) && $sar[2] == '11' ? "Response" : "Confirmation"; $bht03 = isset($sar[3]) && $sar[3] ? $sar[3] : ""; $bht04 = isset($sar[4]) && $sar[4] ? edih_format_date($sar[4]) : ""; // $hdr_html .= "<tr><td><em>Reference:</em> {$bht03}</td><td><em>Date:</em> {$bht04}</td><td><em>Type:</em> {$bht02}</td><td>{$bht01}</td></tr>" . PHP_EOL; continue; } // if (strncmp('HL' . $de, $seg, 3) === 0) { $sar = explode($de, $seg); if ($sar[3] == '20') { // level code $loopid = '2000A'; // info source (payer) $src_html .= "<tr><td colspan=4><b>Information Source</b></td></tr>" . PHP_EOL; } elseif ($sar[3] == '21') { $loopid = '2000B'; // info receiver (clinic) $rcv_html .= "<tr><td colspan=4><b>Information Receiver</b></td></tr>" . PHP_EOL; } elseif ($sar[3] == '22') { $loopid = '2000C'; // subscriber $has_eb = false; $sbr_nm1_html .= "<tr><td colspan=4><b>Subscriber</b></td></tr>" . PHP_EOL; } elseif ($sar[3] == '23') { $loopid = '2000D'; // dependent $has_eb = false; $dep_nm1_html .= "<tr><td colspan=4><b>Dependent</b></td></tr>" . PHP_EOL; } // $ebct = 0; continue; } // if (strncmp('AAA' . $de, $seg, 4) === 0) { // rejection $sar = explode($de, $seg); $rej_reason = $cd271->get_271_code('AAA03', $sar[3]); $follow = $cd271->get_271_code('AAA04', $sar[4]); if ($loopid == '2000A') { $src_html .= "<tr><td><em><b>Rejection:</b></em></td><td colspan=3 title='{$follow}'>{$rej_reason}</td></tr>" . PHP_EOL; } elseif ($loopid == '2000B') { $rcv_html .= "<tr><td><em><b>Rejection:</b></em></td><td colspan=3 title='{$follow}'>{$rej_reason}</td></tr>" . PHP_EOL; } elseif ($loopid == '2000C') { $sbr_nm1_html .= "<tr><td><em><b>Rejection:</b></em></td><td colspan=3 title='{$follow}'>{$rej_reason}</td></tr>" . PHP_EOL; } elseif ($loopid == '2000D') { $dep_nm1_html .= "<tr><td><em><b>Rejection:</b></em></td><td colspan=3 title='{$follow}'>{$rej_reason}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110C') { $sbr_eb_html .= "<tr class={$cls}><td><em><b>Rejection:</b></em></td><td colspan=3 title='{$follow}'>{$rej_reason}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110D') { $dep_eb_html .= "<tr class={$cls}><td><em><b>Rejection:</b></em></td><td colspan=3 title='{$follow}'>{$rej_reason}</td></tr>" . PHP_EOL; } else { $hdr_html .= "<tr><td>{$loopid} <em><b>Rejection:</b></em></td><td colspan=3 title='{$follow}'>{$rej_reason}</td></tr>" . PHP_EOL; } continue; } if (strncmp('NM1' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); // $descr = isset($sar[1]) && $sar[1] ? $cd271->get_271_code('NM101', $sar[1]) : ""; // $name = isset($sar[3]) && $sar[3] ? $sar[3] : ""; $name .= isset($sar[7]) && $sar[7] ? " {$sar[7]}" : ""; $name .= isset($sar[4]) && $sar[4] ? ", {$sar[4]}" : ""; $name .= isset($sar[5]) && $sar[5] ? " {$sar[5]}" : ""; $name .= isset($sar[7]) && $sar[7] ? " {$sar[7]}" : ""; // $idtype = isset($sar[8]) && $sar[8] ? $cd271->get_271_code('NM108', $sar[8]) : ""; $nm109 = isset($sar[9]) && $sar[9] ? $sar[9] : ""; // if ($loopid == '2000A') { $src_html .= "<tr><td title='{$idtype}'>{$nm109}</td><td colspan=3 title='{$descr}'>{$name}</td></tr>" . PHP_EOL; $loopid = '2100A'; } elseif ($loopid == '2000B') { $rcv_html .= "<tr><td title='{$idtype}'>{$nm109}</td><td colspan=3 title='{$descr}'>{$name}</td></tr>" . PHP_EOL; $loopid = '2100B'; } elseif ($loopid == '2000C') { $sbr_nm1_html .= "<tr><td title='{$idtype}'>{$nm109}</td><td colspan=3 title='{$descr}'>{$name}</td></tr>" . PHP_EOL; $loopid = '2100C'; } elseif ($loopid == '2000D') { $dep_nm1_html .= "<tr><td title='{$idtype}'>{$nm109}</td><td colspan=3 title='{$descr}'>{$name}</td></tr>" . PHP_EOL; $loopid = '2100D'; } elseif ($loopid == '2120C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td title='{$idtype}'>{$nm109}</td><td colspan=2 title='{$descr}'>{$descr} {$name}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td title='{$idtype}'>{$nm109}</td><td colspan=2 title='{$descr}'>{$descr} {$name}</td></tr>" . PHP_EOL; } // continue; } // if (strncmp('PER' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $per02 = isset($sar[2]) && $sar[2] ? $sar[2] : ''; $idtype = isset($sar[3]) && $sar[3] ? $cd271->get_271_code('PER03', $sar[3]) : ""; $per04 = isset($sar[4]) && $sar[2] ? $sar[4] : ''; if ($loopid == '2100A') { $src_html .= "<tr><td colspan=3>{$per02}</td><td title='{$idtype}'>{$per04}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td title='{$idtype}'>{$per04}</td><td colspan=2>{$per02}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td title='{$idtype}'>{$per04}</td><td colspan=2>{$per02}</td></tr>" . PHP_EOL; } // continue; } // if (strncmp('N3' . $de, $seg, 3) === 0) { $sar = explode($de, $seg); $addr = isset($sar[1]) ? $sar[1] : ""; $addr .