/**
* Create an html report on rejected files or transactions
*
* @uses edih_997_ta1_code()
* @uses edih_997_code_text()
* @uses edih_rsp_st_match()
*
* @param object
* @return array
*/
function edih_997_err_report($err_array)
{
//
if (!is_array($err_array) || !count($err_array)) {
$str_html = "Error: invalid argument for error report";
csv_edihist_log('edih_997_err_report: invalid function argument');
return $str_html;
}
//
$str_html = "";
$batchfile = "";
//
if (isset($err_array['summary'])) {
extract($err_array['summary'], EXTR_OVERWRITE);
//
$str_html .= "<p class='rpt997'>" . PHP_EOL;
$str_html .= isset($sub_icn) ? "<em>Submitted ICN</em> {$sub_icn}" : "Submitted file unknown";
$str_html .= isset($subdate) ? " <em>Date</em> " . edih_format_date($subdate) : "";
$str_html .= isset($subtime) ? " <em>Time</em> {$subtime}<br />" : "<br />";
$str_html .= isset($ackcode) ? " TA1 {$ackcode} : " . edih_997_ta1_code($ackcode) . " <br />" : "";
$str_html .= isset($acknote) ? " TA1 {$acknote} : " . edih_997_ta1_code($acknote) . " <br />" . PHP_EOL : "<br />" . PHP_EOL;
if (isset($fg_type)) {
$fgtp = csv_file_type($fg_type);
$str_html .= " <em>Functional Group Type</em> {$fg_type} ({$fgtp})";
$str_html .= isset($fg_id) ? " <em>GS06</em> {$fg_id} <br />" . PHP_EOL : "<br />" . PHP_EOL;
}
//
//$str_html .= "</p>".PHP_EOL;
//
$str_html .= isset($ak901) ? "999/997 {$ak901} " . edih_997_code_text('ak501', $ak901) . "<br />" : "";
$str_html .= isset($ak902) ? " Transactions: submitted {$ak902}" : " ";
$str_html .= isset($ak903) ? " received {$ak903}" : "";
$str_html .= isset($ak904) ? " accepted {$ak904}" : "";
$str_html .= isset($ak905) && $ak905 ? "<br />{$ak905} " . edih_997_code_text('ak502', $ak905) . "<br />" : "";
$str_html .= isset($ak906) && $ak906 ? $ak906 . " " . edih_997_code_text('ak502', $ak906) . "<br />" : "";
$str_html .= isset($ak907) && $ak907 ? $ak907 . " " . edih_997_code_text('ak502', $ak907) . "<br />" : "";
$str_html .= isset($ak908) && $ak908 ? $ak908 . " " . edih_997_code_text('ak502', $ak908) . "<br />" : "";
$str_html .= isset($ak909) && $ak909 ? $ak909 . " " . edih_997_code_text('ak502', $ak909) . "<br />" : "";
//
$str_html .= "</p>" . PHP_EOL;
}
//
foreach ($err_array['err'] as $k => $v) {
//
$ct = $k + 1;
$icn = isset($sub_icn) ? $sub_icn : '';
$stn = isset($v['substn']) ? $v['substn'] : '';
$rtp = isset($v['subtype']) ? $v['subtype'] : '';
//
$str_html .= "<p class='err997'>" . PHP_EOL;
$str_html .= "Error {$ct} ";
$str_html .= $stn ? "<em>ST</em> {$stn} <br />" : "<br />";
//
if ($icn && $stn && $rtp) {
$trc = sprintf("%s%04d", $icn, $stn);
$srch = array('s_val' => $trc, 's_col' => 4, 'r_cols' => 'All');
// array('s_val'=>'0024', 's_col'=>9, 'r_cols'=>array(1, 2, 7)),
$trn_ar = csv_search_record($rtp, 'claim', $srch);
if (is_array($trn_ar) && count($trn_ar)) {
//'f837':array('PtName', 'SvcDate', 'CLM01', 'InsLevel', 'BHT03', 'FileName', 'Fee', 'PtPaid', 'Provider' );
//'f276':array('PtName', 'SvcDate', 'CLM01', 'ClaimID', 'BHT03', 'FileName', 'Payer', 'Trace'); break;
//'f270':array('PtName', 'ReqDate', 'Trace', 'InsBnft', 'BHT03', 'FileName', 'Payer'); break;
$pt_name = $trn_ar[0][0];
// $trn_ar['PtName'];
$clm01 = $rtp == 'f837' ? $trn_ar[0][2] : $trn_ar[0][4];
// $trn_ar['CLM01'] : $trn_ar['BHT03'];
$svcdate = $trn_ar[0][1];
// ($rtp == 'f270') ? $trn_ar['ReqDate'] : $trn_ar['SvcDate'];
$btfn = $trn_ar[0][5];
// $trn_ar['FileName'];
$str_html .= "{$pt_name} {$svcdate} <em>Trace</em> <a class='rpt' href='edih_main.php?gtbl=claim&fname={$btfn}&ftype={$rtp}&pid={$clm01}&fmt=seg'>{$clm01}</a> <br />" . PHP_EOL;
} else {
$str_html .= "Unable to locate transaction <em>Trace</em> {$trc} <br />" . PHP_EOL;
}
} else {
