feat: minor refactor x12 insurance eligibility api (openemr#6915)

* feat: minor refactor x12 insurance eligibility api * bump db version * typo
bradymiller · Oct 7, 2023 · 90bee3b · 90bee3b
1 parent 65b18f2
commit 90bee3b
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Showing 11 changed files with 150 additions and 12 deletions.
diff --git a/controllers/C_InsuranceCompany.class.php b/controllers/C_InsuranceCompany.class.php
@@ -16,7 +16,7 @@ public function __construct($template_mod = "general")
         $this->assign("CURRENT_ACTION", $GLOBALS['webroot'] . "/controller.php?" . "practice_settings&insurance_company&");
         $this->assign("STYLE", $GLOBALS['style']);
         $this->assign("SUPPORT_ENCOUNTER_CLAIMS", $GLOBALS['support_encounter_claims']);
-        $this->assign("SUPPORT_ELIGIBILITY_REQUESTS", $GLOBALS['enable_oa']);
+        $this->assign("SUPPORT_ELIGIBILITY_REQUESTS", $GLOBALS['enable_eligibility_requests']);
         $this->InsuranceCompany = new InsuranceCompany();
     }
 

diff --git a/interface/billing/edi_270.php b/interface/billing/edi_270.php
@@ -433,7 +433,7 @@ function toggleMessage(id,x12){
                                                     <?php echo xlt('Create batch'); ?>
                                                     <input type='hidden' name='form_savefile' id='form_savefile' value=''></input>
 
-                                                    <?php if ($GLOBALS['enable_oa']) {
+                                                    <?php if ($GLOBALS['enable_eligibility_requests']) {
                                                         echo "<a href='#' class='btn btn-secondary btn-transmit' onclick='return validate_batch(true);'>" . xlt('Request Eligibility') . "</a>\n";
                                                     }
                                                     ?>

diff --git a/interface/patient_file/summary/demographics.php b/interface/patient_file/summary/demographics.php
@@ -1377,7 +1377,7 @@ function filterActiveIssues(array $i): array
                             }
                         }
 
-                        if ($GLOBALS["enable_oa"]) {
+                        if ($GLOBALS["enable_eligibility_requests"]) {
                             if (($_POST['status_update'] ?? '') === 'true') {
                                 unset($_POST['status_update']);
                                 $showEligibility = true;
@@ -1414,7 +1414,7 @@ function filterActiveIssues(array $i): array
                             'initiallyCollapsed' => (getUserSetting($id) == 0) ? true : false,
                             'ins' => $insArr,
                             'eligibility' => $output,
-                            'enable_oa' => $GLOBALS['enable_oa'],
+                            'enable_eligibility_requests' => $GLOBALS['enable_eligibility_requests'],
                             'auth' => AclMain::aclCheckCore('patients', 'demo', '', 'write'),
                             'prependedInjection' => $dispatchResult->getPrependedInjection(),
                             'appendedInjection' => $dispatchResult->getAppendedInjection(),

diff --git a/library/classes/X12Partner.class.php b/library/classes/X12Partner.class.php
@@ -47,6 +47,12 @@ class X12Partner extends ORDataObject
     var $x12_sftp_port;
     var $x12_sftp_local_dir;
     var $x12_sftp_remote_dir;
+    var $x12_client_id;
+    var $x12_client_secret;
+    var $x12_token_endpoint;
+    var $x12_eligibility_endpoint;
+    var $x12_claim_status_endpoint;
+    var $x12_attachment_endpoint;
 
