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portal_payment.php
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portal_payment.php
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<?php
/**
*
* namespace OnsitePortal
*
* @package OpenEMR
* @link http:https://www.open-emr.org
* @author Rod Roark <[email protected]>
* @author Jerry Padgett <[email protected]>
* @author Brady Miller <[email protected]>
* @copyright Copyright (c) 2006-2020 Rod Roark <[email protected]>
* @copyright Copyright (c) 2016-2019 Jerry Padgett <[email protected]>
* @copyright Copyright (c) 2019 Brady Miller <[email protected]>
* @license https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
*/
// Will start the (patient) portal OpenEMR session/cookie.
require_once(__DIR__ . "/../src/Common/Session/SessionUtil.php");
OpenEMR\Common\Session\SessionUtil::portalSessionStart();
$isPortal = false;
if (isset($_SESSION['pid']) && isset($_SESSION['patient_portal_onsite_two'])) {
$pid = $_SESSION['pid'];
$ignoreAuth_onsite_portal = true;
$isPortal = true;
require_once(__DIR__ . "/../interface/globals.php");
} else {
OpenEMR\Common\Session\SessionUtil::portalSessionCookieDestroy();
$ignoreAuth = false;
require_once(__DIR__ . "/../interface/globals.php");
if (!isset($_SESSION['authUserID'])) {
$landingpage = "index.php";
header('Location: ' . $landingpage);
exit();
}
}
require_once(__DIR__ . "/lib/appsql.class.php");
require_once("$srcdir/patient.inc.php");
require_once("$srcdir/payment.inc.php");
require_once("$srcdir/forms.inc.php");
require_once("../custom/code_types.inc.php");
require_once("$srcdir/options.inc.php");
require_once("$srcdir/encounter_events.inc.php");
use OpenEMR\Billing\BillingUtilities;
use OpenEMR\Common\Crypto\CryptoGen;
use OpenEMR\Common\Csrf\CsrfUtils;
use OpenEMR\Common\Utils\FormatMoney;
use OpenEMR\PaymentProcessing\Sphere\SpherePayment;
$cryptoGen = new CryptoGen();
$appsql = new ApplicationTable();
$pid = isset($_REQUEST['pid']) ? $_REQUEST['pid'] : $pid;
$pid = $_REQUEST['hidden_patient_code'] > 0 ? $_REQUEST['hidden_patient_code'] : $pid;
$recid = isset($_REQUEST['recid']) ? (int) $_REQUEST['recid'] : 0;
$adminUser = '';
$portalPatient = '';
$query = "SELECT pao.portal_username as recip_id, Concat_Ws(' ', patient_data.fname, patient_data.lname) as username FROM patient_data " .
"LEFT JOIN patient_access_onsite pao ON pao.pid = patient_data.pid " .
"WHERE patient_data.pid = ? AND pao.portal_pwd_status = 1";
$portalPatient = sqlQueryNoLog($query, $pid);
if ($_SESSION['authUserID']) {
$query = "SELECT users.username as recip_id, users.authorized as dash, CONCAT(users.fname,' ',users.lname) as username " .
"FROM users WHERE id = ?";
$adminUser = sqlQueryNoLog($query, $_SESSION['authUserID']);
}
if ($recid) {
$edata = $appsql->getPortalAuditRec($recid);
} else {
$edata = $appsql->getPortalAudit($pid, 'review', 'payment');
}
$ccdata = array();
$invdata = array();
if ($edata) {
$ccdata = json_decode($cryptoGen->decryptStandard($edata['checksum']), true);
$invdata = json_decode($edata['table_args'], true);
echo "<script>var jsondata='" . $edata['table_args'] . "';var ccdata='" . $edata['checksum'] . "'</script>";
}
// Display a row of data for an encounter.
//
$var_index = 0;
$sum_charges = $sum_ptpaid = $sum_inspaid = $sum_duept = $sum_copay = $sum_patcopay = $sum_balance = 0;
function echoLine($iname, $date, $charges, $ptpaid, $inspaid, $duept, $encounter = 0, $copay = 0, $patcopay = 0)
{
global $sum_charges, $sum_ptpaid, $sum_inspaid, $sum_duept, $sum_copay, $sum_patcopay, $sum_balance;
global $var_index;
$var_index++;
$balance = FormatMoney::getBucks($charges - $ptpaid - $inspaid);
$balance = (round($duept, 2) != 0) ? 0 : $balance; // if balance is due from patient, then insurance balance is displayed as zero
$encounter = $encounter ? $encounter : '';
echo " <tr id='tr_" . attr($var_index) . "' >\n";
echo " <td class='detail'>" . text(oeFormatShortDate($date)) . "</td>\n";
echo " <td class='detail' id='" . attr($date) . "' align='left'>" . text($encounter) . "</td>\n";
echo " <td class='detail' align='center' id='td_charges_$var_index' >" . text(FormatMoney::getBucks($charges)) . "</td>\n";
echo " <td class='detail' align='center' id='td_inspaid_$var_index' >" . text(FormatMoney::getBucks($inspaid * -1)) . "</td>\n";
echo " <td class='detail' align='center' id='td_ptpaid_$var_index' >" . text(FormatMoney::getBucks($ptpaid * -1)) . "</td>\n";
echo " <td class='detail' align='center' id='td_patient_copay_$var_index' >" . text(FormatMoney::getBucks($patcopay)) . "</td>\n";
echo " <td class='detail' align='center' id='td_copay_$var_index' >" . text(FormatMoney::getBucks($copay)) . "</td>\n";
echo " <td class='detail' align='center' id='balance_$var_index'>" . text(FormatMoney::getBucks($balance)) . "</td>\n";
echo " <td class='detail' align='center' id='duept_$var_index'>" . text(FormatMoney::getBucks(round($duept, 2) * 1)) . "</td>\n";
echo " <td class='detail' align='center'><input class='form-control' name='" . attr($iname) . "' id='paying_" . attr($var_index) .