= isset($sar[2]) ? " {$sar[2]}" : ""; if ($loopid == '2100C') { $sbr_nm1_html .= "<tr><td>></td><td colspan=3>{$addr}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_nm1_html .= "<tr><td>></td><td colspan=3>{$addr}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$addr}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$addr}</td></tr>" . PHP_EOL; } continue; } // if (strncmp('N4' . $de, $seg, 3) === 0) { $sar = explode($de, $seg); if ($loopid == '2100C') { $sbr_nm1_html .= "<tr><td>></td><td colspan=3>{$sar[1]} {$sar[2]} {$sar[3]}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_nm1_html .= "<tr><td>></td><td colspan=3>{$sar[1]} {$sar[2]} {$sar[3]}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$sar[1]} {$sar[2]} {$sar[3]}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$sar[1]} {$sar[2]} {$sar[3]}</td></tr>" . PHP_EOL; } continue; } // if (strncmp('PRV' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $idtype = $sar[1] ? $cd271->get_271_code('PRV', $sar[1]) : ""; if ($loopid == '2100B') { $src_html .= "<tr><td colspan=3>{$sar[2]}</td><td title='{$idtype}'>{$sar[3]}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100C') { $sbr_nm1_html .= "<tr><td title='{$idtype}'>{$sar[3]}</td><td colspan=3>{$sar[2]}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_nm1_html .= "<tr><td title='{$idtype}'>{$sar[3]}</td><td colspan=3>{$sar[2]}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td title='{$idtype}'>{$sar[3]}</td><td colspan=2>{$sar[2]}</td></tr>" . PHP_EOL; } elseif ($loopid == '2120D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td title='{$idtype}'>{$sar[3]}</td><td colspan=2>{$sar[2]}</td></tr>" . PHP_EOL; } // continue; } // if (strncmp('DMG' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $dmg02 = isset($sar[2]) && $sar[2] ? edih_format_date($sar[2]) : ""; if (isset($sar[3]) && $sar[3]) { if ($sar[3] == 'M') { $dmg03 = "Male"; } elseif ($sar[3] == 'F') { $dmg03 = "Female"; } else { $dmg03 = "Unknown"; } } if ($loopid == '2100C') { $sbr_nm1_html .= "<tr><td>></td><td>{$dmg03}</td><td colspan=2><em>Date of Birth</em> {$dmg02}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_nm1_html .= "<tr><td>></td><td>{$dmg03}</td><td colspan=2><em>Date of Birth</em> {$dmg02}</td></tr>" . PHP_EOL; } continue; } if (strncmp('INS' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $ins01 = isset($sar[1]) && $sar[1] == 'Y' ? "Subscriber" : "Dependent"; $ins02 = isset($sar[2]) && $sar[2] ? $cd271->get_271_code('INS02', $sar[2]) : ""; $ins03 = isset($sar[3]) && $sar[3] ? $sar[3] : ""; $ins04 = isset($sar[4]) && $sar[4] == '25' ? "<b>Information changed</b>" : ""; $ins17 = isset($sar[17]) && $sar[17] ? $sar[17] : ""; // if ($loopid == '2100C') { $sbr_nm1_html .= "<tr><td>></td><td>{$ins01} {$ins17}</td><td>{$ins02}</td><td>{$ins03} {$ins04}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_nm1_html .= "<tr><td>></td><td>{$ins01} {$ins17}</td><td>{$ins02}</td><td>{$ins03} {$ins04}</td></tr>" . PHP_EOL; } continue; } if (strncmp('DTP' . $de, $seg, 4) === 0) { // $sar = explode($de, $seg); $var = ''; $dtp01 = isset($sar[1]) ? $sar[1] : ''; $dtp02 = isset($sar[2]) ? $sar[2] : ''; $dtp03 = isset($sar[3]) ? $sar[3] : ''; // $idtype = $dtp01 ? $cd271->get_271_code('DTP', $dtp01) : ""; if ($dtp02 == 'D8' && $dtp03) { $var = edih_format_date($dtp03); } elseif ($dtp02 == 'RD8' && $dtp03) { $var = edih_format_date(substr($dtp03, 0, 8)); $var .= ' - ' . edih_format_date(substr($dtp03, -8)); } if ($loopid == '2100C') { $sbr_nm1_html .= "<tr><td>></td><td>{$idtype}</td><td colspan=2>{$var}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_nm1_html .= "<tr><td>></td><td>{$idtype}</td><td colspan=2>{$var}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td>{$idtype}</td><td colspan=2>{$var}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td>{$idtype}</td><td colspan=2>{$var}</td></tr>" . PHP_EOL; } continue; } // if (strncmp('MPI' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $idtype = isset($sar[1]) && $sar[1] ? $cd271->get_271_code('MPI', $sar[1]) : ""; $idtype .= isset($sar[2]) && $sar[2] ? $cd271->get_271_code('MPI', $sar[2]) : ""; $idtype .= isset($sar[3]) && $sar[3] ? $cd271->get_271_code('MPI', 'SB' . $sar[3]) : ""; if (isset($sar[7]) && isset($sar[8])) { if ($sar[7] == 'D8') { $var = edih_format_date($sar[8]); } elseif ($sar[7] == 'RD8') { $var = edih_format_date(substr($sar[8], 0, 8)); $var .