<%@page language="java" %>
<%@include file="staffsecurity.jsp" %>
<%@page import= "java.util.Calendar"%>
<%@page import= "java.util.HashMap"%>
<%@page import= "java.util.Vector"%>
<%@page import="java.sql.Connection"%>
<%@page import="java.sql.ResultSet "%>
<%@page import="java.sql.Statement"%>
<%@page import="java.sql.PreparedStatement"%>
<%@page import="java.sql.Driver"%>
<%@page import="java.sql.DriverManager"%>
<%@page import="java.sql.SQLException"%>
<%@page import="geysers.utils.GeysersSiteConstants" %>
<%@page import="geysers.utils.GeysersSiteUtilities" %>
<%@page import="geysers.utils.GeysersSiteProperties" %>
<%@page import="geysers.beans.om.StaffEntryInfo" %>
<%@page import="geysers.ejb.om.ClaimServiceInfo" %>
<%@page import="geysers.ejb.patient.SearchPatientInfo" %>


<%
Connection conn=null;
try{
 conn=GeysersSiteUtilities.getConnection();
 String dosStr = "" ;
 String prinsnm = "";
 String secinsnm = ""; //pr
 String prinsno = ""; //sec
 String secinsno = "";


%>

<%

  String dos = request.getParameter("dosforfax");
  session.setAttribute("dosforfax",dos);

%>
<jsp:useBean id="patientmanagerjbean" class="geysers.beans.patient.PatientManagerJBean"/>
<jsp:useBean id="billingManagerJBean " class="geysers.beans.om.BillingManagerJBean"/>
<%!
//method made by kalpesh
    String formatCurrencyJSP(String cur){
        int pos=cur.indexOf(".");
        String ret="";

        if(pos==-1){
          cur = cur + ".00";
        }
        else{
          cur = cur +"00";
        }
        pos=cur.indexOf(".");
        ret = cur.substring(0,pos+3);

     return  ret;
    }


/*added by kalpesh as -ve can be rounded also*/
double round2Prec(double val){
 if(val>0){
  val=val+0.005;
 }else if(val<0){
  val=val-0.005;
 }
return val;
}

%>

<%! boolean isclaimentered = false; %>
<%
    String cid      ="";
    String pid      ="";
    String datefmmm ="";
    String datefmdd ="";
    String datefmyy ="";
    String datetomm ="";
    String datetodd ="";
    String datetoyy ="";
    String activeDIV = "insurancepayment";
    String previousBalance = "0.00";
    String insurancePayment  = "";
    String patientPayment ="";
    String creditAdjustment ="";
    String newBalance ="";
    String patient_nm="";
    boolean fromSession=false;

    //String startinghdinsalamt="";
    //String startinghdcopay="";
    //String startingpamt="";
    //String startingadjus="";

   HashMap hashMap = (HashMap) session.getAttribute("paymentData");

   if(request.getParameter("new") != null && request.getParameter("new").equalsIgnoreCase("Y")){
        if(session.getAttribute("patientIdInSession") != null){
            pid=(String)session.getAttribute("patientIdInSession");
            if(session.getAttribute("claimIdInSession") != null){
            cid=(String)session.getAttribute("claimIdInSession");
            }
            if ( pid != null  &&  (!pid.trim().equalsIgnoreCase(""))) {
				if(!(pid.equals("0")))
            		patient_nm=patientmanagerjbean.getPatientName(Integer.parseInt(pid));
            }
            fromSession=true;
        }
       hashMap =null ;
       session.setAttribute("claimData",null);
       session.removeAttribute("claimdate");
    }

  if (request.getParameter("saved") != null) {
    if(request.getParameter("saved").equalsIgnoreCase("Y")) {
		pid=(String)session.getAttribute("patientIdInSession");
    }
  }