"' " . " value='" . '' . "' onchange='coloring();calctotal()' autocomplete='off' " . "onkeyup='calctotal()'/></td>\n";
echo " </tr>\n";
$sum_charges += (float)$charges * 1;
$sum_ptpaid += (float)$ptpaid * -1;
$sum_inspaid += (float)$inspaid * -1;
$sum_duept += (float)$duept * 1;
$sum_patcopay += (float)$patcopay * 1;
$sum_copay += (float)$copay * 1;
$sum_balance += (float)$balance * 1;
}
// We use this to put dashes, colons, etc. back into a timestamp.
//
function decorateString($fmt, $str)
{
$res = '';
while ($fmt) {
$fc = substr($fmt, 0, 1);
$fmt = substr($fmt, 1);
if ($fc == '.') {
$res .= substr($str, 0, 1);
$str = substr($str, 1);
} else {
$res .= $fc;
}
}
return $res;
}
// Compute taxes from a tax rate string and a possibly taxable amount.
//
function calcTaxes($row, $amount)
{
$total = 0;
if (empty($row['taxrates'])) {
return $total;
}
$arates = explode(':', $row['taxrates']);
if (empty($arates)) {
return $total;
}
foreach ($arates as $value) {
if (empty($value)) {
continue;
}
$trow = sqlQuery("SELECT option_value FROM list_options WHERE " . "list_id = 'taxrate' AND option_id = ? LIMIT 1", array($value
));
if (empty($trow['option_value'])) {
echo "<!-- Missing tax rate '" . text($value) . "'! -->\n";
continue;
}
$tax = sprintf("%01.2f", $amount * $trow['option_value']);
// echo "<!-- Rate = '$value', amount = '$amount', tax = '$tax' -->\n";
$total += $tax;
}
return $total;
}
$now = time();
$today = date('Y-m-d', $now);
$timestamp = date('Y-m-d H:i:s', $now);
$patdata = sqlQuery("SELECT " . "p.fname, p.mname, p.lname, p.postal_code, p.pubpid,p.pid, i.copay " . "FROM patient_data AS p " . "LEFT OUTER JOIN insurance_data AS i ON " . "i.pid = p.pid AND i.type = 'primary' " . "WHERE p.pid = ? ORDER BY i.date DESC LIMIT 1", array($pid
));
$alertmsg = ''; // anything here pops up in an alert box
// If the Save button was clicked...
if ($_POST['form_save']) {
$form_pid = $_POST['form_pid'];
$form_method = trim($_POST['form_method']);
$form_source = trim($_POST['form_source']);
$patdata = getPatientData($form_pid, 'fname,mname,lname,pubpid');
$NameNew = $patdata['fname'] . " " . $patdata['lname'] . " " . $patdata['mname'];
if ($_REQUEST['radio_type_of_payment'] == 'pre_payment') {
$payment_id = sqlInsert(
"insert into ar_session set " .
"payer_id = ?" .
", patient_id = ?" .
", user_id = ?" .
", closed = ?" .
", reference = ?" .
", check_date = now() , deposit_date = now() " .
", pay_total = ?" .
", payment_type = 'patient'" .
", description = ?" .
", adjustment_code = 'pre_payment'" .
", post_to_date = now() " .
", payment_method = ?",
array(0, $form_pid, $_SESSION['authUserID'], 0, $form_source, $_REQUEST['form_prepayment'], $NameNew, $form_method)
);
frontPayment($form_pid, 0, $form_method, $form_source, $_REQUEST['form_prepayment'], 0, $timestamp);//insertion to 'payments' table.
}
if ($_POST['form_upay'] && $_REQUEST['radio_type_of_payment'] != 'pre_payment') {
foreach ($_POST['form_upay'] as $enc => $payment) {
if ($amount = (float)$payment) {
$zero_enc = $enc;
//----------------------------------------------------------------------------------------------------
//Fetching the existing code and modifier
$ResultSearchNew = sqlStatement(
"SELECT * FROM billing LEFT JOIN code_types ON billing.code_type=code_types.ct_key " .