= ' - ' . edih_format_date(substr($sar[8], -8)); } } if ($loopid == '2100C') { $sbr_nm1_html .= "<tr><td colspan=3>{$idtype}</td><td>{$var}</td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_nm1_html .= "<tr><td colspan=3>{$idtype}</td><td>{$var}</td></tr>" . PHP_EOL; } continue; } // if (strncmp('EB' . $de, $seg, 3) === 0) { // $ebct++; $cls = $ebct % 2 ? 'ebe' : 'ebo'; $sar = explode($de, $seg); // $eb01 = $cd271->get_271_code('EB01', $sar[1]); // eligibility or benefit $eb02 = isset($sar[2]) && $sar[2] ? $cd271->get_271_code('EB02', $sar[2]) : ''; // coverage level $eb03 = isset($sar[3]) && $sar[3] ? $cd271->get_271_code('EB03', $sar[3]) : ''; // service type $eb04 = isset($sar[4]) && $sar[4] ? $cd271->get_271_code('EB04', $sar[4]) : ''; // insurance type $eb05 = isset($sar[5]) && $sar[5] ? $sar[5] : ''; // descriptive (plan name) $eb06 = isset($sar[6]) && $sar[6] ? $cd271->get_271_code('EB06', $sar[6]) : ''; // time qualifier $eb07 = isset($sar[7]) && strlen($sar[7]) ? edih_format_money($sar[7]) : ''; // monetary amount $eb08 = isset($sar[8]) && $sar[8] ? edih_format_percent($sar[8]) : ''; // percentage amount $eb09 = isset($sar[9]) && $sar[9] ? $cd271->get_271_code('EB09', $sar[9]) : ''; // Quantity qualifier $eb10 = isset($sar[10]) && $sar[10] ? $sar[10] : ''; // quantity $eb11 = isset($sar[11]) && $sar[11] ? $cd271->get_271_code('EB11', $sar[11]) : ''; // authorization required? $eb12 = isset($sar[12]) && $sar[12] ? $cd271->get_271_code('EB12', $sar[12]) : ''; // in network? $eb13 = ""; if (isset($sar[13]) && strpos($sar[13], $ds)) { // composite procedure ID $eb13ar = explode($ds, $sar[13]); reset($eb13ar); while (list($k, $v) = each($eb13ar)) { if ($k == 0) { $eb13 = $cd271->get_271_code('EB13', $v); } else { $eb13 .= " " . $v; } } } else { $eb13 = $sar[13] ? "<em>Procedure</em> {$eb13}" : ""; } $eb14 = ""; if (isset($sar[14])) { if (strpos($sar[14], $ds)) { // composite diagnosis pointer $eb14 = str_replace($ds, " | ", $sar[14]); } else { $eb14 = $sar[14]; } $eb14 = $eb14 ? "<em>Pointers</em> {$eb14}" : ""; } // if LS - LE segments loop should be 2110C or 2110D if ($loopid == '2100C' || $loopid == '2110C') { $loopid = '2110C'; if (strpos('|A|B', $sar[1]) !== false) { $sbr_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$eb07} {$eb08}</td><td colspan=2>{$eb02} {$eb03} {$eb04} {$eb06}</td></tr>" . PHP_EOL; } elseif (strpos('|C|G|J|Y', $sar[1]) !== false) { $sbr_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$eb02}</td><td>{$eb06} {$eb07}</td><td>{$eb03} {$eb04}</td></tr>" . PHP_EOL; } elseif (strpos('|E|F|', $sar[1]) !== false) { $sbr_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$eb02}</td><td colspan=2>{$eb03} {$eb04} {$eb06}</td></tr>" . PHP_EOL; } else { $sbr_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$eb02}</td><td colspan=3>{$eb07} {$eb08} {$eb03} {$eb04} {$eb06}</td></tr>" . PHP_EOL; } $sbr_eb_html .= $eb09 || $eb10 || $eb11 || $eb12 ? "<tr class={$cls}><td colspan=2>></td><td colspan=2>{$eb09} {$eb10} {$eb11} {$eb12}</td></tr>" . PHP_EOL : ""; $sbr_eb_html .= $eb13 || $eb14 ? "<tr class={$cls}><td>></td><td colspan=3>{$eb13} {$eb14} </td></tr>" . PHP_EOL : ""; $sbr_eb_html .= $eb05 ? "<tr class={$cls}><td>></td><td colspan=3>{$eb05}</td></tr>" . PHP_EOL : ""; } elseif ($loopid == '2100D' || $loopid == '2110D') { $loopid = '2110D'; if (strpos('|A|B', $eb01) && !$eb02) { $dep_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$ebo7} {$eb08}</td><td colspan=2>{$eb03} {$eb04} {$eb06}</td></tr>" . PHP_EOL; } elseif (strpos('|C|G|J|Y', $eb01)) { $dep_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$eb02}</td><td>{$eb07} {$eb08}</td><td>{$eb11} {$eb12}</td></tr>" . PHP_EOL; } elseif (strpos('|E|F|', $eb01)) { $dep_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$eb02}</td><td colspan=2>{$eb03} {$eb04} {$eb06} </td></tr>" . PHP_EOL; } else { $dep_eb_html .= "<tr class={$cls}><td>{$eb01}</td><td>{$eb02}</td><td colspan=3>{$eb07} {$eb08} {$eb03} {$eb04} {$eb06} </td></tr>" . PHP_EOL; } $dep_eb_html .= $eb09 || $eb10 || $eb11 || $eb12 ? "<tr class={$cls}><td>></td><td colspan=3>{$eb09} {$eb10} {$eb11} {$eb12}</td></tr>" . PHP_EOL : ""; $dep_eb_html .= $eb13 || $eb14 ? "<tr class={$cls}><td>></td><td colspan=3>{$eb13} {$eb14} </td></tr>" . PHP_EOL : ""; $dep_eb_html .