    // from direct search patient
    if(request.getParameter("pid") != null){
     pid=request.getParameter("pid");
     if ( pid != null  &&  (!pid.trim().equalsIgnoreCase(""))) {
     	if(!(pid.equals("0")))
     	patient_nm=patientmanagerjbean.getPatientName(Integer.parseInt(pid));
     }
    }//if(request.getParameter("patientId") != null)


	//added by Gopi on 23-7-2004
	if(request.getParameter("searchclaim") != null){
		String ccc=request.getParameter("searchclaim");
		if(!(ccc.equals(""))) {
			cid=ccc;
			int ccid=Integer.parseInt(ccc);
			try {
				Statement objStmt2 = null;
				ResultSet objRS2 = null;
				try {
					objStmt2 = conn.createStatement(ResultSet.TYPE_FORWARD_ONLY,ResultSet.CONCUR_READ_ONLY);
    				String getpid = "select pid from claim where claimid = " + ccid+"and prid="+((StaffEntryInfo)session.getAttribute("staffEntryInfo")).PRID;
        			objRS2 = objStmt2.executeQuery(getpid);
    				while(objRS2.next()){
       					pid = objRS2.getString(1);
   					}
   				}catch (SQLException se) {
   					 se.printStackTrace();
  				}
  				finally {
  				  try {
					if (objRS2 != null){ objRS2.close();objRS2=null;}
					if(objStmt2 != null){ objStmt2.close();objStmt2=null;}
   				 } catch(SQLException se){
					se.printStackTrace();
				    }
		   		}
  			}
  			catch(Exception ee) {}
		}
		if(pid.equals("")){
			pid="0";
		}
	}


    if(hashMap ==null){
        hashMap =  new HashMap();
        hashMap.put("vctClaims",new Vector ());
        session.setAttribute("paymentData",hashMap);
    }else if(pid.equalsIgnoreCase("")){

      pid      =  (String)hashMap.get("pid");
      cid      =  (String)hashMap.get("cid");

      if(pid==null){
       pid ="";
       patient_nm="";
      }
      else{
          datefmmm =          (String)hashMap.get("datefmmm");
          datefmdd =          (String)hashMap.get("datefmdd");
          datefmyy =          (String)hashMap.get("datefmyy");
          datetomm =          (String)hashMap.get("datetomm");
          datetodd =          (String)hashMap.get("datetodd");
          datetoyy =          (String)hashMap.get("datetoyy");
          activeDIV=          (String)hashMap.get("activeDIV");
          previousBalance=    (String)hashMap.get("previousBalance");
          insurancePayment=   (String)hashMap.get("insurancePayment");
          patientPayment=     (String)hashMap.get("patientPayment");
          creditAdjustment=   (String)hashMap.get("creditAdjustment");
          newBalance=         (String)hashMap.get("newBalance");
          patient_nm=         (String)hashMap.get("hdpatient_nm");
        }
    }

    Vector vctClaims = (Vector)hashMap.get("vctClaims");
    Vector vctClaimsNew = new Vector(0);
    int claimmatchcounter = 0;

    if (pid != null || pid != "") {
    	int vctsize=vctClaims.size();
    	for (int cnt=0; cnt<vctsize; cnt++ ) {

    %>
    <%@include file="payment/paymentlineitemvars_inc.jsp" %>
    <%

if (cid.trim().equalsIgnoreCase(claimid.trim())) {

vctClaimsNew.addElement(vctClaims.elementAt(cnt));
claimmatchcounter++;
//vctClaims = vctClaimsNew;
//isclaimentered = true;
}
    }
}

    if (cid == null || cid.trim().equalsIgnoreCase("")) {
    isclaimentered = false;
    }else {
        isclaimentered = true;
    }

    if (isclaimentered) {
    vctClaims = vctClaimsNew;
    if (hashMap != null) {
		hashMap.put("vctClaims",vctClaims);
}