$str_html .= "Unable to trace, did not get all of icn, type, and st number <br />" . PHP_EOL;
}
//
$str_html .= isset($v['ctxacct']) ? "<em>Transaction ID</em> " . $v['ctxacct'] : "";
$str_html .= isset($v['ik3segid']) ? " Segment <em>ID</em> " . $v['ik3segid'] : "";
$str_html .= isset($v['ik3segpos']) ? " <em>Position</em> " . $v['ik3segpos'] : "";
$str_html .= isset($v['ik3loop']) ? " <em>Loop</em> " . $v['ik3loop'] : "";
$str_html .= isset($v['ik3code']) ? "<br /> <em>Code</em> " . $v['ik3code'] . " " . edih_997_code_text('ak304', $v['ik3code']) . "<br />" : "<br />";
//
$str_html .= isset($v['ctxid']) ? "Situational " . PHP_EOL . "<em>Segment</em> " . $v['ctxid'] : "";
$str_html .= isset($v['ctxpos']) ? " <em>Position</em> " . $v['ctxpos'] : "";
$str_html .= isset($v['ctxloop']) ? " <em>Position</em> " . $v['ctxloop'] : "";
$str_html .= isset($v['ctxelem']) ? " <em>Element</em> " . $v['ctxelem'] . "<br />" . PHP_EOL : PHP_EOL;
//
$str_html .= isset($v['ik401']) ? "Data Element <em>element</em> " . $v['ik401'] : "";
$str_html .= isset($v['ik402']) ? " <em>ref</em> " . $v['ik402'] : "";
$str_html .= isset($v['ik404']) ? " <em>data</em> " . $v['ik404'] : "";
$str_html .= isset($v['ik403']) ? "<br /> <em>code</em> " . $v['ik403'] . " " . edih_997_code_text('ak403', $v['ik403']) . "<br />" : "<br />";
//
$str_html .= isset($v['ik501']) && $v['ik501'] ? "<em>Status</em> " . $v['ik501'] . " " . edih_997_code_text('ak501', $v['ik501']) . "<br />" : "";
$str_html .= isset($v['ik502']) && $v['ik502'] ? " <em>code</em> " . $v['ik502'] . " " . edih_997_code_text('ak502', $v['ik502']) . "<br />" : "";
$str_html .= isset($v['ik503']) && $v['ik503'] ? " <em>code</em> " . $v['ik503'] . " " . edih_997_code_text('ak502', $v['ik503']) . "<br />" : "";
$str_html .= isset($v['ik504']) && $v['ik504'] ? " <em>code</em> " . $v['ik504'] . " " . edih_997_code_text('ak502', $v['ik504']) . "<br />" : "";
$str_html .= isset($v['ik505']) && $v['ik505'] ? " <em>code</em> " . $v['ik505'] . " " . edih_997_code_text('ak502', $v['ik505']) . "<br />" : "";
//
$str_html .= "</p>" . PHP_EOL;
}
return $str_html;
}
/**
* create a display for an individual claim status response
*
* @uses csv_check_x12_obj()
* @uses edih_271_transaction_html()
*
* @param string $filename the filename
* @param string $bht03 identifier from 837 CLM or BHT segment
*
* @return string either an error message or an html table
*/
function edih_271_html($filename, $bht03 = '')
{
// create a display for an individual 277 response
$html_str = '';
//
if ($filename) {
$obj271 = csv_check_x12_obj($filename, 'f271');
if ('edih_x12_file' == get_class($obj271)) {
if ($bht03) {
// particular transaction
$html_str .= edih_271_transaction_html($obj271, $bht03);
} else {
// file contents
$env_ar = $obj271->edih_envelopes();
if (!isset($env_ar['ST'])) {
$html_str .= "<p>edih_271_html: file parse error, envelope error</p>" . PHP_EOL;
$html_str .= $obj271->edih_message();
return $html_str;
} else {
$html_str .= "<div id='accordion'>" . PHP_EOL;
}
foreach ($env_ar['ST'] as $st) {
foreach ($env_ar['GS'] as $gs) {
if ($gs['icn'] != $st['icn']) {
continue;
}
if ($gs['gsn'] == $st['gsn']) {
$gs_date = edih_format_date($gs['date']);
$gs_sender = $gs['sender'];
break;
}
}
//
// get each transaction
foreach ($st['bht03'] as $bht) {
$html_str .= "<h3>{$bht} Benefit Eligibility</h3>" . PHP_EOL;
$html_str .= "<div id='ac_{$bht}'>" . PHP_EOL;
//
$html_str .= edih_271_transaction_html($obj271, $bht);
//
$html_str .= "</div>" . PHP_EOL;
}
$html_str .= "</div>" . PHP_EOL;
}
}
} else {
$html_str .= "<p>edih_271_html: file parse error</p>" . PHP_EOL;
}
} else {
csv_edihist_log("edih_271_html: error in file arguments");
$html_str .= "Error: invalid file name<br />" . PHP_EOL;
return $html_str;
}
//
return $html_str;
}
