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Refactor UB04 837i X12 feature to make work again. (#7412) #7414

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Apr 30, 2024
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Refactor UB04 837i X12 feature to make work again. (#7412) #7414

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49 changes: 26 additions & 23 deletions interface/billing/ub04_dispose.php
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Original file line number Diff line number Diff line change
Expand Up @@ -6,15 +6,14 @@
* @package OpenEMR
* @link http://www.open-emr.org
* @author Jerry Padgett <sjpadgett@gmail.com>
* @copyright Copyright (c) 2017 Jerry Padgett <sjpadgett@gmail.com>
* @copyright Copyright (c) 2017-2024 Jerry Padgett <sjpadgett@gmail.com>
* @license https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
*/

require_once("../globals.php");

use OpenEMR\Billing\BillingUtilities;
use OpenEMR\Billing\Claim;
use OpenEMR\Billing\X125010837I;
use OpenEMR\Pdf\PdfCreator;

function ub04_dispose()
Expand All @@ -41,8 +40,8 @@ function ub04_dispose()
saveTemplate($encounter, $pid, $ub04id, $dispose);
exit("done");
} elseif ($dispose == "reset_claim") {
$pid = isset($_POST['pid']) ? $_POST['pid'] : $_GET['pid'];
$encounter = isset($_POST['encounter']) ? $_POST['encounter'] : $_GET['encounter'];
$pid = $_POST['pid'] ?? $_GET['pid'];
$encounter = $_POST['encounter'] ?? $_GET['encounter'];
// clear claim first otherwise get ub04 returns cuurent version.
//
$flg = exist_ub04_claim($pid, $encounter, true);
Expand Down Expand Up @@ -72,7 +71,7 @@ function get_payer_defaults($payerid)
function savePayerTemplate($payerid, $ubo4id)
{
$ub04id = json_encode($ub04id);
sqlStatement("update insurance_companies set claim_template= ? where id = ?", array(
sqlStatement("update insurance_companies set claim_template = ? where id = ?", array(
$ubo4id,
$payerid
));
Expand Down Expand Up @@ -120,8 +119,8 @@ function buildTemplate(string $pid = null, string $encounter = null, $htmlin, st

function ub04Dispose($dispose = 'download', $htmlin = "", $filename = "ub04.pdf", $form_action = "")
{
$top = isset($_POST["left_ubmargin"]) ? $_POST["left_ubmargin"] : $GLOBALS['left_ubmargin_default'];
$side = isset($_POST["top_ubmargin"]) ? $_POST["top_ubmargin"] : $GLOBALS['top_ubmargin_default'];
$top = $_POST["left_ubmargin"] ?? $GLOBALS['left_ubmargin_default'];
$side = $_POST["top_ubmargin"] ?? $GLOBALS['top_ubmargin_default'];
$form_filename = $GLOBALS['OE_SITE_DIR'] . "/documents/edi/$filename";
// convert points to inches-some tricky calculus here! 72 pts/inch
$top = round($top / 72.00, 2) . "in";
Expand All @@ -146,7 +145,9 @@ function ub04Dispose($dispose = 'download', $htmlin = "", $filename = "ub04.pdf"
'no-images' => $isnotform,
'grayscale' => true,
'page-size' => 'Letter',
'orientation' => 'Portrait'
'orientation' => 'Portrait',
'load-media-error-handling' => 'ignore',
'load-error-handling' => 'ignore'
);

$PdfCreator = new PdfCreator();
Expand Down Expand Up @@ -183,7 +184,7 @@ function exist_ub04_claim($pid, $encounter, $flag = false)
$encounter
));
if ($row) {
if (! empty($row['submitted_claim'])) {
if (!empty($row['submitted_claim'])) {
if ($flag === false) {
return $row['submitted_claim'];
} else {
Expand Down Expand Up @@ -247,8 +248,8 @@ function get_ub04_array($pid, $encounter, &$log = "")
$clm_amount_adjusted = 0;
$clm_amount_paid = $ub04_proc_index ? 0 : $claim->patientPaidAmount();
for ($tlh = 0; $tlh < $proccount; ++$tlh) {
$tmp = $claim->procs[$tlh][code_text];
if ($claim->procs[$tlh][code_type] == 'HCPCS') {
$tmp = $claim->procs[$tlh]['code_text'];
if ($claim->procs[$tlh]['code_type'] == 'HCPCS') {
$tmpcode = '3';
} else {
$tmpcode = '1';
Expand All @@ -265,7 +266,9 @@ function get_ub04_array($pid, $encounter, &$log = "")
}
}
foreach ($revcode as $key => $row) {
$revcod[$key] = $row['revenue_code'];
if (!empty($row)) {
$revcod[$key] = $row['revenue_code'];
}
}
array_multisort($revcod, SORT_ASC, $revcode2);
// Procedure loop starts here.
Expand Down Expand Up @@ -294,10 +297,10 @@ function get_ub04_array($pid, $encounter, &$log = "")
$mcnt = $ub04_proc_index;