    }

    if(activeDIV.equals("")){
       activeDIV = "insurancepayment";
    }

%>

<%
if ( pid != null  &&  (!pid.trim().equalsIgnoreCase(""))) {
if(!(pid.equals("0")))
patient_nm = patientmanagerjbean.getPatientName(Integer.parseInt(pid));
}
//PatientDemographicInfo pdi = new PatientDemographicInfo();
String BLNINS="1";
if ( pid != null  &&  (!pid.trim().equalsIgnoreCase(""))) {
BLNINS =patientmanagerjbean.getPatientBlnins(Integer.parseInt(pid))+"";
}
if(BLNINS == null || (BLNINS.trim()).equalsIgnoreCase("")){
BLNINS="1";
}

if(BLNINS.equals("1")){
activeDIV = "insurancepayment";
}else{
activeDIV = "creditadjustment";
}


%>

<HTML>
<HEAD>
<SCRIPT language=JavaScript src="js/validations.js"></script>
<SCRIPT language=JavaScript src="js/payment.js"></script>
<script language="javascript" src="jspcal/allothercaldisp.js"></script>

<link href="patientdemographic.css" rel="stylesheet" type="text/css">


<script language="javascript">
function supressEnter(){
 if(event.keyCode==13){
  alert('Please click submit button to save information');
  event.returnValue=false;
 }else{
  event.returnValue=true;
 }
}


function validateAmountData(cnt){
var thisform=window.document.frmpayment;

if(isEmpty(thisform.ipogamt)){
enableBalanceControls(false);
editLineItem(thisform,cnt);
updateLineItem(thisform,'ip',"button");
copyClaimCopay(thisform,cnt);
return true;


}else{
if(validateData()){
var res=check(thisform,cnt);
if(res){
enableBalanceControls(false);
editLineItem(thisform,cnt);
updateLineItem(thisform,'ip',"button");
copyClaimCopay(thisform,cnt);
return true;
}else{


return false;
}
}else{
enableBalanceControls(false);
return false;
}
}
}

function checkStatus(cnt){


var combo = window.document.frmpayment["lstat"+cnt];

var obj = window.document.frmpayment["nbal"+cnt]

if(combo.value==11 && obj.value != 0.00){
alert("Status can not be paid until balance is 0.00");
combo.selectedIndex=0;

}

}

function finalValidate(){
var thisform=window.document.frmpayment;
var cnt = thisform.numClaimRows.value;
var message="";
var i=0;
if(window.document.frmpayment.trantype[0].checked) {
	for(i=0;i<cnt;i++){
		if(thisform["nbal"+i].value < 0){
			j=i+1;
			message += " Balance Due can not be negative for " + j + " claim row \n";
		}
	}
}
if(message !=""){
	var newmsg ="While processing following errors occured:-\n\n"+message;
	alert(newmsg);
	return false;

 }
 else if (validateData()){
//return true;
updateLineItem(thisform,'ip');
return validate();
}else{

return false;
}
}

function finalsubmission(){

var thisform=window.document.frmpayment;
var lineItemSizeVal = "<%=vctClaims.size()%>";
//alert(lineItemSizeVal);
if(lineItemSizeVal!= "0"){
if(isEmpty(thisform.ipogamt)){

return true;
}else{

return finalValidate();
}
}else{
alert("Atleast one line item should be selected ");
return false;
}
}

function changeDefaultsNegative() {
      var thisform=window.document.frmpayment;