/**
* create a display for an individual authorization response
*
* @uses csv_check_x12_obj()
* @uses edih_278_transaction_html
*
* @param string $filename the filename
* @param string $bht03 identifier from 837 CLM or27 BHT segment
*
* @return string either an error message or an html table
*/
function edih_278_html($filename, $bht03 = '')
{
// create a display for an individual 277 response
$html_str = '';
//
if (!$filename) {
csv_edihist_log("edih_278_html: called with no file arguments");
$html_str .= "Error, no file given<br />" . PHP_EOL;
return $html_str;
} else {
$obj278 = csv_check_x12_obj($filename, 'f278');
if ($obj278 && 'edih_x12_file' == get_class($obj278)) {
if ($bht03) {
// particular transaction
$html_str .= edih_278_transaction_html($obj278, $bht03);
} else {
// file contents
$env_ar = $obj278->edih_envelopes();
if (!isset($env_ar['ST'])) {
$html_str .= "<p>edih_278_html: file parse error, envelope error</p>" . PHP_EOL;
$html_str .= $obj278->edih_message();
return $html_str;
} else {
$html_str .= "<div id='accordion'>" . PHP_EOL;
}
foreach ($env_ar['ST'] as $st) {
foreach ($env_ar['GS'] as $gs) {
if ($gs['icn'] != $st['icn']) {
continue;
}
if ($gs['gsn'] == $st['gsn']) {
$gs_date = edih_format_date($gs['date']);
$gs_sender = $gs['sender'];
break;
}
}
//
// get each transaction
foreach ($st['bht03'] as $bht) {
$html_str .= "<h3>{$bht} Services Review</h3>" . PHP_EOL;
$html_str .= "<div id='ac_{$bht}'>" . PHP_EOL;
//
$html_str .= edih_278_transaction_html($obj278, $bht);
//
$html_str .= "</div>" . PHP_EOL;
}
$html_str .= "</div>" . PHP_EOL;
}
}
} else {
csv_edihist_log("edih_278_html: error in retreiving file object");
$html_str .= "<p>x12 278 file parse error</p>" . PHP_EOL;
}
}
//
return $html_str;
}
/**
* create a display for an individual claim status response
*
* @uses csv_check_x12_obj()
* @uses edih_277_transaction_html()
*
* @param string $filename the filename
* @param string $clm01 identifier from 837 CLM of BHT segment
*
* @return string either an error message or a table with the information from the response
*/
function edih_277_html($filename, $bht03 = '')
{
// create a display for an individual 277 response
$html_str = '';
//
if ($filename) {
$fn = $filename;
} else {
csv_edihist_log("edih_277_html: called with no file arguments");
$html_str .= "Error, no file given<br />" . PHP_EOL;
return $html_str;
}
if ($fn) {
$obj277 = csv_check_x12_obj($fn, 'f277');
if ($obj277 && 'edih_x12_file' == get_class($obj277)) {
if ($bht03) {
// particular transaction
$html_str .= edih_277_transaction_html($obj277, $bht03);
} else {
// file contents
$env_ar = $obj277->edih_envelopes();
if (!isset($env_ar['ST'])) {
$html_str .= "<p>edih_277_html: file parse error, envelope error</p>" . PHP_EOL;
$html_str .= $obj277->edih_message();
return $html_str;
} else {
$html_str .= "<div id='accordion'>" . PHP_EOL;
}
foreach ($env_ar['ST'] as $st) {
foreach ($env_ar['GS'] as $gs) {
if ($gs['icn'] != $st['icn']) {
continue;
} else {
$gs_date = edih_format_date($gs['date']);
$gs_sender = $gs['sender'];
break;
}
}
//
// get each transaction
foreach ($st['bht03'] as $bht) {
//$html_str .= "<h3>$bht Claim Status <em>Date</em> $gs_date <em>Source</em> $gs_sender</h3>".PHP_EOL;
//$html_str .= "<div id='ac_$bht'>".PHP_EOL;
//
$html_str .= edih_277_transaction_html($obj277, $bht, true);
//
//$html_str .= "</div>".PHP_EOL;
}
}
$html_str .= "</div>" . PHP_EOL;
}
} else {
$html_str .= "<p>{$filename} : file parse error</p>" . PHP_EOL;
}
} else {
$html_str .= "Error with file name or file parsing <br />" . PHP_EOL;
csv_edihist_log("edih_277_html: error in retreiving file object");
return $html_str;
}
//
return $html_str;
}
/**
* Create an HTML rendition of the 835 check payment transaction.