// @todo need if inpatient or out patient for box 74 - 74e
$tmp = $claim->cleanDate($revcode2[$mcnt][date]);
$tmp = $claim->cleanDate($revcode2[$mcnt]['date']);
$sdate = substr($tmp, 4, 2) . substr($tmp, 6, 2) . substr($tmp, 2, 2);
if ($pcnt < 6) {
$ub04id[$dos++] = $revcode2[$mcnt][code]; /* 74. PRINCIPAL PROCEDURE CODE */
$ub04id[$dos++] = $revcode2[$mcnt]['code']; /* 74. PRINCIPAL PROCEDURE CODE */
$ub04id[$dos++] = $sdate; /* 74. PRINCIPAL PROCEDURE DATE */
if ($dos == 388) {
$dos = 393;
Expand All @@ -307,12 +310,12 @@ function get_ub04_array($pid, $encounter, &$log = "")
// @todo Deal with code modifiers $revcode2[$mcnt][modifier]
$tmp = $claim->serviceDate();
$sdate = substr($tmp, 4, 2) . substr($tmp, 6, 2) . substr($tmp, 2, 2);
$ub04id[$os] = $claim->procs[$mcnt][revenue_code]; // 42. REVENUE CODE, Line 1-23 */
$ub04id[++$os] = strtoupper($revcode2[$mcnt][code_text]); /* 43. REVENUE DESCRIPTION, Line 1-23 */
$ub04id[++$os] = trim($revcode2[$mcnt][code] . ' ' . $revcode2[$mcnt][modifier]); /* 44. HCPCS/ACCOMMODATION RATES/HIPPS RATE CODES, Line 1-23 */
$ub04id[$os] = $claim->procs[$mcnt]['revenue_code']; // 42. REVENUE CODE, Line 1-23 */
$ub04id[++$os] = strtoupper($revcode2[$mcnt]['code_text']); /* 43. REVENUE DESCRIPTION, Line 1-23 */
$ub04id[++$os] = trim($revcode2[$mcnt]['code'] . ' ' . $revcode2[$mcnt]['modifier']); /* 44. HCPCS/ACCOMMODATION RATES/HIPPS RATE CODES, Line 1-23 */
$ub04id[++$os] = $sdate; /* 45. SERVICE DATE, Line 1-23 */
$ub04id[++$os] = $revcode2[$mcnt][units]; /* 46. SERVICE UNITS, Line 1-23 */
$ub04id[++$os] = str_replace('.', ' ', sprintf('%8.2f', $revcode2[$mcnt][fee])); /* 47. TOTAL CHARGES, Line 1-23 */
$ub04id[++$os] = $revcode2[$mcnt]['units']; /* 46. SERVICE UNITS, Line 1-23 */
$ub04id[++$os] = str_replace('.', ' ', sprintf('%8.2f', $revcode2[$mcnt]['fee'])); /* 47. TOTAL CHARGES, Line 1-23 */
$ub04id[++$os] = ''; /* 48. NON-COVERED CHARGES, Line 1-23 */
$os += 2;
}
Expand Down Expand Up @@ -347,10 +350,10 @@ function get_ub04_array($pid, $encounter, &$log = "")
}
}
// @todo Not sure
$ub04id[367] = $diagnosis[0] ? substr($diagnosis[0], 0, 7) : ''; /* 69. ADMITTING DIAGNOSIS CODE */
$ub04id[368] = $diagnosis[1] ? substr($diagnosis[1], 0, 7) : ''; /* 70a. PATIENT'S REASON FOR VISIT */
$ub04id[369] = $diagnosis[2] ? substr($diagnosis[2], 0, 7) : ''; /* 70b. PATIENT'S REASON FOR VISIT */
$ub04id[370] = $diagnosis[3] ? substr($diagnosis[3], 0, 7) : ''; /* 70c. PATIENT'S REASON FOR VISIT */
$ub04id[367] = $diagnosis[0] ?? '' ? substr($diagnosis[0], 0, 7) : ''; /* 69. ADMITTING DIAGNOSIS CODE */
$ub04id[368] = $diagnosis[1] ?? '' ? substr($diagnosis[1], 0, 7) : ''; /* 70a. PATIENT'S REASON FOR VISIT */
$ub04id[369] = $diagnosis[2] ?? '' ? substr($diagnosis[2], 0, 7) : ''; /* 70b. PATIENT'S REASON FOR VISIT */
$ub04id[370] = $diagnosis[3] ?? '' ? substr($diagnosis[3], 0, 7) : ''; /* 70c. PATIENT'S REASON FOR VISIT */

$payer_os = 0;
if (empty($claim->payerName(0))) {
Expand Down
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