}

function checkclaim(){
 var ch = window.document.frmpayment.cid;
 var chval = ch.value;
	srvtxtlen = chval.length;
	if(srvtxtlen>10){
		alert("Maximum Size is 10 digits");
		return false;
	}
	for(i=0; i < srvtxtlen ; i++){
		inttasc = chval.charCodeAt(i);
		//alert(inttasc);
		if(!(inttasc >= 48 && inttasc <= 57) && inttasc == 32  &&inttasc !=45)  {
				alert("Please enter only numeric characters in ClaimId!");
				return false;
			}
		if((inttasc >= 65 && inttasc <=90) || (inttasc >= 97 && inttasc <=122)){
	 			alert("Please enter only numeric characters in ClaimId!");
				return false;
		}
 	}
 	return true;
}
//added by Gopi on  23-7-2004
function searchclaim() {
var searchclaim=window.document.frmpayment.cid.value;
if(searchclaim==''){
	alert("Enter the ClaimId");
	window.document.frmpayment.cid.focus();
	return false;
	}
 if(checkclaim()){
 	window.document.frmpayment.action = "payment.jsp?searchclaim="+searchclaim;
 	window.document.frmpayment.submit();
	}

 }

function copayDeduct(ele,claimId){
    var thisform=window.document.frmpayment
    var cnt =  thisform.numClaimRows.value;
    var cur = ele.name.substring(4,ele.name.length);
    var i=0;
    var flag=false;
    for(i=0;i<cnt;i++){
        if(thisform["deductcopay"+i].value == claimId){
            //alert("Already Deducted");
            flag=true;
            break;
        }
    }
    if (flag == false){
        thisform["deductcopay"+cur].value=claimId;
    }
 }

 function enableBalanceControls(flag){
   var thisform=window.document.frmpayment
   /*insurance DIV*/
   thisform.ipogamt.disabled=flag;
   thisform.ipuseocamt[0].disabled=flag;
   thisform.ipuseocamt[1].disabled=flag;

   //for(var i=0;i<3;i++){
   //for(var i=0;i<3;i++){

    thisform.ipsrlkupid[0].disabled=flag;
    if(thisform.secinsnm.value == "" || thisform.secinsnm.value.length < 2){
        thisform.ipsrlkupid[1].disabled=true;
    }
    else thisform.ipsrlkupid[1].disabled=false;

    thisform.ipsrlkupid[2].disabled=true;
   //}


   thisform.ipcuamt.disabled=flag;
   thisform.ipinsalamt.disabled=flag;
   thisform.ippamt.disabled=flag;
   thisform.ipcopay.disabled=flag;
   thisform.ipadjus.disabled=flag;
   thisform.ipnbal.disabled=flag;

   /*Credit Adjustment*/

   thisform.cacuamt.disabled=flag;
   thisform.cacopay.disabled=flag;
   thisform.canbal.disabled=flag;
   thisform.carem.disabled=flag;
   for(var i=0;i<3;i++){
    thisform.captype[i].disabled=flag;
   }
   //thisform.ccno.disabled=flag;
   //thisform.chkno.disabled=flag;


   /*Add information*/
   for(var i=0;i<9;i++){
    thisform.aiinsadd[i].disabled=flag;
   }
   thisform.airem.disabled=flag;

 }
 function openURL(URL,windowName){
    window.open(URL,windowName);
 }

 function openURL2(URL,windowName){
     window.open(URL,windowName,'resizable,height=250,width=650');
 }

function fromSearchPatient(){
    <%
        if(request.getParameter("pid") != null){
    %>
       alert("<%=pid%>");
   alert("<%=patient_nm%>");
   displayPatientId('<%=pid%>','<%=patient_nm%>');
    <%
        }//end of if
    %>
}

function displayPatientId(pid,pname){
    //setSelected(window.document.frmpayment.patient_nm,pid);
    //alert("Wonderful");
window.document.frmpayment.pid.value=pid;
    window.document.frmpayment.patient_nm.value=pname;
    window.document.frmpayment.hdpatient_nm.value=pname;
    retreiveLineItems(window.document.frmpayment);
}

function sendtosecondary(){
var dep	= window.document.frmpayment.depdate.value
//alert(dep);
	var ins=window.document.frmpayment.ipinsalamt.value;
	var paid=window.document.frmpayment.ippamt.value;
	var allowedamount=window.document.frmpayment.allowedamount.value;
	var paidamount=window.document.frmpayment.paidamount.value;
	//alert(allowedamount);
	if(allowedamount!=0.00){
		if(ins==allowedamount){
		// alert("comes true");
		}else{
			if(paidamount!=0.00){
				if(paid==paidamount){
					if(confirm("Save changed Allowed Amount to default amount")) {
						window.document.frmpayment.updatehistory.value='YES';
					}else{
						window.document.frmpayment.updatehistory.value='NO';
					}