= $eb05 ? "<tr class={$cls}><td>></td><td colspan=3>{$eb05}</td></tr>" . PHP_EOL : ""; } continue; } // if (strncmp('HSD' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); // $hsd01 = isset($sar[1]) && $sar[1] ? $cd271->get_271_code('HSD01', $sar[1]) : ''; // quantity qualifier $hsd02 = isset($sar[2]) && $sar[2] ? $sar[2] : ''; // numeric quantity $hsd03 = isset($sar[3]) && $sar[3] ? $cd271->get_271_code('HSD01', $sar[3]) : ''; // measurement unit $hsd04 = isset($sar[4]) && $sar[4] ? $sar[4] : ''; // sample selection modulus $hsd05 = isset($sar[5]) && $sar[5] ? $cd271->get_271_code('EB06', $sar[5]) : ''; // time period qualifier $hsd06 = isset($sar[6]) && $sar[6] ? $sar[6] : ''; // number of periods $hsd07 = isset($sar[7]) && $sar[7] ? $cd271->get_271_code('HSD07', $sar[7]) : ''; // delivery $hsd08 = isset($sar[8]) && $sar[8] ? $cd271->get_271_code('HSD08', $sar[8]) : ''; // delivery // if ($loopid == '2110C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td>{$hsd01} : {$hsd02}</td><td>{$hsd03} : {$hsd04}</td><td>{$hsd05} : {$hsd06}</td></tr>" . PHP_EOL; $sbr_eb_html .= $hsd07 || $hsd08 ? "<tr class={$cls}><td>></td><td colspan=3>{$hsd07} {$hsd08}</td></tr>" . PHP_EOL : ''; } elseif ($loopid == '2110D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td>{$hsd01} : {$hsd02}</td><td>{$hsd03} : {$hsd04}</td><td>{$hsd05} : {$hsd06}</td></tr>" . PHP_EOL; $dep_eb_html .= $hsd07 || $hsd08 ? "<tr class={$cls}><td>></td><td colspan=3>{$hsd07} {$hsd08}</td></tr>" . PHP_EOL : ''; } continue; } if (strncmp('REF' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); // $ref01 = isset($sar[1]) && $sar[1] ? $cd271->get_271_code('REF', $sar[1]) : ''; // identification qualifier $ref02 = isset($sar[2]) && $sar[2] ? $sar[2] : ''; // identification value $ref03 = isset($sar[3]) && $sar[3] ? $sar[3] : ''; // description // if ($loopid == '2100C') { $sbr_ref_html .= "<tr><td>></td><td colspan=2>{$ref03}</td><td>{$ref01} {$ref02} </td></tr>" . PHP_EOL; } elseif ($loopid == '2100D') { $dep_ref_html .= "<tr><td>></td><td colspan=2>{$ref03}</td><td>{$ref01} {$ref02}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td colspan=2>{$ref03}</td><td>{$ref01} {$ref02}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td colspan=2>{$ref03}</td><td>{$ref01} {$ref02}</td></tr>" . PHP_EOL; } continue; } if (strncmp('MSG' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $msg01 = isset($sar[1]) && $sar[1] ? $sar[1] : ''; if ($msg01 && $loopid == '2110C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$msg01}</td></tr>" . PHP_EOL; } elseif ($msg01 && $loopid == '2110D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$msg01}</td></tr>" . PHP_EOL; } continue; } if (strncmp('III' . $de, $seg, 4) === 0 && ($loopid == '2110C' || $loopid == '2110D')) { $sar = explode($de, $seg); if (isset($sar[1]) && ($sar[1] == 'GR' || $sar[1] == 'NI')) { $iii02 = isset($sar[2]) && $sar[2] ? $cd271->get_271_code('IIIGR', $sar[2]) : ''; } else { $iii02 = isset($sar[2]) && $sar[2] ? $cd271->get_271_code('POS', $sar[2]) : ''; } $iii03 = isset($sar[3]) && $sar[3] ? $sar[3] : ''; // if ($loopid == '2110C') { $sbr_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$iii02}</td></tr>" . PHP_EOL; $sbr_eb_html .= $iii03 ? "<tr class={$cls}><td>></td><td colspan=3>{$iii03}</td></tr>" . PHP_EOL : ''; } elseif ($loopid == '2110D') { $dep_eb_html .= "<tr class={$cls}><td>></td><td colspan=3>{$iii02}</td></tr>" . PHP_EOL; $dep_eb_html .= $iii03 ? "<tr class={$cls}><td>></td><td colspan=3>{$iii03}</td></tr>" . PHP_EOL : ''; } continue; } // if (strncmp('LS' . $de, $seg, 3) === 0) { if ($loopid == '2110C') { $loopid = '2120C'; } if ($loopid == '2110D') { $loopid = '2120D'; } continue; } if (strncmp('LE' . $de, $seg, 3) === 0) { if ($loopid == '2120C') { $loopid = '2100C'; } if ($loopid == '2120D') { $loopid = '2100D'; } continue; } // } // $str_html .= $hdr_html; $str_html .= $src_html ? $src_html : ""; $str_html .= $rcv_html ? $rcv_html : ""; $str_html .= $sbr_nm1_html ? $sbr_nm1_html : ""; $str_html .= $sbr_ref_html; $str_html .= $sbr_eb_html; $str_html .= $dep_nm1_html ? $dep_nm1_html : ""; $str_html .= $dep_ref_html; $str_html .= $dep_eb_html; $str_html .= "<tr><td colspan=4> </td></tr>" . PHP_EOL; $str_html .= "</tbody>" . PHP_EOL . "</table>" . PHP_EOL; } // return $str_html; }