"WHERE code_types.ct_fee=1 AND billing.activity!=0 AND billing.pid =? AND encounter=? ORDER BY billing.code,billing.modifier",
array($form_pid, $enc)
);
if ($RowSearch = sqlFetchArray($ResultSearchNew)) {
$Codetype = $RowSearch['code_type'];
$Code = $RowSearch['code'];
$Modifier = $RowSearch['modifier'];
} else {
$Codetype = '';
$Code = '';
$Modifier = '';
}
//----------------------------------------------------------------------------------------------------
if ($_REQUEST['radio_type_of_payment'] == 'copay') {//copay saving to ar_session and ar_activity tables
$session_id = sqlInsert(
"INSERT INTO ar_session (payer_id,user_id,reference,check_date,deposit_date,pay_total," .
" global_amount,payment_type,description,patient_id,payment_method,adjustment_code,post_to_date) " .
" VALUES ('0',?,?,now(),now(),?,'','patient','COPAY',?,?,'patient_payment',now())",
array($_SESSION['authUserID'], $form_source, $amount, $form_pid, $form_method)
);
sqlBeginTrans();
$sequence_no = sqlQuery("SELECT IFNULL(MAX(sequence_no),0) + 1 AS increment FROM ar_activity WHERE pid = ? AND encounter = ?", array($form_pid, $enc));
$insrt_id = sqlInsert(
"INSERT INTO ar_activity (pid,encounter,sequence_no,code_type,code,modifier,payer_type,post_time,post_user,session_id,pay_amount,account_code)" .
" VALUES (?,?,?,?,?,?,0,now(),?,?,?,'PCP')",
array($form_pid, $enc, $sequence_no['increment'], $Codetype, $Code, $Modifier, $_SESSION['authUserID'], $session_id, $amount)
);
sqlCommitTrans();
frontPayment($form_pid, $enc, $form_method, $form_source, $amount, 0, $timestamp);//insertion to 'payments' table.
}
if ($_REQUEST['radio_type_of_payment'] == 'invoice_balance' || $_REQUEST['radio_type_of_payment'] == 'cash') { //Payment by patient after insurance paid, cash patients similar to do not bill insurance in feesheet.
if ($_REQUEST['radio_type_of_payment'] == 'cash') {
sqlStatement(
"update form_encounter set last_level_closed=? where encounter=? and pid=? ",
array(4, $enc, $form_pid)
);
sqlStatement(
"update billing set billed=? where encounter=? and pid=?",
array(1, $enc, $form_pid)
);
}
$adjustment_code = 'patient_payment';
$payment_id = sqlInsert(
"insert into ar_session set " .
"payer_id = ?" .
", patient_id = ?" .
", user_id = ?" .
", closed = ?" .
", reference = ?" .
", check_date = now() , deposit_date = now() " .
", pay_total = ?" .
", payment_type = 'patient'" .
", description = ?" .
", adjustment_code = ?" .
", post_to_date = now() " .
", payment_method = ?",
array(0, $form_pid, $_SESSION['authUserID'], 0, $form_source, $amount, $NameNew, $adjustment_code, $form_method)
);
//--------------------------------------------------------------------------------------------------------------------
frontPayment($form_pid, $enc, $form_method, $form_source, 0, $amount, $timestamp);//insertion to 'payments' table.
//--------------------------------------------------------------------------------------------------------------------
$resMoneyGot = sqlStatement(
"SELECT sum(pay_amount) as PatientPay FROM ar_activity where deleted IS NULL AND pid =? and " .
"encounter =? and payer_type=0 and account_code='PCP'",
array($form_pid, $enc)
);//new fees screen copay gives account_code='PCP'
$rowMoneyGot = sqlFetchArray($resMoneyGot);
$Copay = $rowMoneyGot['PatientPay'];
//--------------------------------------------------------------------------------------------------------------------
//Looping the existing code and modifier
$ResultSearchNew = sqlStatement(
"SELECT * FROM billing LEFT JOIN code_types ON billing.code_type=code_types.ct_key WHERE code_types.ct_fee=1 " .
"AND billing.activity!=0 AND billing.pid =? AND encounter=? ORDER BY billing.code,billing.modifier",
array($form_pid, $enc)
);
while ($RowSearch = sqlFetchArray($ResultSearchNew)) {
$Codetype = $RowSearch['code_type'];
$Code = $RowSearch['code'];
$Modifier = $RowSearch['modifier'];
$Fee = $RowSearch['fee'];
$resMoneyGot = sqlStatement(
"SELECT sum(pay_amount) as MoneyGot FROM ar_activity where deleted IS NULL AND pid = ? " .
"and code_type=? and code=? and modifier=? and encounter =? and !(payer_type=0 and account_code='PCP')",
array($form_pid, $Codetype, $Code, $Modifier, $enc)
);
//new fees screen copay gives account_code='PCP'
$rowMoneyGot = sqlFetchArray($resMoneyGot);
$MoneyGot = $rowMoneyGot['MoneyGot'];
$resMoneyAdjusted = sqlStatement(
"SELECT sum(adj_amount) as MoneyAdjusted FROM ar_activity where deleted IS NULL AND " .