*
*
* @param array
* @param object
* @param object
* @param array
* @param string
*
* @return string HTML table
*/
function edih_835_payment_html($segments, $codes27x, $codes835, $delimiters, $fname = '')
{
//
$str_html = '';
$pid = $chk = '';
if (is_array($segments) && count($segments)) {
$trans_ar = $segments;
} else {
csv_edihist_log("edih_835_payment_html: invalid segments argument");
$str_html .= "<p>invalid segments argument</p>" . PHP_EOL;
return $str_html;
}
if (is_array($delimiters) && count($delimiters)) {
$de = $delimiters['e'];
$ds = $delimiters['s'];
$dr = $delimiters['r'];
} else {
csv_edihist_log("edih_835_payment_html: invalid delimiters argument");
$str_html .= "<p>invalid delimiters argument</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;
}
//
// collect all strings into this variable
$str_html = "";
//
$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;
$pmt_html = "";
$src_html = "";
$rcv_html = "";
$lx_html = "";
$clp_html = "";
$trl_html = "";
//
$acctng = array('pmt' => 0, 'fee' => 0, 'clmpmt' => 0, 'clmadj' => 0, 'ptrsp' => 0, 'svcptrsp' => 0, 'svcfee' => 0, 'svcadj' => 0, 'plbadj' => 0);
//
foreach ($trans_ar as $trans) {
$clpsegs = array();
$lx_ar = array();
$clp_ct = 0;
$lx_ct = 0;
$loop = '';
$lxkey = '';
$capstr = "Remittance ";
$tblid = "";
//
foreach ($trans as $seg) {
//
if (strncmp('ST' . $de, $seg, 3) === 0) {
$loopid = 'header';
continue;
}
//
if (strncmp('BPR' . $de, $seg, 4) === 0) {
$loopid = 'header';
$cls = 'pmt';
//
$acctng = array('pmt' => 0, 'fee' => 0, 'clmpmt' => 0, 'clmadj' => 0, 'ptrsp' => 0, 'svcptrsp' => 0, 'svcfee' => 0, 'svcpmt' => 0, 'svcadj' => 0, 'plbadj' => 0);
//
$sar = explode($de, $seg);
$bpr01 = isset($sar[1]) && $sar[1] ? $cd835->get_835_code('BPR01', $sar[1]) : '';
// handling code
$bpr02 = isset($sar[2]) && $sar[2] ? edih_format_money($sar[2]) : '';
// full payment amount
$bpr03 = isset($sar[3]) && $sar[3] == 'D' ? 'Debit' : 'Credit';
// credit or debit flag
$bpr04 = isset($sar[4]) && $sar[4] ? $sar[4] : '';
// payment method ACH|CHK|NON
$bpr05 = isset($sar[5]) && $sar[5] ? $sar[5] : '';
// payment format code CCP|CTX
$bpr06 = isset($sar[6]) && $sar[6] ? $sar[6] : '';
// DFI ID qualifier
$bpr07 = isset($sar[7]) && $sar[7] ? $sar[7] : '';
// bank ID
$bpr08 = isset($sar[8]) && $sar[8] ? $sar[8] : '';
// account no. qualifier DA
$bpr09 = isset($sar[9]) && $sar[9] ? $sar[9] : '';
// sender account number
$bpr10 = isset($sar[10]) && $sar[10] ? $sar[10] : '';
// originating company ID
$bpr11 = isset($sar[11]) && $sar[11] ? $sar[11] : '';
// originating company supplemental ID
$bpr12 = isset($sar[12]) && $sar[12] ? $sar[12] : '';
// deposit acount ID
$bpr13 = isset($sar[13]) && $sar[13] ? $sar[13] : '';
// deposit bank ID
$bpr14 = isset($sar[14]) && $sar[14] ? $sar[14] : '';
// account type DA deposit SG savings
$bpr15 = isset($sar[15]) && $sar[15] ? $sar[15] : '';
// account number
$bpr16 = isset($sar[16]) && $sar[16] ? edih_format_date($sar[16]) : '';
// check or payment date
//
if ($bpr04 == 'NON') {
$pmt_html .= "<tr class='{$cls}'><td>{$bpr16}</td><td>{$bpr03} {$bpr04}</td><td colspan=2>Non Payment</td></tr>" . PHP_EOL;
} else {
$pmt_html .= "<tr class='{$cls}'><td>{$bpr16}</td><td>{$bpr03} {$bpr04}</td><td colspan=2>{$bpr02} to {$bpr13} {$bpr12} {$bpr14}</td></tr>" . PHP_EOL;
}
if (strpos('|ACH|BOP|FWT', $bpr04)) {
$pmt_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$bpr05} from: {$bpr07} {$bpr09} {$bpr10}</td></tr>" . PHP_EOL;
}
$pmt_html .= $bpr11 ? "<tr class='{$cls}'><td>></td><td colspan=3><em>Pmt No.</em> {$bpr11} {$bpr01}</td></tr>" . PHP_EOL : "";
$acctng['pmt'] = isset($sar[2]) && $sar[2] ? (double) $sar[2] : "";
//
continue;
}
//
if (strncmp('TRN' . $de, $seg, 4) === 0) {
$sar = explode($de, $seg);
//
$trn01 = isset($sar[1]) && $sar[1] ? $sar[1] : '';
// trace type code
$trn02 = isset($sar[2]) && $sar[2] ? $sar[2] : '';
// trace number (= BPR11)
$trn03 = isset($sar[3]) && $sar[3] ? $sar[3] : '';
// originator ID
$trn04 = isset($sar[4]) && $sar[4] ? $sar[4] : '';
// originator supplemental ID
if ($trn03[0] == '1') {
$trn03 = substr($trn03, 1);
}
// originator ID is '1' prepended to EIN or TIN