/** * Create html string for an x12 835 claim payment * * @param array * @param object * @param object * @param array * @param string * * @return string */ function edih_835_transaction_html($trans_array, $codes27x, $codes835, $delimiters, $fname = '') { // $str_html = ""; if (is_array($trans_array) && count($trans_array)) { if (csv_singlerecord_test($trans_array)) { $clp_ar = array(); $clp_ar[] = $trans_array; } else { $clp_ar = $trans_array; } } else { csv_edihist_log("edih_835_transaction_html: Did not get transaction segments"); $str_html .= "<p>Did not get transaction segments</p>" . PHP_EOL; return $str_html; } $de = isset($delimiters['e']) ? $delimiters['e'] : ""; $ds = isset($delimiters['s']) ? $delimiters['s'] : ""; $dr = isset($delimiters['r']) ? $delimiters['r'] : ""; // if (!$de || !$ds) { csv_edihist_log("edih_835_transaction_html: Did not get delimiters"); $str_html .= "<p>Did not get delimiters</p>" . PHP_EOL; return $str_html; } // $fn = $fname ? trim($fname) : ""; // // get the code objects right $cd835 = $cd27x = ''; if ('edih_835_codes' == get_class($codes835)) { $cd835 = $codes835; } elseif ('edih_835_codes' == get_class($codes27x)) { $cd835 = $codes27x; } if ('edih_271_codes' == get_class($codes27x)) { $cd27x = $codes27x; } elseif ('edih_271_codes' == get_class($codes835)) { $cd27x = $codes835; } if (!$cd835 || !$cd27x) { csv_edihist_log('edih_835_payment_html: invalid code class argument'); $str_html .= "<p>invalid code class argument</p>" . PHP_EOL; return $str_html; } // $str_html = ""; // $tblid = ""; $capstr = ""; $mia_str = ""; // $hdr_html = "<tr><th>Reference</th><th colspan=3>Information {$fn}</th></tr>" . PHP_EOL; $hdr_html .= "</thead>" . PHP_EOL . "<tbody>" . PHP_EOL; $clp_html = ""; $svc_html = ""; $sbr_html = ""; $moa_html = ""; // foreach ($clp_ar as $trans) { $lq_ar = array(); $cas_ar = array(); $moa_ar = array(); $rarc_str = ""; $clp_html = ""; $svc_html = ""; $sbr_html = ""; $moa_html = ""; foreach ($trans as $seg) { // if (strncmp('REF' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); // if (isset($sar[1]) && $sar[1]) { if ($sar[1] == 'LU') { $ref01 = 'Location'; $ref02 = isset($sar[2]) ? $cd27x->get_271_code('POS', $sar[2]) : ''; } else { // entity ID code $ref01 = isset($sar[1]) ? $cd27x->get_271_code('REF', $sar[1]) : ''; // entity ID $ref02 = isset($sar[2]) ? $sar[2] : ''; } // if ($loopid == '2100') { $clp_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$ref01}</em> {$ref02}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110') { $svc_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$ref01}</em> {$ref02}</td></tr>" . PHP_EOL; } } // continue; } // if (strncmp('DTM' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); // DTM in 835 use DTP codes from 271 codes $dtm01 = isset($sar[1]) ? $cd27x->get_271_code('DTP', $sar[1]) : ''; // date qualifier $dtm02 = isset($sar[2]) ? edih_format_date($sar[2]) : ''; // production date $dtm05 = isset($sar[5]) ? $sar[5] : ''; $dtm06 = isset($sar[6]) ? edih_format_date($sar[2]) : ''; // //if ( $elem02 == 'D8' && $elem03) { //$dtmar = edih_format_date($elem03); //} elseif ( $elem02 == 'RD8' && $elem03) { //$dtmar = edih_format_date( substr($elem03, 0, 8) ); //$dtmar .= ' - '.edih_format_date( substr($elem03, -8) ); //} //} if ($loopid == '2100') { $clp_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$dtm01}</em> {$dtm02}</td></tr>" . PHP_EOL; } elseif ($loopid == '2110') { $svc_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$dtm01}</em> {$dtm02}</td></tr>" . PHP_EOL; } // continue; } // if (strncmp('PER' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); // $per01_ar = array('CX' => 'Claims Dept', 'BL' => 'Technical Dept', 'IC' => 'Website'); $per01 = $per02 = $per03 = $per04 = $per05 = $per06 = $per07 = $per08 = ''; foreach ($sar as $k => $v) { switch ((int) $k) { case 0: break; case 1: $per01 = isset($per01_ar[$v]) ? $per01_ar[$v] : $v; break; case 2: $per02 = $v; break; case 3: $per03 = $v; break; case 4: $per04 = $per03 == 'TE' ? edih_format_telephone($v) : $v; break; case 5: $per05 = $v; break; case 6: $per06 = $per03 == 'TE' ? edih_format_telephone($v) : $v; break; case 7: $per07 = $v; break; case 8: $per08 = $per03 == 'TE' ? edih_format_telephone($v) : $v; } } // if ($loopid == '2100') { $clp_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$per01} {$per02} {$per03} {$per04} </td></tr>" . PHP_EOL; $clp_html .