"pid =? and code_type=? and code=? and modifier=? and encounter =?",
array($form_pid, $Codetype, $Code, $Modifier, $enc)
);
$rowMoneyAdjusted = sqlFetchArray($resMoneyAdjusted);
$MoneyAdjusted = $rowMoneyAdjusted['MoneyAdjusted'];
$Remainder = $Fee - $Copay - $MoneyGot - $MoneyAdjusted;
$Copay = 0;
if (round($Remainder, 2) != 0 && $amount != 0) {
if ($amount - $Remainder >= 0) {
$insert_value = $Remainder;
$amount = $amount - $Remainder;
} else {
$insert_value = $amount;
$amount = 0;
}
sqlBeginTrans();
$sequence_no = sqlQuery("SELECT IFNULL(MAX(sequence_no),0) + 1 AS increment FROM ar_activity WHERE pid = ? AND encounter = ?", array($form_pid, $enc));
sqlStatement(
"insert into ar_activity set " .
"pid = ?" .
", encounter = ?" .
", sequence_no = ?" .
", code_type = ?" .
", code = ?" .
", modifier = ?" .
", payer_type = ?" .
", post_time = now() " .
", post_user = ?" .
", session_id = ?" .
", pay_amount = ?" .
", adj_amount = ?" .
", account_code = 'PP'",
array($form_pid, $enc, $sequence_no['increment'], $Codetype, $Code, $Modifier, 0, $_SESSION['authUserID'], $payment_id, $insert_value, 0)
);
sqlCommitTrans();
}//if
}//while
if ($amount != 0) {//if any excess is there.
sqlBeginTrans();
$sequence_no = sqlQuery("SELECT IFNULL(MAX(sequence_no),0) + 1 AS increment FROM ar_activity WHERE pid = ? AND encounter = ?", array($form_pid, $enc));
sqlStatement(
"insert into ar_activity set " .
"pid = ?" .
", encounter = ?" .
", sequence_no = ?" .
", code_type = ?" .
", code = ?" .
", modifier = ?" .
", payer_type = ?" .
", post_time = now() " .
", post_user = ?" .
", session_id = ?" .
", pay_amount = ?" .
", adj_amount = ?" .
", account_code = 'PP'",
array($form_pid, $enc, $sequence_no['increment'], $Codetype, $Code, $Modifier, 0, $_SESSION['authUserID'], $payment_id, $amount, 0)
);
sqlCommitTrans();
}
//--------------------------------------------------------------------------------------------------------------------
}//invoice_balance
}//if ($amount = 0 + $payment)
}//foreach
}//if ($_POST['form_upay'])
}//if ($_POST['form_save'])
if ($_POST['form_save'] || $_REQUEST['receipt']) {
if ($_REQUEST['receipt']) {
$form_pid = $_GET['patient'];
$timestamp = decorateString('....-..-.. ..:..:..', $_GET['time']);
}
// 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");
// Get the patient's name and chart number.
$patdata = getPatientData($form_pid, 'fname,mname,lname,pubpid');
// Re-fetch payment info.
$payrow = sqlQuery("SELECT " . "SUM(amount1) AS amount1, " . "SUM(amount2) AS amount2, " . "MAX(method) AS method, " . "MAX(source) AS source, " . "MAX(dtime) AS dtime, " .
// "MAX(user) AS user " .
"MAX(user) AS user, " . "MAX(encounter) as encounter " . "FROM payments WHERE " . "pid = ? AND dtime = ?", array($form_pid, $timestamp
));
// Create key for deleting, just in case.
$ref_id = ($_REQUEST['radio_type_of_payment'] == 'copay') ? $session_id : $payment_id;
$payment_key = $form_pid . '.' . preg_replace('/[^0-9]/', '', $timestamp) . '.' . $ref_id;
// get facility from encounter
$tmprow = sqlQuery("SELECT facility_id FROM form_encounter WHERE encounter = ?", array($payrow['encounter']));
$frow = sqlQuery("SELECT * FROM facility " . " WHERE id = ?", array($tmprow['facility_id']
));
// Now proceed with printing the receipt.
?>
<title><?php echo xlt('Receipt for Payment'); ?></title>
<script src="<?php echo $GLOBALS['assets_static_relative']; ?>/jquery/dist/jquery.min.js"></script>
<script>
function goHome() {
window.location.replace("./patient/onsiteactivityviews");
}
function notifyPatient() {
let pid = <?php echo js_escape($pid); ?>;
let note = $('#pop_receipt').html();
let formURL = './messaging/handle_note.php';
let owner = <?php echo js_escape($adminUser['recip_id']); ?>;
let sn = <?php echo js_escape($adminUser['username']); ?>;
let rid = <?php echo js_escape($portalPatient['recip_id']); ?>;
let rn = <?php echo js_escape($portalPatient['username']); ?>;
$.ajax({
url: formURL,
type: "POST",
data: {
'csrf_token_form': <?php echo js_escape(CsrfUtils::collectCsrfToken('messages-portal')); ?>,
'task': 'add',
'pid': pid,
'inputBody': note,
'title': 'Bill/Collect',
'recipient_name': rn,
'recipient_id': rid,
'sender_id': owner,
'sender_name': sn
},
success: function (data, textStatus, jqXHR) {
alert('Receipt sent to patient via Messages.')