// the html ID for the table
$tblid = $trn02 ? $trn02 : "";
$capstr .= $trn02 ? "Check No: " . $trn02 : "Payment Listing";
//
$pmt_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>Trace</em> {$trn02} <em>by</em> {$trn03} {$trn04}</td></tr>" . PHP_EOL;
//
continue;
}
//
if (strncmp('CUR' . $de, $seg, 4) === 0) {
$sar = explode($de, $seg);
//
$cur01 = isset($sar[1]) ? $sar[1] : '';
// entity ID code
$cur02 = isset($sar[2]) ? $sar[2] : '';
// currency code
//
$pmt_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>Trace</em> {$cur02} by {$cur03} {$cur04}</td></tr>" . PHP_EOL;
//
continue;
}
//
if (strncmp('REF' . $de, $seg, 4) === 0) {
$sar = explode($de, $seg);
//
$ref01 = isset($sar[1]) ? $cd27x->get_271_code('REF', $sar[1]) : '';
// entity ID code
$ref02 = isset($sar[2]) ? $sar[2] : '';
// entity ID
//
if ($loopid == 'header') {
// should not be present for payee receiver
$pmt_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$ref01}</em> {$ref02}</td></tr>" . PHP_EOL;
} elseif ($loopid == '1000A') {
// source
$src_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$ref01}</em> {$ref02}</td></tr>" . PHP_EOL;
} elseif ($loopid == '1000B') {
// receiver
$rcv_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$ref01}</em> {$ref02}</td></tr>" . PHP_EOL;
} elseif ($loopid == '2100') {
//
$clpsegs[] = $seg;
} elseif ($loopid == '2110') {
//
$clpsegs[] = $seg;
}
//
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 == 'header') {
// should not be present for payee or receiver
$pmt_html .= "<tr class='{$cls}'><td>></td><td colspan=3><em>{$dtm01}</em> {$dtm02}</td></tr>" . PHP_EOL;
} elseif ($loopid == '2100') {
$clpsegs[] = $seg;
} elseif ($loopid == '2110') {
$clpsegs[] = $seg;
}
//
continue;
}
//
if (strncmp('N1' . $de, $seg, 3) === 0) {
$sar = explode($de, $seg);
//
$n101 = isset($sar[1]) ? $cd27x->get_271_code('NM101', $sar[1]) : '';
// entity ID code
$n102 = isset($sar[2]) ? $sar[2] : '';
// name
$n103 = isset($sar[3]) ? $cd27x->get_271_code('NM108', $sar[3]) : '';
// entity ID type code
$n104 = isset($sar[4]) ? $sar[4] : '';
//
if ($loopid == 'header') {
$loopid = '1000A';
$cls = 'src';
$src_html .= "<tr class='{$cls}'><td><em>{$n101}</em></td><td colspan=3>{$n102} <em>{$n103}</em> {$n104}</td></tr>" . PHP_EOL;
} elseif ($loopid == '1000A') {
$loopid = '1000B';
$cls = 'rcv';
$rcv_html .= "<tr class='{$cls}'><td><em>{$n101}</em></td><td colspan=3>{$n102} <em>{$n103}</em> {$n104}</td></tr>" . PHP_EOL;
}
//
continue;
}
//
if (strncmp('N3' . $de, $seg, 3) === 0) {
$sar = explode($de, $seg);
//
$n301 = isset($sar[1]) ? $sar[1] : '';
// address
$n302 = isset($sar[2]) ? $sar[2] : '';
// address line 2
//
if ($loopid == '1000A') {
$src_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$n301} {$n302}</td></tr>" . PHP_EOL;
} elseif ($loopid == '1000B') {
$rcv_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$n301} {$n302}</td></tr>" . PHP_EOL;
}
//
continue;
}
//
if (strncmp('N4' . $de, $seg, 3) === 0) {
$sar = explode($de, $seg);
//
$n401 = isset($sar[1]) ? $sar[1] : '';
// city
$n402 = isset($sar[2]) ? $sar[2] : '';
// state
$n403 = isset($sar[3]) ? $sar[3] : '';
// Postal
$n404 = isset($sar[4]) ? $sar[4] : '';
// Country
$n407 = isset($sar[7]) ? $sar[7] : '';
// Country subdivision
//
if ($loopid == '1000A') {
$src_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$n401} {$n402} {$n403}</td></tr>" . PHP_EOL;
$src_html .= $n404 || $n407 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$n404} {$n405}</td></tr>" . PHP_EOL : "";
} elseif ($loopid == '1000B') {
$rcv_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$n401} {$n402} {$n403}</td></tr>" . PHP_EOL;
$rcv_html .= $n404 || $n407 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$n404} {$n405}</td></tr>" . PHP_EOL : "";
}
//
continue;
}
//
if (strncmp('PER' . $de, $seg, 4) === 0) {
if ($loopid == '2100' || $loopid == '2100') {
// loop 2100 only
$clpsegs[] = $seg;
continue;
}
$sar = explode($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 == '1000A') {
$src_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$per01} {$per02} {$per03} {$per04} </td></tr>" . PHP_EOL;