     /**
      * Constructor sets all Insurance attributes to their default value
@@ -429,4 +435,64 @@ function get_x12_dtp03_type_array()
             'E' => 'Subscriber Effective Date',
         );
     }
+
+    function set_x12_client_id($string)
+    {
+        $this->x12_client_id = $string;
+    }
+
+    function get_x12_client_id()
+    {
+        return $this->x12_client_id;
+    }
+
+    function set_x12_client_secret($string)
+    {
+        $this->x12_client_secret = $string;
+    }
+
+    function get_x12_client_secret()
+    {
+        return $this->x12_client_secret;
+    }
+
+    function set_x12_token_endpoint($string)
+    {
+        $this->x12_token_endpoint = $string;
+    }
+
+    function get_x12_token_endpoint()
+    {
+        return $this->x12_token_endpoint;
+    }
+
+    function set_x12_eligibility_endpoint($string)
+    {
+        $this->x12_eligibility_endpoint = $string;
+    }
+
+    function get_x12_eligibility_endpoint()
+    {
+        return $this->x12_eligibility_endpoint;
+    }
+
+    function set_x12_claim_status_endpoint($string)
+    {
+        $this->x12_claim_status_endpoint = $string;
+    }
+
+    function get_x12_claim_status_endpoint()
+    {
+        return $this->x12_claim_status_endpoint;
+    }
+
+    function set_x12_attachment_endpoint($string)
+    {
+        $this->x12_attachment_endpoint = $string;
+    }
+
+    function get_x12_attachment_endpoint()
+    {
+        return $this->x12_attachment_endpoint;
+    }
 }
diff --git a/library/globals.inc.php b/library/globals.inc.php
@@ -2010,11 +2010,11 @@ function gblTimeZones()
     ),
     // Insurance Tab
     'Insurance' => array(
-        'enable_oa' => array(
-            xl('Enable Office Ally Insurance Eligibility'),
+        'enable_eligibility_requests' => array(
+            xl('Enable Insurance Eligibility'),
             'bool',
             '0',
-            xl('Allow insurance eligibility checks using Office Ally')
+            xl('Allow insurance eligibility checks using an X12 Partner')
         ),
 
         'simplified_demographics' => array(

diff --git a/sql/7_0_1-to-7_0_2_upgrade.sql b/sql/7_0_1-to-7_0_2_upgrade.sql
@@ -553,4 +553,28 @@ CREATE TABLE `edi_sequences` (
     `id` int(9) unsigned NOT NULL default '0'
 ) ENGINE=InnoDB;
 INSERT INTO `edi_sequences` VALUES (0);
+#EndIf
+
+#IfMissingColumn x12_partners x12_client_id;
+ALTER TABLE `x12_partners` ADD COLUMN `x12_client_id` tinytext;
+#EndIf
+
+#IfMissingColumn x12_partners x12_client_secret;
+ALTER TABLE `x12_partners` ADD COLUMN `x12_client_secret` tinytext;
+#EndIf
+
+#IfMissingColumn x12_partners x12_token_endpoint
+ALTER TABLE `x12_partners` ADD COLUMN `x12_token_endpoint` tinytext;
+#EndIf
+
+#IfMissingColumn x12_partners x12_eligibility_endpoint
+ALTER TABLE `x12_partners` ADD COLUMN `x12_eligibility_endpoint` tinytext;
+#EndIf
+
+#IfMissingColumn x12_partners x12_claim_status_endpoint
+ALTER TABLE `x12_partners` ADD COLUMN `x12_claim_status_endpoint` tinytext;
+#EndIf
+
+#IfMissingColumn x12_partners x12_attachment_endpoint
+ALTER TABLE `x12_partners` ADD COLUMN `x12_attachment_endpoint` tinytext;
 #EndIf
diff --git a/sql/database.sql b/sql/database.sql
@@ -9105,6 +9105,12 @@ CREATE TABLE `x12_partners` (
   `x12_sftp_port` varchar(255) DEFAULT NULL,
   `x12_sftp_local_dir` varchar(255) DEFAULT NULL,
   `x12_sftp_remote_dir` varchar(255) DEFAULT NULL,
+  `x12_token_endpoint` tinytext,
+  `x12_eligibility_endpoint` tinytext,
+  `x12_claim_status_endpoint` tinytext,
+  `x12_attachment_endpoint` tinytext,
+  `x12_client_id` tinytext,
+  `x12_client_secret` tinytext,
   PRIMARY KEY  (`id`)
 ) ENGINE=InnoDB;
 

diff --git a/src/Billing/EDI270.php b/src/Billing/EDI270.php
@@ -16,7 +16,7 @@
  * @copyright Copyright (c) 2016 Terry Hill <[email protected]>
  * @copyright Copyright (c) 2017 Brady Miller <[email protected]>
  * @copyright Copyright (c) 2019 Jerry Padgett <[email protected]>
- * @copyright Copyright (c) 2019 Stephen Waite <[email protected]>
+ * @copyright Copyright (c) 2019-2023 Stephen Waite <[email protected]>
  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  */
 
@@ -159,7 +159,7 @@ public static function createNM1($row, $nm1Cast, $X12info, $segTer, $compEleSep)
             $NM1[6] = "";                       // Data Element not required.
             $NM1[7] = "";                       // Data Element not required.
             $NM1[8] = "PI";                     // 5010 no longer uses "46"
-            if ($GLOBALS['enable_oa']) {
+            if ($GLOBALS['enable_eligibility_requests']) {
                 $payerId = $row['eligibility_id'];
             } else {
                 $payerId = $row['cms_id'];
@@ -849,7 +849,7 @@ public static function requestEligibility($partner = '', $x12_270 = '')
         $response = oeHttp::bodyFormat('body')
             //->setDebug('5000')/* @todo uncomment and set proxy port to debug eg Fiddler */
             ->usingHeaders($headers)
-            ->post('https://wsd.officeally.com/TransactionSite/rtx.aspx', $mime_body); // @TODO put request urls in x12 partner's for versatility.
+            ->post($X12info['x12_eligibility_endpoint'], $mime_body);
 