},
error: function (jqXHR, status, error) {
console.log(status + ": " + error);
}
});
}
</script>
<?php
ob_start();
echo '<htlm><head></head><body style="text-align: center; margin: auto;">';
?>
<div id='pop_receipt' style='display: block'>
<p>
<h2><?php echo xlt('Receipt for Payment'); ?></h2>
<p><?php echo text($frow['name']) ?>
<br /><?php echo text($frow['street']) ?>
<br /><?php echo text($frow['city'] . ', ' . $frow['state']) . ' ' . text($frow['postal_code']) ?>
<br /><?php echo text($frow['phone']) ?>
<p>
<div class="text-center" style="margin: auto;">
<table border='0' cellspacing='8' class="text-center" style="margin: auto;">
<tr>
<td><?php echo xlt('Date'); ?>:</td>
<td><?php echo text(oeFormatSDFT(strtotime($payrow['dtime']))) ?></td>
</tr>
<tr>
<td><?php echo xlt('Patient'); ?>:</td>
<td><?php echo text($patdata['fname']) . " " . text($patdata['mname']) . " " . text($patdata['lname']) . " (" . text($patdata['pubpid']) . ")" ?></td>
</tr>
<tr>
<td><?php echo xlt('Paid Via'); ?>:</td>
<td><?php echo generate_display_field(array('data_type' => '1', 'list_id' => 'payment_method'), $payrow['method']); ?></td>
</tr>
<tr>
<td><?php echo xlt('Authorized Id'); ?>:</td>
<td><?php echo text($payrow['source']) ?></td>
</tr>
<tr>
<td><?php echo xlt('Amount for This Visit'); ?>:</td>
<td><?php echo text(oeFormatMoney($payrow['amount1'])) ?></td>
</tr>
<tr>
<td><?php echo xlt('Amount for Past Balance'); ?>:</td>
<td><?php echo text(oeFormatMoney($payrow['amount2'])) ?></td>
</tr>
<tr>
<td><?php echo xlt('Received By'); ?>:</td>
<td><?php echo text($payrow['user']) ?></td>
</tr>
</table>
</div>
</div>
<button class='btn btn-sm' type='button' onclick='goHome()' id='returnhome'><?php echo xla('Return Home'); ?></button>
<button class='btn btn-sm' type='button' onclick="notifyPatient()"><?php echo xla('Notify Patient'); ?></button>
</body></html>
<?php
ob_end_flush();
} else {
//
// Here we display the form for data entry.
//
?>
<title><?php echo xlt('Record Payment'); ?></title>
<style>
.dehead {
color: #000000;
font-weight: bold
}
.detail {
padding: 1px 1px;
color: #000000;
font-weight: normal
}
</style>
<script src="<?php echo $GLOBALS['assets_static_relative']; ?>/jquery-creditcardvalidator/jquery.creditCardValidator.js"></script>
<script src="<?php echo $GLOBALS['webroot'] ?>/library/textformat.js?v=<?php echo $v_js_includes; ?>"></script>
<script>
var chargeMsg = <?php $amsg = xl('Payment was successfully authorized and your card is charged.') . "\n" .
xl("You will be notified when your payment is applied for this invoice.") . "\n" .
xl('Until then you will continue to see payment details here.') . "\n" . xl('Thank You.');
echo json_encode($amsg);
?>;
var publicKey = <?php echo json_encode($cryptoGen->decryptStandard($GLOBALS['gateway_public_key'])); ?>;
var apiKey = <?php echo json_encode($cryptoGen->decryptStandard($GLOBALS['gateway_api_key'])); ?>;
function calctotal() {
var flag = 0;
var f = document.forms["invoiceForm"];
var total = 0;
for (var i = 0; i < f.elements.length; ++i) {
var elem = f.elements[i];
var ename = elem.name;
if (ename.indexOf('form_upay[') == 0 || ename.indexOf('form_bpay[') == 0) {
if (elem.value.length > 0) {
total += Number(elem.value);
if (total < 0) flag = 1;
}
}
}
f.form_paytotal.value = Number(total).toFixed(2);
if (flag) {
$('#invoiceForm')[0].reset();
alert(<?php echo xlj('Negative payments not accepted'); ?>)
}
return true;
}
function coloring() {
for (var i = 1; ; ++i) {
if (document.getElementById('paying_' + i)) {
paying = document.getElementById('paying_' + i).value * 1;
patient_balance = document.getElementById('duept_' + i).innerHTML * 1;
if (patient_balance > 0 && paying > 0) {
if (paying > patient_balance) {
document.getElementById('paying_' + i).style.background = '#FF0000';
}
else if (paying < patient_balance) {
document.getElementById('paying_' + i).style.background = '#99CC00';
}
else if (paying == patient_balance) {
document.getElementById('paying_' + i).style.background = '#ffffff';
}
}
else {
document.getElementById('paying_' + i).style.background = '#ffffff';
}
}
else {
break;
}
}
}
function CheckVisible(MakeBlank) {//Displays and hides the check number text box.