$src_html .= $per05 || $per07 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$per05} {$per06} {$per07} {$per08}</td></tr>" . PHP_EOL : "";
} elseif ($loopid == '1000B') {
$rcv_html .= "<tr class='{$cls}'><td>></td><td colspan=3>{$per01} {$per02} {$per03} {$per04} </td></tr>" . PHP_EOL;
$rcv_html .= $per05 || $per07 ? "<tr class='{$cls}'><td>></td><td colspan=3>{$per05} {$per06} {$per07} {$per08}</td></tr>" . PHP_EOL : "";
}
//
continue;
}
//
if (strncmp('RDM' . $de, $seg, 4) === 0) {
// remittance delivery method
// loop 1000B -- add to pmt information
$sar = explode($de, $seg);
//
$rdm01 = isset($sar[1]) ? $sar[1] : '';
if ($sar[1] == 'BM') {
$rdm01 = 'By mail';
} elseif ($sar[1] == 'EM') {
$rdm01 = 'By e-mail';
} elseif ($sar[1] == 'FT') {
$rdm01 = 'By file transfer';
} elseif ($sar[1] == 'OL') {
$rdm01 = 'By online';
}
$rdm02 = isset($sar[2]) ? $sar[2] : '';
// name
$rdm03 = isset($sar[3]) ? $sar[3] : '';
// number
//
$pmt_html .= "<tr class='{$cls}'><td>{$rdm01}</td><td colspan=3>{$rdm02} {$rdm03}</td></tr>" . PHP_EOL;
//
continue;
}
//
if (strncmp('LX' . $de, $seg, 3) === 0) {
// LX can end loop 1000B or a claim grouping
if ($loopid == '1000B') {
// finish off pmt, src, and rcv
$rcv_html .= "</tbody>" . PHP_EOL . "</table>" . PHP_EOL;
} elseif ($loopid == '2110') {
if ($lxkey && array_key_exists($lxkey, $lx_ar)) {
// LX claim grouping -- cannot predict detail
// LX can follow loop 2110
if (count($clpsegs)) {
$clp_html .= edih_835_transaction_html($clpsegs, $codes27x, $codes835, $delimiters);
$clpsegs = array();
}
$nlx_html = $lx_html ? "<table name='lx_{$lxkey}' class='h835c' columns=4>" . PHP_EOL . "<tbody>" . PHP_EOL . $lx_html . PHP_EOL : "";
$lx_ar[$lxkey]['lx'] = $nlx_html;
$lx_ar[$lxkey]['clp'] = $clp_html;
$lx_html = "";
$clp_html = "";
$clpsegs = array();
}
}
$sar = explode($de, $seg);
$lxkey = isset($sar[1]) && $sar[1] ? $sar[1] : '';
// identify a grouping for claim info
$lx_ar[$lxkey] = array();
//
$loopid = '2000';
$cls = 'lx';
//$lx_ct = count($lx_ar);
$lx_html .= $lxkey ? "<tr class='{$cls}'><td colspan=4><em>Claim Group</em> {$lxkey}</td></tr>" . PHP_EOL : "";
continue;
}
//
if (strncmp('TS3' . $de, $seg, 4) === 0) {
$sar = explode($de, $seg);
// this looks like a medicare part A or hospital remittance segment
// segment TS2 gives DRG totals -- not read in this sequence. If you need it, code it
$loopid = '2000';
$ts301 = isset($sar[1]) && $sar[1] ? $sar[1] : '';
// Provider ID
$ts302 = isset($sar[2]) && $sar[2] ? $cd27x->get_271_code('POS', $sar[2]) : '';
// Facility Code (place of service)
$ts303 = isset($sar[3]) && $sar[3] ? edih_format_date($sar[3]) : '';
// date - last day of provider fiscal year
$ts304 = isset($sar[4]) && $sar[4] ? $sar[4] : '';
// quantity
$ts305 = isset($sar[5]) && $sar[5] ? edih_format_money($sar[5]) : '';
// monetary amount
//
$lx_html .= "<tr class='{$cls}'><td><em>Prv</em> {$ts301}</td><td colspan=3>{$ts302} <em>Count</em> {$ts304} <em>Amount</em> {$ts305}</td></tr>" . PHP_EOL;
//
// Medicare Part A
$tr1 = "<tr class='{$cls}'><td>></td><td colspan=3>";
$tr2 = "</td></tr>" . PHP_EOL;
//
$lx_html .= isset($sar[13]) && $sar[13] ? $tr1 . "Total MSP Payer Amt: " . edih_format_money($sar[13]) . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[15]) && $sar[15] ? $tr1 . "Total Non-Lab Chrg Amt: " . edih_format_money($sar[15]) . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[17]) && $sar[17] ? $tr1 . "Total HCPCS Rpt Chrg Amt: " . edih_format_money($sar[17]) . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[18]) && $sar[18] ? $tr1 . "Total HCPCS Payable Amt: " . edih_format_money($sar[18]) . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[20]) && $sar[20] ? $tr1 . "Total Prof Cmpnt Amt: " . edih_format_money($sar[20]) . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[21]) && $sar[21] ? $tr1 . "Total MSP Pt Liab Met Amt: " . edih_format_money($sar[21]) . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[22]) && $sar[22] ? $tr1 . "Total MSP Pt Reimb Amt: " . edih_format_money($sar[22]) . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[23]) && $sar[23] ? $tr1 . "Total PIP Claim Count: " . $sar[23] . $tr2 . PHP_EOL : "";