         $formBody = $response->body();
         $contentType = $response->header('Content-Type')[0];

diff --git a/templates/patient/card/insurance.html.twig b/templates/patient/card/insurance.html.twig
@@ -89,7 +89,7 @@
     </div>
 {% endfor %}
     <div class="tab-pane" id="eligibility" role="tabpanel" aria-labelledby="eligibility-tab">
-        {% if enable_oa %}
+        {% if enable_eligibility_requests %}
         <form action="./demographics.php" method="post">
             <div>
                 <button class='btn btn-success btn-sm btn-transmit float-right' name='status_update' value='true'>{{ "Update Status"|xlt }}</button>

diff --git a/templates/x12_partners/general_edit.html b/templates/x12_partners/general_edit.html
@@ -176,6 +176,48 @@
         </div>
     </div>
 
+    <div class="form-row my-sm-2">
+        <label for="x12_client_id" class="col-form-label col-sm-2">{xlt t='Client ID'}</label>
+        <div class="col-sm-8">
+            <input type="text" maxlength="400" id="x12_client_id" name="x12_client_id" class="form-control" value="{$partner->get_x12_client_id()|attr}" onKeyDown="PreventIt(event)">
+        </div>
+    </div>
+
+    <div class="form-row my-sm-2">
+        <label for="x12_client_secret" class="col-form-label col-sm-2">{xlt t='Client Secret'}</label>
+        <div class="col-sm-8">
+            <input type="text" maxlength="400" id="x12_client_secret" name="x12_client_secret" class="form-control" value="{$partner->get_x12_client_secret()|attr}" onKeyDown="PreventIt(event)">
+        </div>
+    </div>
+
+    <div class="form-row my-sm-2">
+        <label for="x12_token_endpoint" class="col-form-label col-sm-2">{xlt t='Token Endpoint'}</label>
+        <div class="col-sm-8">
+            <input type="text" maxlength="400" id="x12_token_endpoint" name="x12_token_endpoint" class="form-control" value="{$partner->get_x12_token_endpoint()|attr}" onKeyDown="PreventIt(event)">
+        </div>
+    </div>
+
+    <div class="form-row my-sm-2">
+        <label for="x12_eligibility_endpoint" class="col-form-label col-sm-2">{xlt t='Eligibility Endpoint'}</label>
+        <div class="col-sm-8">
+            <input type="text" maxlength="400" id="x12_eligibility_endpoint" name="x12_eligibility_endpoint" class="form-control" value="{$partner->get_x12_eligibility_endpoint()|attr}" onKeyDown="PreventIt(event)">
+        </div>
+    </div>
+
+    <div class="form-row my-sm-2">
+        <label for="x12_claim_status_endpoint" class="col-form-label col-sm-2">{xlt t='Claim Status Endpoint'}</label>
+        <div class="col-sm-8">
+            <input type="text" maxlength="400" id="x12_claim_status_endpoint" name="x12_claim_status_endpoint" class="form-control" value="{$partner->get_x12_claim_status_endpoint()|attr}" onKeyDown="PreventIt(event)">
+        </div>
+    </div>
+
+    <div class="form-row my-sm-2">
+        <label for="x12_attachment_endpoint" class="col-form-label col-sm-2">{xlt t='Attachment Endpoint'}</label>
+        <div class="col-sm-8">
+            <input type="text" maxlength="400" id="x12_attachment_endpoint" name="x12_attachment_endpoint" class="form-control" value="{$partner->get_x12_attachment_endpoint()|attr}" onKeyDown="PreventIt(event)">
+        </div>
+    </div>
+
     <div class="btn-group offset-sm-2">
         <a href="javascript:add_x12();" class="btn btn-secondary btn-save" onclick="top.restoreSession()">
             {xlt t='Save'}

diff --git a/version.php b/version.php
@@ -28,7 +28,7 @@
 // is a database change in the course of development.  It is used
 // internally to determine when a database upgrade is needed.
 //
-$v_database = 495;
+$v_database = 496;
 
 // Access control version identifier, this is to be incremented whenever there
 // is a access control change in the course of development.  It is used