if (document.getElementById('form_method').options[document.getElementById('form_method').selectedIndex].value == 'check_payment' ||
document.getElementById('form_method').options[document.getElementById('form_method').selectedIndex].value == 'bank_draft') {
document.getElementById('check_number').disabled = false;
}
else {
document.getElementById('check_number').disabled = true;
}
}
function validate() {
var f = document.forms["invoiceForm"];
ok = -1;
//no checks taken here....
issue = 'no';
if (document.getElementById('radio_type_of_payment_self1').checked == false &&
document.getElementById('radio_type_of_payment1').checked == false
&& document.getElementById('radio_type_of_payment2').checked == false
&& document.getElementById('radio_type_of_payment4').checked == false) {
alert("<?php //echo addslashes( xl('Please Select Type Of Payment.')) ?>");
return false;
}
if (document.getElementById('radio_type_of_payment_self1').checked == true || document.getElementById('radio_type_of_payment1').checked == true) {
for (var i = 0; i < f.elements.length; ++i) {
var elem = f.elements[i];
var ename = elem.name;
if (ename.indexOf('form_upay[0') == 0) //Today is this text box.
{
if (elem.value * 1 > 0) {//A warning message, if the amount is posted with out encounter.
if (confirm(<?php echo xlj('Are you sure to post for today?'); ?>)) {
ok = 1;
}
else {
elem.focus();
return false;
}
}
break;
}
}
}
else if (document.getElementsByName('form_paytotal')[0].value <= 0)//total 0
{
alert(<?php echo xlj('Invalid Total!'); ?>)
return false;
}
if (ok == -1) {
if (confirm(<?php echo xlj('Payment Validated: Save?'); ?>)) {
return true;
}
else {
return false;
}
}
}
function cursor_pointer() {//Point the cursor to the latest encounter(Today)
var f = document.forms["invoiceForm"];
var total = 0;
for (var i = 0; i < f.elements.length; ++i) {
var elem = f.elements[i];
var ename = elem.name;
if (ename.indexOf('form_upay[') == 0) {
elem.focus();
break;
}
}
}
function make_it_hide_enc_pay() {
document.getElementById('td_head_insurance_payment').style.display = "none";
document.getElementById('td_head_patient_co_pay').style.display = "none";
document.getElementById('td_head_co_pay').style.display = "none";
document.getElementById('td_head_insurance_balance').style.display = "none";
for (var i = 1; ; ++i) {
var td_inspaid_elem = document.getElementById('td_inspaid_' + i)
var td_patient_copay_elem = document.getElementById('td_patient_copay_' + i)
var td_copay_elem = document.getElementById('td_copay_' + i)
var balance_elem = document.getElementById('balance_' + i)
if (td_inspaid_elem) {
td_inspaid_elem.style.display = "none";
td_patient_copay_elem.style.display = "none";
td_copay_elem.style.display = "none";
balance_elem.style.display = "none";
}
else {
break;
}
}
document.getElementById('td_total_4').style.display = "none";
document.getElementById('td_total_7').style.display = "none";
document.getElementById('td_total_8').style.display = "none";
document.getElementById('td_total_6').style.display = "none";
document.getElementById('table_display').width = "420px";
}
function make_visible() {
document.getElementById('td_head_rep_doc').style.display = "";
document.getElementById('td_head_description').style.display = "";
document.getElementById('td_head_total_charge').style.display = "none";
document.getElementById('td_head_insurance_payment').style.display = "none";
document.getElementById('td_head_patient_payment').style.display = "none";
document.getElementById('td_head_patient_co_pay').style.display = "none";
document.getElementById('td_head_co_pay').style.display = "none";
document.getElementById('td_head_insurance_balance').style.display = "none";
document.getElementById('td_head_patient_balance').style.display = "none";
for (var i = 1; ; ++i) {
var td_charges_elem = document.getElementById('td_charges_' + i)
var td_inspaid_elem = document.getElementById('td_inspaid_' + i)
var td_ptpaid_elem = document.getElementById('td_ptpaid_' + i)
var td_patient_copay_elem = document.getElementById('td_patient_copay_' + i)
var td_copay_elem = document.getElementById('td_copay_' + i)
var balance_elem = document.getElementById('balance_' + i)
var duept_elem = document.getElementById('duept_' + i)
if (td_charges_elem) {
td_charges_elem.style.display = "none";
td_inspaid_elem.style.display = "none";
td_ptpaid_elem.style.display = "none";
td_patient_copay_elem.style.display = "none";
td_copay_elem.style.display = "none";
balance_elem.style.display = "none";
duept_elem.style.display = "none";
}
else {
break;
}
}
document.getElementById('td_total_7').style.display = "";
document.getElementById('td_total_8').style.display = "";