$lx_html .= isset($sar[24]) && $sar[24] ? $tr1 . "Total PIP Claim Count: " . edih_format_money($sar[24]) . $tr2 . PHP_EOL : "";
//
continue;
}
//
if (strncmp('TS2' . $de, $seg, 4) === 0) {
csv_edihist_log("edih_835_transaction_html: segment TS2 present in {$fn}");
// Medicare Part A
$tr1 = "<tr class='{$cls}'><td>></td><td colspan=3>";
$tr2 = "</td></tr>" . PHP_EOL;
//
$lx_html .= isset($sar[1]) && $sar[1] ? $tr1 . "Total DRG Amt: " . edih_format_money($sar[1]) . $tr2 : "";
$lx_html .= isset($sar[2]) && $sar[2] ? $tr1 . "Total Fed Specific Amt: " . edih_format_money($sar[2]) . $tr2 : "";
$lx_html .= isset($sar[3]) && $sar[3] ? $tr1 . "Total Hosp Specific Amt: " . edih_format_money($sar[3]) . $tr2 : "";
$lx_html .= isset($sar[4]) && $sar[4] ? $tr1 . "Total DSP Share Amt: " . edih_format_money($sar[4]) . $tr2 : "";
$lx_html .= isset($sar[5]) && $sar[5] ? $tr1 . "Total Capital Amt: " . edih_format_money($sar[5]) . $tr2 : "";
$lx_html .= isset($sar[6]) && $sar[6] ? $tr1 . "Total Ind Med Edu Amt: " . edih_format_money($sar[6]) . $tr2 : "";
$lx_html .= isset($sar[7]) && $sar[7] ? $tr1 . "Total Outlier Day Amt: " . edih_format_money($sar[7]) . $tr2 : "";
$lx_html .= isset($sar[8]) && $sar[8] ? $tr1 . "Total Day Outlier Day Amt: " . edih_format_money($sar[8]) . $tr2 : "";
$lx_html .= isset($sar[9]) && $sar[9] ? $tr1 . "Total Cost Outlier Day Amt: " . edih_format_money($sar[9]) . $tr2 : "";
$lx_html .= isset($sar[10]) && $sar[10] ? $tr1 . "Avg DRG Length of Stay: " . $sar[10] . $tr2 : "";
$lx_html .= isset($sar[11]) && $sar[11] ? $tr1 . "Total Discharge Count: " . $sar[11] . $tr2 : "";
$lx_html .= isset($sar[12]) && $sar[12] ? $tr1 . "Total Cost Rpt Day Count: " . $sar[12] . $tr2 : "";
$lx_html .= isset($sar[13]) && $sar[13] ? $tr1 . "Total Covered Day Count: " . $sar[13] . $tr2 : "";
$lx_html .= isset($sar[14]) && $sar[14] ? $tr1 . "Total Non Covered Day Count: " . $sar[14] . $tr2 : "";
$lx_html .= isset($sar[15]) && $sar[15] ? $tr1 . "Total MSP Pass-Thru Amt: " . edih_format_money($sar[15]) . $tr2 : "";
$lx_html .= isset($sar[16]) && $sar[16] ? $tr1 . "Avg DRG Weight: " . $sar[16] . $tr2 : "";
$lx_html .= isset($sar[17]) && $sar[17] ? $tr1 . "Total PPS Capital FSP DRG Amt: " . edih_format_money($sar[17]) . $tr2 : "";
$lx_html .= isset($sar[18]) && $sar[18] ? $tr1 . "Total PPS Capital FSP HSP Amt: " . edih_format_money($sar[18]) . $tr2 : "";
$lx_html .= isset($sar[19]) && $sar[19] ? $tr1 . "Total PPS DSH DRG Amt: " . edih_format_money($sar[19]) . $tr2 : "";
//
continue;
}
if (strncmp('PLB' . $de, $seg, 4) === 0) {
// can signal end of claim transaction
$loopid = 'summary';
$cls = 'pmt';
//if (count($clpsegs)) {
//$clp_html .= edih_835_transaction_html($clpsegs, $codes27x, $codes835, $delimiters);
//$clpsegs = array();
//}
//
$sar = explode($de, $seg);
// provider ID and fiscal year end date
$plb01 = isset($sar[1]) && $sar[1] ? $sar[1] : "";
$plb02 = isset($sar[2]) && $sar[2] ? edih_format_date($sar[2]) : "";
//
$pmt_html .= "<tr class='{$cls}'><td><em>Provider</em></td><td colspan=3>{$plb01} {$plb02}</td></tr>" . PHP_EOL;
//
$plbar = array_slice($sar, 2);
$plbar = array_chunk($plbar, 2);
// reason code and amount
foreach ($plbar as $plb) {
foreach ($plb as $k => $p) {
// PLB 3, 5, 7, 9, 11, 13
// composite element 'code:reference'
if ($k == 0) {
if ($p && strpos($p, $ds)) {
$plb_rc = substr($p, 0, strpos($p, $ds));
// code
$plb_tr = substr($p, strpos($p, $ds) + 1);
// reference (case #)?
} else {
$plb_rc = $p ? $p : "";
$plb_tr = "";
}
$plb_rt = $plb_rc ? $cd835->get_835_code('PLB', $plb_rc) : "";
} else {
// PLB 4, 6, 8, 10, 12, 14
// monetary amount
$plb_amt = $p ? edih_format_money($p) : "";
$acctng['plbadj'] += $p ? (double) $p : 0;
}
}
$pmt_html .= "<tr class='{$cls}'><td>{$plb_tr}</td><td colspan=3>{$plb_rc} {$plb_rt} {$plb_amt}</td></tr>" . PHP_EOL;
}
//
continue;
}
//
if (strncmp('SE' . $de, $seg, 3) === 0) {
// end of payment transaction, so create the html page
$loopid = 'trailer';
$cls = 'pmt';
// include our accounting totals
if (is_array($acctng) && count($acctng)) {
array_walk($acctng, 'edih_round_cb');