= $per05 || $per07 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$per05} {$per06} {$per07} {$per08}</td></tr>" . PHP_EOL : ""; } // continue; } // if (strncmp('CLP' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $loopid = '2100'; $cls = 'clp'; // $clp01 = $clp02 = $clp03 = $clp04 = $clp05 = $clp06 = $clp07 = $clp08 = $clp09 = $clp11 = $clp12 = $clp13 = $capstr = ''; // $clp01 = isset($sar[1]) && $sar[1] ? $sar[1] : ''; // Pt ID CLM01 $clp02 = isset($sar[2]) && $sar[2] ? $cd835->get_835_code('CLAIM_STATUS', $sar[2]) : ''; // status code $clp03 = isset($sar[3]) && $sar[3] ? edih_format_money($sar[3]) : '0'; // fee amont $clp04 = isset($sar[4]) && $sar[4] ? edih_format_money($sar[4]) : '0'; // paid amount $clp05 = isset($sar[5]) && $sar[5] ? edih_format_money($sar[5]) : '0'; // pt responsibility amont $clp06 = isset($sar[6]) && $sar[6] ? $cd835->get_835_code('CLP06', $sar[6]) : ''; // filing indicator code $clp07 = isset($sar[7]) && $sar[7] ? $sar[7] : ''; // Payer reference ID $clp08 = isset($sar[8]) && $sar[8] ? "<em>Location</em> " . $cd27x->get_271_code('POS', $sar[8]) : ''; // Faciliy code place of service // frequency type code 1 original 7 replacement 8 void $clp09ar = array('1' => 'original', '7' => 'replacement', '8' => 'void'); if (isset($sar[9]) && array_key_exists($sar[9], $clp09ar)) { // claim frequency code $clp09 = "<em>Freq</em> " . $clp09ar[$sar[9]]; } else { $clp09 = isset($sar[9]) && $sar[9] ? "<em>Freq</em> " . $sar[9] : ""; } // DRG code not expected $clp11 = isset($sar[11]) && $sar[11] ? "<em>DRG Code</em> " . $sar[11] : ''; // DRG weight $clp12 = isset($sar[12]) && $sar[12] ? "<em>DRG Weight</em> " . $sar[12] : ''; // DRG percentage $clp13 = isset($sar[13]) && $sar[13] ? "<em>Dischg Frctn</em> " . edih_format_percent($sar[13]) : ''; // // table caption PtID PtName $capstr .= $clp01; $tblid = $clp01; // $clp_html .= "<tr class='{$cls}'><td><em>Pt ID</em> {$clp01}</td><td colspan=3><em>Status</em> {$clp02} <em>{$clp06}</em></td></tr>" . PHP_EOL; $clp_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>Fee</em> {$clp03} <em>Pmt</em> {$clp04} <em>PtRsp</em> {$clp05} <em>PR Ref</em> {$clp07} </td></tr>" . PHP_EOL; $clp_html .= $clp08 || $clp09 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$clp08} {$clp09}</td></tr>" . PHP_EOL : ""; $clp_html .= $clp11 || $clp12 || $clp13 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$clp11} {$clp12} {$clp13}</td></tr>" . PHP_EOL : ""; // continue; // } if (strncmp('CAS' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); // claim adjustments $cls = $loopid == '2100' ? 'clp' : 'svc'; // claim adjustment group; expect CAS segment for each adjustment group if (isset($sar[1]) && $sar[1]) { $cas_ar[$loopid][$sar[1]] = array_chunk(array_slice($sar, 2), 3); // debug //echo '== array_chunk'.PHP_EOL; //var_dump( $cas_ar ).PHP_EOL; } // continue; // } // if (strncmp('NM1' . $de, $seg, 4) === 0) { $sar = explode($de, $seg); $nm1_str = ""; // if (isset($sar[1]) && $sar[1]) { if (strpos('|IL|QC|72', $sar[1])) { $cls = 'sbr'; } else { $cls = 'clp'; } $descr = $cd27x->get_271_code('NM101', $sar[1]); } else { $cls = 'clp'; $descr = ''; } // $name = isset($sar[3]) && $sar[3] ? $sar[3] : ""; $name .= isset($sar[7]) && $sar[7] ? " {$sar[7]}" : ""; $name .= isset($sar[4]) && $sar[4] ? ", {$sar[4]}" : ""; $name .= isset($sar[5]) && $sar[5] ? " {$sar[5]}" : ""; $name .= isset($sar[6]) && $sar[6] ? " {$sar[6]}" : ""; // $nm108 = isset($sar[8]) && $sar[8] ? $cd27x->get_271_code('NM108', $sar[8]) : ""; $nm109 = isset($sar[9]) && $sar[9] ? $sar[9] : ""; // complete table caption if (isset($sar[1]) && $sar[1] == "QC") { $capstr .= " {$name}"; } // if ($nm108) { $nm1_str .= "<tr class='{$cls}'><td><em>{$descr}</em></td><td colspan=3>{$name} <em>{$nm108}</em> {$nm109}</td></tr>" . PHP_EOL; } else { $nm1_str .= "<tr class='{$cls}'><td><em>{$descr}</em></td><td colspan=3>{$name} </td></tr>" . PHP_EOL; } if ($loopid == '2100') { $clp_html .= $nm1_str; } elseif ($loopid == '2110') { $svc_html .= $nm1_str; } // $descr = $name = $nm108 = $nm109 = ''; continue; } // if (strncmp('MIA' . $de, $seg, 4) === 0) { // Inpatient Adjudication information $sar = explode($de, $seg); // <tr class='mia'><td>></td><td> </td></tr>".PHP_EOL; $tr1 = "<tr class='mia'><td>></td><td colspan=3>"; $tr2 = "</td></tr>" . PHP_EOL; // $mia_str .= isset($sar[1]) && $sar[1] ? $tr1 . "Covered Days or Visits: " . $sar[1] . $tr2 : ""; // days or visits $mia_str .= isset($sar[2]) && $sar[2] ? $tr1 . "PPS Operating Outlier Amt: " . edih_format_money($sar[2]) . $tr2 : ""; $mia_str .= isset($sar[3]) && $sar[3] ? $tr1 . "Lifetime Psychiatric Days: " . $sar[3] . $tr2 : ""; $mia_str .= isset($sar[4]) && $sar[4] ? $tr1 . "Claim DRG Amt: " . edih_format_money($sar[4]) . $tr2 : ""; $mia_str .