				}else{
					if(confirm("Save changed Allowed/Paid amount to default amount")) {
						window.document.frmpayment.updatehistory.value='YES';
					}else{
						window.document.frmpayment.updatehistory.value='NO';
					}
				}
			}
			else{
				if(confirm("Save changed allowed amount to default amount")) {
					window.document.frmpayment.updatehistory.value='YES';
				}else{
					window.document.frmpayment.updatehistory.value='NO';
				}
			}
		}
	}

if(dep==''){
	window.document.frmpayment.action = "process_payment_secclaim.jsp";
	window.document.frmpayment.submit();

}
else{
	if (isValidDate(dep)) { // Validates depdate
		var current_date = new Date();
		var typeddate = new Date(dep);
		if (days_between(current_date,typeddate)){
				window.document.frmpayment.action = "process_payment_secclaim.jsp";
				window.document.frmpayment.submit();

		}else{
			window.document.frmpayment.depdate.select();
			return false;
		}
	}
	else {
		return false;
	}
}

}

</script>



<script language="javascript">
/*
    Author--Kalpesh Patel
    email--kalpesh@cistemsindia.com
*/
    function hideAll(){
        window.document.all["insurancepayment"].style.visibility =   "hidden";
        window.document.all["creditadjustment"].style.visibility =   "hidden";
        window.document.all["addinformation"].style.visibility =     "hidden";
    }
    function changeDiv(name){

        hideAll();
        window.document.all[name].style.visibility =     "visible";
        window.document.all[name].style.top = window.document.all["useless"].offsetTop;
        window.document.frmpayment.activeDIV.value = name;
        //alert(name);
        if(name == "creditadjustment"){
            //alert("creditadjustment");
            <% session.setAttribute("tabtype","CREDITADJUSTMENT");
            %>
        }
        else{
            <% session.setAttribute("tabtype","INSURANCE"); %>
        }

    }




</script>
        <TITLE>
        <%= GeysersSiteConstants.TITLE_PAYMENT_FORM%>
        </TITLE>


    </HEAD>
    <BODY bgColor=#ffe7b5 leftMargin=0 topMargin=0 align="left" border=0 width="100%" valign="top" onload="init();changeDiv('<%=activeDIV%>');fromSearchPatient();enableBalanceControls(true);" >




    <TABLE align=center border=0 cellPadding=0 cellSpacing=0 width=100% valign="top" colspan="0">
    <% String headerpage ="staffheader.jsp?usertype="+((StaffEntryInfo)session.getAttribute("staffEntryInfo")).UTYPE; %>
    <jsp:include page="<%= headerpage %>" flush="true"/>
            <% String menupage ="staffmenu.jsp?menutype="+((StaffEntryInfo)session.getAttribute("staffEntryInfo")).UTYPE;%>
	        <jsp:include page="<%= menupage %>" flush="true" />



    <tr>
    <TD align=middle vAlign=top width="100%">

    <TABLE align=left border=0 cellPadding=0 cellSpacing=0 width="100%" valign="top" colspan="0">
    <TR>
    <TD align=middle vAlign=top width="100%">

    <TABLE align=left border=0 cellPadding=0 cellSpacing=0 width="100%" valign="top" colspan="0">