$bal = $acctng['fee'] == $acctng['pmt'] + $acctng['clmadj'] + $acctng['svcadj'] + $acctng['svcptrsp'] + $acctng['plbadj'] ? "Balanced" : "Not Balanced";
$acct_str = "{$bal}: <em>Fee</em> {$acctng['fee']} <em>Pmt</em> {$acctng['pmt']} ";
$acct_str .= "<em>ClpAdj</em> {$acctng['clmadj']} <em>SvcAdj</em> {$acctng['svcadj']} ";
$acct_str .= "<em>PtRsp</em> {$acctng['ptrsp']} (<em>svcPtRsp</em> {$acctng['svcptrsp']}) <em>PlbAdj</em> {$acctng['plbadj']} ";
//
$pmt_html .= "<tr class='{$cls}'><td colspan=4>{$acct_str}</td></tr>" . PHP_EOL;
}
//
// create the html page
$str_html .= "<table id={$tblid} class='h835' columns=4><caption>{$capstr}</caption>" . PHP_EOL;
$str_html .= $hdr_html;
if ($pmt_html) {
$str_html .= $pmt_html;
$pmt_html = "";
}
if ($src_html) {
$str_html .= $src_html;
$src_html = "";
}
if ($rcv_html) {
$str_html .= $rcv_html;
$rcv_html = "";
}
//
if (count($lx_ar)) {
// claim segments are in lx array
// make sure we have current collection
if ($lxkey && array_key_exists($lxkey, $lx_ar)) {
if (count($clpsegs)) {
$clp_html .= edih_835_transaction_html($clpsegs, $codes27x, $codes835, $delimiters);
$clpsegs = array();
}
// note: table ending in CLP if stanza
$nlx_html = "<table name='lx_{$lxkey}' class='h835c' columns=4>" . PHP_EOL . "<tbody>" . PHP_EOL . $lx_html . PHP_EOL;
$lx_ar[$lxkey]['lx'] = $nlx_html;
$lx_ar[$lxkey]['clp'] = $clp_html;
$lx_html = "";
$clp_html = "";
$clpsegs = array();
}
// append segments to html
foreach ($lx_ar as $key => $val) {
$str_html .= $val['lx'];
$str_html .= $val['clp'];
}
} elseif ($lx_html) {
$str_html .= $lx_html;
$lx_html = "";
}
//
if (count($clpsegs)) {
// would be captured in LX and lx array
$clp_html .= edih_835_transaction_html($clpsegs, $codes27x, $codes835, $delimiters);
$clpsegs = array();
}
if ($clp_html) {
$str_html .= $clp_html;
$clp_html = "";
}
if ($trl_html) {
$str_html .= $trl_html;
$trl_html = "";
}
//$str_html .= "</tbody>".PHP_EOL."</table>".PHP_EOL;
//
continue;
}
if (strncmp('CLP' . $de, $seg, 4) === 0) {
if ($loopid == '1000B') {
// end of 1000B (receiver) loop
$rcv_html .= $clp_ct ? "" : "</tbody>" . PHP_EOL . "</table>" . PHP_EOL;
} elseif ($loopid == '2000') {
// end of LX header (LX TS3 TS2 claim grouping)
$lx_html .= $clp_ct ? "" : "</tbody>" . PHP_EOL . "</table>" . PHP_EOL;
}
$loopid = '2100';
//array('pmt'=>0, 'clmpmt'=>0, 'clmadj'=0, 'prvadj'=>0, 'ptrsp'=>0,'lx'=>array());
$sar = explode($de, $seg);
$acctng['fee'] += isset($sar[3]) && $sar[3] ? (double) $sar[3] : 0;
$acctng['clmpmt'] += isset($sar[4]) && $sar[4] ? (double) $sar[4] : 0;
$acctng['ptrsp'] += isset($sar[5]) && $sar[5] ? (double) $sar[5] : 0;
//
if (count($clpsegs)) {
$clp_html .= edih_835_transaction_html($clpsegs, $codes27x, $codes835, $delimiters);
}
$clpsegs = array();
$clpsegs[] = $seg;
$clp_ct++;
continue;
}
if (strncmp('SVC' . $de, $seg, 4) === 0) {
$loopid = '2110';
$sar = explode($de, $seg);
$pmtm = $pmts = 1;
foreach ($sar as $k => $v) {
if ($k == 2) {
$svcfee = $v ? (double) $v : 0;
} elseif ($k == 3) {
$svcpmt = $v ? (double) $v : 0;
} elseif ($k == 5) {
$pmtm = $v ? (int) $v : 1;
} elseif ($k == 7) {
$pmts = $v ? (int) $v : 1;
}
}
$acctng['svcfee'] += $svcfee * $pmts;
$acctng['svcpmt'] += $svcpmt * $pmtm;
//
$clpsegs[] = $seg;
continue;
}
if (strncmp('CAS' . $de, $seg, 4) === 0) {
$sar = explode($de, $seg);
// category
$ctg = isset($sar[1]) && $sar[1] ? $sar[1] : 'CO';
// slice sar array to get triplet elements
// chunk into triplets
$sar1 = array_slice($sar, 2);
$sar1 = array_chunk($sar1, 3);
//
foreach ($sar1 as $cas) {
$cav = 0;
$cq = '';
foreach ($cas as $k => $v) {
if ($k == 1) {
// monetary amount elem 3, 6, 9, 12, 15, 18
$cav = $v ? $v : 0;
} elseif ($k == 2) {
// quantity elem 4, 7, 10, 13, 16, 19
$cq = $v ? $v : "";
if ($cq && strcmp($cq, '1') > 0) {
$cav = $cav * $cq;
}
}
}
if ($ctg == 'PR') {
$acctng['svcptrsp'] += $cav ? (double) $cav : 0;
} else {
$acctky = $loopid == '2100' ? 'clmadj' : 'svcadj';
$acctng[$acctky] += $cav ? (double) $cav : 0;
}
}
$clpsegs[] = $seg;
continue;
}
// uncaught segments should be routed by this
if ($loopid == '2100' || $loopid == '2110') {
$clpsegs[] = $seg;
continue;
}
}
// end foreach(trans as seg)
}
// end foreach(trans_ar as trans)
//
return $str_html;
}