= isset($sar[5]) && $sar[5] ? "<tr class='mia'><td>" . $sar[5] . "</td><td colspan=3>" . $cd835->get_835_code('RARC', $sar[5]) . $tr2 : ""; $mia_str .= isset($sar[6]) && $sar[6] ? $tr1 . "Claim DSH Amt: " . edih_format_money($sar[6]) . $tr2 : ""; $mia_str .= isset($sar[7]) && $sar[7] ? $tr1 . "Claim MSP Pass Thru Amt: " . edih_format_money($sar[7]) . $tr2 : ""; $mia_str .= isset($sar[8]) && $sar[8] ? $tr1 . "Claim PPS Capital Amt: " . edih_format_money($sar[8]) . $tr2 : ""; $mia_str .= isset($sar[9]) && $sar[9] ? $tr1 . "PPS Capital FSP DRG Amt: " . edih_format_money($sar[9]) . $tr2 : ""; $mia_str .= isset($sar[10]) && $sar[10] ? $tr1 . "PPS Capital HSP DRG Amt: " . edih_format_money($sar[10]) . $tr2 : ""; $mia_str .= isset($sar[11]) && $sar[11] ? $tr1 . "PPS Capital DSH DRG Amt: " . edih_format_money($sar[11]) . $tr2 : ""; $mia_str .= isset($sar[12]) && $sar[12] ? $tr1 . "Old Capital Amt: " . edih_format_money($sar[12]) . $tr2 : ""; $mia_str .= isset($sar[13]) && $sar[13] ? $tr1 . "PPS Capital Ind Med Edu Amt: " . edih_format_money($sar[13]) . $tr2 : ""; $mia_str .= isset($sar[14]) && $sar[14] ? $tr1 . "PPS Oper HSP Spec DRG Amt: " . edih_format_money($sar[14]) . $tr2 : ""; $mia_str .= isset($sar[15]) && $sar[15] ? $tr1 . "Cost Report Day Count: " . $sar[15] . $tr2 : ""; $mia_str .= isset($sar[16]) && $sar[16] ? $tr1 . "PPS Oper FSP Spec DRG Amt: " . edih_format_money($sar[16]) . $tr2 : ""; $mia_str .= isset($sar[17]) && $sar[17] ? $tr1 . "Claim PPS Outlier Amt: " . edih_format_money($sar[17]) . $tr2 : ""; $mia_str .= isset($sar[18]) && $sar[18] ? $tr1 . "Claim Indirect Teaching: " . edih_format_money($sar[18]) . $tr2 : ""; $mia_str .= isset($sar[19]) && $sar[19] ? $tr1 . "Non Pay Prof Component Amt: " . edih_format_money($sar[19]) . $tr2 : ""; $mia_str .= isset($sar[20]) && $sar[20] ? "<tr class='mia'><td>" . $sar[20] . "</td><td colspan=3>" . $cd835->get_835_code('RARC', $sar[20]) . $tr2 : ""; $mia_str .= isset($sar[21]) && $sar[21] ? "<tr class='mia'><td>" . $sar[21] . "</td><td colspan=3>" . $cd835->get_835_code('RARC', $sar[21]) . $tr2 : ""; $mia_str .= isset($sar[22]) && $sar[22] ? "<tr class='mia'><td>" . $sar[22] . "</td><td colspan=3>" . $cd835->get_835_code('RARC', $sar[22]) . $tr2 : ""; // continue; } // if (strncmp('MOA' . $de, $seg, 4) === 0) { // Inpatient Adjudication information $sar = explode($de, $seg); // $moa_str = 'Claim Level Remarks: '; foreach ($sar as $k => $v) { switch ((int) $k) { case 0: break; case 1: $moa_str .= $v ? 'Reimbursement Rate: ' . edih_format_percent($v) : ''; break; case 2: $moa_str .= $v ? 'Allowed Amt: ' . edih_format_money($v) : ''; break; case 8: $moa_str .= $v ? 'ESRD Amt: ' . edih_format_money($v) : ''; break; case 9: $moa_str .= $v ? 'Non-Pay Prof Cmpnt: ' . edih_format_money($v) : ''; break; default: // case 3, 4, 5, 6, 7 are remark codes $moa_str .= $v ? ' ' . $v : ''; $moa_ar[] = $v ? $v : ''; } } // $clp_html .= $moa_str ? "<tr class='{$cls}'><td>></td><td colspan=3>{$moa_str}</td></tr>" . PHP_EOL : ""; // continue; } // if (strncmp('AMT' . $de, $seg, 4) === 0) { // Payment information $sar = explode($de, $seg); // $amt01 = isset($sar[1]) && $sar[1] ? $cd835->get_835_code('AMT', $sar[1]) : ""; $amt02 = isset($sar[2]) && $sar[2] ? edih_format_money($sar[2]) : ""; // if ($loopid == '2100') { $clp_html .= $amt01 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$amt01} {$amt02}</td></tr>" . PHP_EOL : ""; } elseif ($loopid == '2110') { $svc_html .= $amt01 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$amt01} {$amt02}</td></tr>" . PHP_EOL : ""; } // continue; } // if (strncmp('QTY' . $de, $seg, 4) === 0) { // Payment information $sar = explode($de, $seg); // $qty01 = isset($sar[1]) && $sar[1] ? $cd835->get_835_code('AMT', $sar[1]) : ""; $qty02 = isset($sar[2]) && $sar[2] ? edih_format_money($sar[2]) : ""; // if ($loopid == '2100') { $clp_html .= $qty01 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$qty01} {$qty02}</td></tr>" . PHP_EOL : ""; } elseif ($loopid == '2110') { $svc_html .= $qty01 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$qty01} {$qty02}</td></tr>" . PHP_EOL : ""; } // continue; } // if (strncmp('SVC' . $de, $seg, 4) === 0) { // $sar = explode($de, $seg); $loopid = '2110'; $cls = 'svc'; $rarc_str = ''; // used in LQ segment stanza // composite procedure code source:code:modifier:modifier $svc01 = ''; if (isset($sar[1]) && $sar[1]) { // construct a code source code modifier string if (strpos($sar[1], $ds)) { $scda = explode($ds, $sar[1]); reset($scda); while (list($key, $val) = each($scda)) { if ($key == 0 && $val) { $svc01 = $cd27x->get_271_code('EB13', $val); } else { $svc01 .