document.getElementById('td_total_1').style.display = "none";
document.getElementById('td_total_2').style.display = "none";
document.getElementById('td_total_3').style.display = "none";
document.getElementById('td_total_4').style.display = "none";
document.getElementById('td_total_5').style.display = "none";
document.getElementById('td_total_6').style.display = "none";
document.getElementById('table_display').width = "505px";
}
function make_it_hide() {
document.getElementById('td_head_rep_doc').style.display = "none";
document.getElementById('td_head_description').style.display = "none";
document.getElementById('td_head_total_charge').style.display = "";
document.getElementById('td_head_insurance_payment').style.display = "";
document.getElementById('td_head_patient_payment').style.display = "";
document.getElementById('td_head_patient_co_pay').style.display = "";
document.getElementById('td_head_co_pay').style.display = "";
document.getElementById('td_head_insurance_balance').style.display = "";
document.getElementById('td_head_patient_balance').style.display = "";
for (var i = 1; ; ++i) {
var td_charges_elem = document.getElementById('td_charges_' + i)
var td_inspaid_elem = document.getElementById('td_inspaid_' + i)
var td_ptpaid_elem = document.getElementById('td_ptpaid_' + i)
var td_patient_copay_elem = document.getElementById('td_patient_copay_' + i)
var td_copay_elem = document.getElementById('td_copay_' + i)
var balance_elem = document.getElementById('balance_' + i)
var duept_elem = document.getElementById('duept_' + i)
if (td_charges_elem) {
td_charges_elem.style.display = "";
td_inspaid_elem.style.display = "";
td_ptpaid_elem.style.display = "";
td_patient_copay_elem.style.display = "";
td_copay_elem.style.display = "";
balance_elem.style.display = "";
duept_elem.style.display = "";
}
else {
break;
}
}
document.getElementById('td_total_1').style.display = "";
document.getElementById('td_total_2').style.display = "";
document.getElementById('td_total_3').style.display = "";
document.getElementById('td_total_4').style.display = "";
document.getElementById('td_total_5').style.display = "";
document.getElementById('td_total_6').style.display = "";
document.getElementById('td_total_7').style.display = "";
document.getElementById('td_total_8').style.display = "";
document.getElementById('table_display').width = "100%";
}
function make_visible_radio() {
document.getElementById('tr_radio1').style.display = "";
document.getElementById('tr_radio2').style.display = "none";
}
function make_hide_radio() {
document.getElementById('tr_radio1').style.display = "none";
document.getElementById('tr_radio2').style.display = "";
}
function make_visible_row() {
document.getElementById('table_display').style.display = "";
document.getElementById('table_display_prepayment').style.display = "none";
}
function make_hide_row() {
document.getElementById('table_display').style.display = "none";
document.getElementById('table_display_prepayment').style.display = "";
}
function make_self() {
make_visible_row();
make_it_hide();
make_it_hide_enc_pay();
document.getElementById('radio_type_of_payment_self1').checked = true;
cursor_pointer();
}
function make_insurance() {
make_visible_row();
make_it_hide();
cursor_pointer();
document.getElementById('radio_type_of_payment1').checked = true;
}
$('#paySubmit').click(function (e) {
e.preventDefault();e.stopPropagation();
$("#mode").val("portal-save");
let inv_values = JSON.stringify(getFormObj('invoiceForm'));
let extra_values = JSON.stringify(getFormObj('paymentForm'));
let extra = "&inv_values=" + encodeURIComponent(inv_values) + "&extra_values=" + encodeURIComponent(extra_values);
let flag = 0
let liburl = './lib/paylib.php';
$.ajax({
type: "POST",
url: liburl,
data: $("#invoiceForm").serialize() + extra,
beforeSend: function (xhr) {
if (validateCC() !== true) return false;
if ($('#cardCode').val() == "" || $('#cardHolderName').val() == "" || $('#expYear').val() == "" || $('#expMonth').val() == "") {
alert(<?php echo xlj('Invalid Credit Card Values: Please correct'); ?>)
return false;
}
if (validate() != true) {
flag = 1;
alert(<?php echo xlj('Validation error: Fix and resubmit. This popup info is preserved!'); ?>)
return false;
}
$("#openPayModal .close").click()
},
error: function (qXHR, textStatus, errorThrow) {
console.log("There was an error:" + errorThrow);
},
success: function (templateHtml, textStatus, jqXHR) {
let msg = <?php $amsg = xl('Payment successfully sent for review and posting to your account.') . "\n" .
xl("You will be notified when the payment transaction is confirmed.") . "\n" .
