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fix: post adjustment bug contractual obligations (openemr#7187)
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* fix: post adjustment bug contractual obligations

* use elseif

(cherry picked from commit 4bafa59)
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stephenwaite authored and sjpadgett committed Feb 22, 2024
1 parent f162c07 commit 8f1e07f
Showing 1 changed file with 38 additions and 41 deletions.
79 changes: 38 additions & 41 deletions interface/billing/sl_eob_process.php
Original file line number Diff line number Diff line change
Expand Up @@ -373,7 +373,7 @@ function era_callback(&$out)

// This reports detail lines already on file for this service item.
if ($prev) {
$codetype = $codes[$codekey]['code_type']; //store code type
$codetype = $codes[$codekey]['code_type'] ?? 'none'; //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'] ?? null));
Expand All @@ -386,19 +386,6 @@ function era_callback(&$out)
$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 { // If the service item is not in our database...
// This is not an error. If we are not in error mode and not debugging,
Expand Down Expand Up @@ -546,36 +533,46 @@ function era_callback(&$out)

writeMessageLine($bgcolor, $class, $description . ' ' .
sprintf("%.2f", $adj['amount']));
} else { // Other group codes for primary insurance are real adjustments.
if (!$error && !$debug) {
SLEOB::arPostAdjustment(
$pid,
$encounter,
$InsertionId[$out['check_number']],
$adj['amount'], //$InsertionId[$out['check_number']] gives the session id
$codekey,
substr($inslabel, 3),
"Adjust code " . $adj['reason_code'],
$debug,
'',
$codetype ?? '',
$out['payer_claim_id']
);
$invoice_total -= $adj['amount'];
}

writeDetailLine(
$bgcolor,
$class,
$patient_name,
$invnumber,
} elseif (
$svc['paid'] == 0
&& !(
$adj['group_code'] == "CO"
&& (
$adj['reason_code'] == '45'
|| $adj['reason_code'] == '59'
)
)
) {
$class = 'errdetail';
$error = true;
} elseif (!$error && !$debug) {
SLEOB::arPostAdjustment(
$pid,
$encounter,
$InsertionId[$out['check_number']],
$adj['amount'], //$InsertionId[$out['check_number']] gives the session id
$codekey,
$production_date,
$description,
0 - $adj['amount'],
($error ? '' : $invoice_total)
substr($inslabel, 3),
"Adjust code " . $adj['reason_code'],
$debug,
'',
$codetype ?? '',
$out['payer_claim_id']
);
$invoice_total -= $adj['amount'];
}

writeDetailLine(
$bgcolor,
$class,
$patient_name,
$invnumber,
$codekey,
$production_date,
$description,
0 - $adj['amount'],
($error ? '' : $invoice_total)
);
}
} // End of service item

Expand Down

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