= ":" . $val; } } } else { $svc01 = $sar[1]; } } // $svc02 = isset($sar[2]) && $sar[2] ? edih_format_money($sar[2]) : ""; // billed amount $svc03 = isset($sar[3]) && $sar[3] ? edih_format_money($sar[3]) : ""; // paid amount $svc04 = isset($sar[4]) && $sar[4] ? "<em>NUBC</em> " . $sar[4] : ""; // NUBC revenue code $svc05 = isset($sar[5]) && $sar[5] ? "<em>Units</em> " . $sar[5] : ""; // quantity // $svc06 = ''; if (isset($sar[6]) && $sar[6]) { // construct a code source code modifier string if (strpos($sar[6], $ds)) { $scda = explode($ds, $sar[6]); reset($scda); while (list($key, $val) = each($scda)) { if ($key == 0 && $val) { $svc06 = $cd27x->get_271_code('EB13', $val) . " "; } else { $svc06 .= ":" . $val; } } } else { $svc06 = $sar[6]; } } $svc07 = isset($sar[7]) && $sar[7] ? $sar[7] : ""; // original unis of service // $svc_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>Service</em> {$svc01} <em>Fee</em> {$svc02} <em>Pmt</em> {$svc03} {$svc05} {$svc04}</td></tr>" . PHP_EOL; $svc_html .= $svc06 ? "<tr class='{$cls}'><td>></td><td colspan=3><em>Submitted Svc</em> {$svc06} <em>Units</em> {$svc07}</td></tr>" . PHP_EOL : ""; // continue; } // if (strncmp('LQ' . $de, $seg, 3) === 0) { $sar = explode($de, $seg); // Health Care Remark Codes $lq01 = isset($sar[1]) && $sar[1] ? $sar[1] : ""; if (isset($sar[2])) { $lq02 = $lq01 == 'HE' ? $sar[2] : ""; //$lq02 = $cd835->get_835_code('RARC', $sar[2]); $rarc_str .= $rarc_str ? ' ' . $sar[2] : '<em>Service Remarks</em> ' . $sar[2]; $lq_ar[] = $sar[2]; } else { $lq02 = ""; } //$lq02 = (isset($sar[2]) && $sar[2] && $lq01 == 'HE') ? $cd835->get_835_code('RARC', $sar[2]) : ""; // // $svc_html .= ($rarc_str) ? "<tr class='$cls'><td>></td><td colspan=3>$rarc_str</td></tr>".PHP_EOL : ""; // continue; } // } // end foreach trans as seg // assemble the html table at end of the inside foreach loop // $str_html .= "<table name='{$tblid}' class='h835c' columns=4><caption>{$capstr}</caption>" . PHP_EOL . "<thead>" . PHP_EOL; $str_html .= $hdr_html; $str_html .= $sbr_html; $str_html .= $clp_html; $str_html .= $mia_str ? $mia_str : ''; $str_html .= $svc_html; $str_html .= $rarc_str ? "<tr class='svc'><td>></td><td colspan=3>{$rarc_str}</td></tr>" . PHP_EOL : ""; if (count($cas_ar)) { foreach ($cas_ar as $key => $cas) { if (!is_array($cas) && !count($cas)) { continue; } if ($key == '2100' && count($cas)) { $cls = 'remc'; $str_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>Claim Level Adjustments</em></td></tr>" . PHP_EOL; } else { $cls = 'rems'; $str_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>Service Level Adjustments</em></td></tr>" . PHP_EOL; } $cg = ''; foreach ($cas as $ky => $trp) { //echo '==== cas_ar unwind cas as ky trp '.$ky.PHP_EOL; //var_dump ($trp).PHP_EOL; // if (!is_array($trp) && !count($trp)) { continue; } $cg = $cd835->get_835_code('CAS_GROUP', $ky); foreach ($trp as $tr) { // debug //echo '==== cas_ar unwind trp as tr '.PHP_EOL; //var_dump ($tr).PHP_EOL; // $cd = $cr = $ca = $cq = ''; foreach ($tr as $k => $c) { //echo '==== cas_ar unwind tr as k c '.$k.PHP_EOL; //var_dump ($c).PHP_EOL; // switch ((int) $k) { case 0: $cd = $c; $cr = $cd835->get_835_code('CARC', $c); break; case 1: $ca = $c ? edih_format_money($c) : ""; break; case 2: $cq = $c ? $c : ""; } } } // $str_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$ky} {$cg} {$cd} {$ca} {$cq}</td></tr>" . PHP_EOL; $str_html .= "<tr class='{$cls}'><td style='text-align: center;'>{$ky} {$cd}</td><td colspan=3>{$cr}</td></tr>" . PHP_EOL; } } } if (count($moa_ar)) { $cls = 'remc'; $str_html .= "<tr class='{$cls}'><td colspan=4><em>Remarks</em></td></tr>" . PHP_EOL; foreach ($moa_ar as $moa) { $moar = $cd835->get_835_code('RARC', $moa); $str_html .= "<tr class='{$cls}'><td style='text-align: center;'>{$moa}</td><td colspan=3>{$moar}</td></tr>" . PHP_EOL; } } if (count($lq_ar)) { $cls = 'mia'; $str_html .= $rarc_str ? "<tr class='{$cls}'><td colspan=4>{$rarc_str}</td></tr>" . PHP_EOL : ""; foreach ($lq_ar as $lq) { $lqr = $cd835->get_835_code('RARC', $lq); $str_html .= "<tr class='{$cls}'><td style='text-align: center;'>{$lq}</td><td colspan=3>{$lqr}</td></tr>" . PHP_EOL; } } // bottom border $str_html .= "<tr class='remc'><td colspan=4> </td></tr>" . PHP_EOL; // end tags for table $str_html .= "</tbody>" . PHP_EOL . "</table>" . PHP_EOL; } // return $str_html; }