xl('Until then you will continue to see payment details here.') . "\n" . xl('Thank You.');
echo json_encode($amsg); // backward compatable 5.0.1
?>;
alert(msg);
window.location.reload(false);
}
});
if (flag) {
$("#openPayModal .close").click();
}
});
$('#openPayModal').on('show.bs.modal', function () {
let total = $("#form_paytotal").val();
if(Number(total) < 1) {
let error = <?php echo json_encode("Please enter a payment amount"); ?>;
alert(error);
return false;
}
$("#payTotal").text(total);
$("#paymentAmount").val(total);
});
$("#invoiceForm").on('submit', function (e) {
e.preventDefault();
let thisform = this;
$("#mode").val("review-save");
let inv_values = JSON.stringify(getFormObj('invoiceForm'));
let extra_values = JSON.stringify(getFormObj('paymentForm'));
let extra = "&inv_values=" + inv_values + "&extra_values=" + extra_values;
let flag = 0
let liburl = '<?php echo $GLOBALS["webroot"] ?>/portal/lib/paylib.php';
$.ajax({
type: "POST",
url: liburl,
data: $("#invoiceForm").serialize() + extra,
beforeSend: function (xhr) {
if (validate() != true) {
flag = 1;
alert(<?php echo xlj('Validation error: Fix and resubmit.'); ?>)
return false;
}
},
error: function (xhr, textStatus, error) {
alert(<?php echo xlj('There is a Post error'); ?>)
console.log("There was an error:" + textStatus);
return false;
},
success: function (templateHtml, textStatus, jqXHR) {
thisform.submit();
}
});
});
function getFormObj(formId) {
let formObj = {};
let inputs = $('#' + formId).serializeArray();
$.each(inputs, function (i, input) {
formObj[input.name] = input.value;
});
return formObj;
}
function formRepopulate(jsondata) {
let data = $.parseJSON(jsondata);
$.each(data, function (name, val) {
let $el = $('[name="' + name + '"]'),
type = $el.attr('type');
switch (type) {
case 'checkbox':
$el.prop('checked', true);
break;
case 'radio':
$el.filter('[value="' + val + '"]').prop('checked', true);
break;
default:
$el.val(val);
}
});
}
function getAuth() {
let authnum = document.getElementById("check_number").value;
authnum = prompt(<?php echo xlj('Please enter card comfirmation authorization'); ?>, authnum);
if (authnum != null) {
document.getElementById("check_number").value = authnum;
}
}
</script>
<body class="skin-blue" onunload='imclosing()' onLoad="cursor_pointer();"
style="text-align: center; margin: auto;">
<form id="invoiceForm" method='post' action='<?php echo $GLOBALS["webroot"] ?>/portal/portal_payment.php'>
<input type='hidden' name='form_pid' value='<?php echo attr($pid) ?>'/>
<input type='hidden' name='form_save' value='<?php echo xla('Invoice'); ?>'/>
<table>
<tr height="10">
<td colspan="3"> </td>
</tr>
<tr>
<td colspan='3' align='center' class='text'>
<b><?php echo xlt('Accept Payment for'); ?> : <?php
echo text($patdata['fname']) . " " .
text($patdata['lname']) . " " .
text($patdata['mname']) . " (" .
text($patdata['pid']) . ")" ?></b>
<?php $NameNew = $patdata['fname'] . " " . $patdata['lname'] . " " . $patdata['mname']; ?>
</td>
</tr>
<tr height="15">
<td colspan='3'></td>
</tr>
<tr>
<td class='text'>
<?php echo xlt('Payment Method'); ?>:
</td>
<td colspan='2'><select name="form_method" id="form_method" class="form-control" onChange='CheckVisible("yes")'>
<?php
$query1112 = "SELECT * FROM list_options where list_id=? ORDER BY seq, title ";
$bres1112 = sqlStatement($query1112, array('payment_method'));
while ($brow1112 = sqlFetchArray($bres1112)) {
if ($brow1112['option_id'] != 'credit_card' || $brow1112['option_id'] == 'debit' || $brow1112['option_id'] == 'bank_draft') {
continue;
}
echo "<option value='" . attr($brow1112['option_id']) . "'>" .
text(xl_list_label($brow1112['title'])) . "</option>";
}
?>
</select></td>
</tr>
<?php if (isset($_SESSION['authUserID'])) { ?>
<tr height="5">
<td colspan='3'></td>
</tr>
<tr>
<td class='text'>
<?php echo xlt('Authorized'); ?>:
</td>
<td colspan='2'>
<?php if ($ccdata['authCode'] && empty($payrow['source'])) {
$payrow['source'] = $ccdata['authCode'] . " : " . $ccdata['transId'];
}
?>
<input class="form-control form-control-sm" id='check_number' name='form_source' style='' value='<?php echo attr($payrow['source']) ?>' />
</td>
</tr>
<?php } ?>
<?php if (isset($_SESSION['authUserID'])) {
$hide = '';
echo '<tr height="5"><td colspan="3"></td></tr><tr">';
} else {
$hide = 'hidden';
echo '<tr class="hidden">';
}
?>
<td class='text' valign="middle">
<?php echo xlt('Patient Coverage'); ?>:
</td>
<td class='text' colspan="2">
<input type="radio" name="radio_type_of_coverage" id="radio_type_of_coverage1"
value="self" onClick="make_visible_radio();make_self();"/>
<?php echo xlt('Self'); ?>
<input type="radio" name="radio_type_of_coverage" id="radio_type_of_coverag2" value="insurance"