    <TR>
    <TD align=left vAlign=top width=100>

    </TD>
    <TD align=left vAlign=top width=628>
    <!-- This is the actual content -->
    <TABLE align=left border=0 cellPadding=0 cellSpacing=0 width="100%" valign="top" colspan="0">
    <TR>
    <TD align=middle height=5 vAlign=top width="100%">&nbsp;
    </TD>
    </TR>
    <TR>
    <TD align=middle vAlign=top width="628">
    <IMG height=47 src="images/admin/paymentlineitemposting.gif" width=465>
    </TD>
    </TR>
    <!---Kanag--->
<%if(pid!=null && !pid.equals("")) {%>
<tr>
  <td>
    <a href="redirectdemographic.jsp" onMouseOver="window.status=''; return true" onClick="submitForm('<%=pid%>','demographic'); return false">
              <FONT face=verdana size=1>Demographics</font>
            </a>&nbsp;&nbsp;
            <%
            Vector data=patientmanagerjbean.getPatientSearchResults(((StaffEntryInfo)session.getAttribute("staffEntryInfo")).PRID,Integer.parseInt(pid),0,"","","","","","",null,"","pfnm");
            if(data!=null){
            	if(data.size()>0){
  if(data!=null && ((SearchPatientInfo)(data.elementAt(0))).status.equalsIgnoreCase(GeysersSiteConstants.STATUS_ACTIVE)){%>
   <a href="createclaim.jsp" onMouseOver="window.status=''; return true" onClick="submitForm2('<%=pid%>','','claim'); return false">
<FONT face=verdana size=1>Claim</font>
   </a>&nbsp;&nbsp;
   <a href="dmppayment.jsp" onMouseOver="window.status=''; return true" onClick="submitForm2('<%=pid%>','<%=patient_nm%>','transaction'); return false">
                <FONT face=verdana size=1>Transactions</font>&nbsp;&nbsp;
                </a>
   <%}}}%>
            <a href="patientquestionnaire.jsp" onMouseOver="window.status=''; return true" onClick="submitForm('<%=pid%>','questionnaire'); return false">
              <FONT face=verdana size=1>Questionnaire</font>
            </a>

  </td>
</tr>
<%}%>
<!---Kanag--->
        <%

        if(request.getParameter("saved") !=null ){
        %>
        <tr>
              <td ALIGN=left valign=top colspan=6><font size=4><b>&nbsp;&nbsp;&nbsp;Your Information has been saved.</b></font>&nbsp;&nbsp;</td>

        </tr>
        <%
        }
        %>



    <TR>
    <TD  vAlign=top >&nbsp;
    <form  name="frmpayment" method="post" onsubmit="return finalsubmission();">

    <input type="hidden" name="applyPaymentFlag" size="4" value="FALSE"> <!-- Added By Arun Bhikawat on 22-06-2004 for setting the flag for createadjustment radio buttons-->
    <input type="hidden" name="validated" value="false">
    <input type="hidden" name="hdpatient_nm" value="<%=patient_nm%>">
    <input type="hidden" name="BLNINS" value="<%=BLNINS%>">
     <input type="hidden" name="allowedamount" value="">
     <input type="hidden" name="paidamount" value="">
      <input type="hidden" name="updatehistory" value="NO">
    <input type=hidden name="dos" value=''>


    <TABLE align=left border=0 width="870" cellPadding=0 cellSpacing=0  valign="top">
    <tr >
    <td  align="right"><font id="fontid">Patient Name:</font>&nbsp;&nbsp;
    </td>
    <td width="30%">
    <input name="patient_nm" value='<%=patient_nm%>' type=text size=31 readonly>
    </td>


      <td  align="right"><font id="fontid">Outstanding Claim Amount:</font>&nbsp;&nbsp;</td>
      <td  width="20%"  align="left" ><input type="text" disabled name="previousBalance" size="8" value="<%=previousBalance%>"></td>
    </tr>

    <tr>
    <td align="right"><font id="fontid">Claim ID:</font>&nbsp;&nbsp;</td>
    <%if (cid != null || !(cid.trim().equalsIgnoreCase(""))) {%>
    <td><input type="text" name="cid" size="12" maxlength=10 value="<%=cid%>">
    <input onclick="javascript:searchclaim();" type="button" value="Search Claim&nbsp;">
    </td>
    <%} else {%>


    <td><input type="text" name="cid" size="8">
    <input onclick="javascript:searchclaim();" type="button" value="Search Claim&nbsp;">
    </td>



    <% } %>

    <td align="right"><font id="fontid">Insurance Allowed Amount:</font>&nbsp;&nbsp;</td>
      <td align="left" ><input type="text" disabled name="insuranceAllowed" value="0.00"size="8"></td>
    <!--
    <td align="right"><font id="fontid">Insurance Payment:</font>&nbsp;&nbsp;</td>
      <td align="left" ><input type="text" disabled name="insurancePayment" value="<%=insurancePayment%>"size="8"></td>
      -->





    </tr>

    <tr>
      <td align="right"><font id="fontid">Patient ID:</font>&nbsp;&nbsp;
      </td>

      <% //System.outprintln("Patient id befire displaying in text box is %$&^" + pid);%>
      <% if (!(pid == null || pid.trim().equalsIgnoreCase(""))) { %>
     <%
     session.setAttribute("pid2",pid);

     %>

     <%

       Statement objStmt2 = null;
       ResultSet objRS2 = null;
       try {
         objStmt2 = conn.createStatement(ResultSet.TYPE_FORWARD_ONLY,ResultSet.CONCUR_READ_ONLY);
         String getfaxid = "select pinsno from com_pdet where pid = " + pid;
         objRS2 = objStmt2.executeQuery(getfaxid);
         while(objRS2.next()){
            prinsno = objRS2.getString(1);
         }

         if(prinsno == null || prinsno == "") session.setAttribute("hidesecondary","YES");
         else session.setAttribute("hidesecondary","NO");

        if(prinsno != null){
                 if(prinsno.length() > 1){
                    objRS2 = objStmt2.executeQuery("select insnm from ins_prac where insno = " + prinsno);
                    while(objRS2.next()){
                      prinsnm = objRS2.getString(1);

                      //if(prinsnm == null) prinsnm = "";
                      //session.setAttribute("secondary",prinsnm);
                      //System.out.println("patient primary ins. name.." + prinsnm);
                    }
                    if(prinsnm == null) prinsnm = "";

        }
        }


        ///secondary
          String getsec = "select pinsno1 from com_pdet where pid = " + pid;

            objRS2 = objStmt2.executeQuery(getsec);
            while(objRS2.next()){
               secinsno = objRS2.getString(1);
            }


           if(secinsno != null){
                    if(secinsno.length() > 1){
                       objRS2 = objStmt2.executeQuery("select insnm from ins_prac where insno = " + secinsno);
                       while(objRS2.next()){
                         secinsnm = objRS2.getString(1);
                         if(secinsnm == null) secinsnm = "";
                         //System.out.println("patient secondary ins. name.." + secinsnm);
                       }
        }
        }

        ///
       }catch (SQLException se) {
         se.printStackTrace();
       }
       finally {
         try {
     if (objRS2 != null){ objRS2.close();objRS2=null;}
     if(objStmt2 != null) {objStmt2.close();objStmt2=null;}
         } catch(SQLException se){
     se.printStackTrace();
         }
       }
       %>
       <%
       if(pid!=null){
       	if(pid.equals("") || pid.equals("0")){
       		pid="0";
      	 }
      	}
       %>
     <td ><input type="text" name="pid" size="12" value="<%=pid%>" onBlur="retreiveLineItems(window.document.frmpayment)">&nbsp;

     <%
      //System.outprintln("pid iffffff  ");
      } else { %>
      <td ><input type="text" name="pid" size="12" onBlur="retreiveLineItems(window.document.frmpayment)">&nbsp;
      <%
            //System.outprintln("pid  elseeeeee  ");
      } %>

        <!--onchange="window.document.frmpayment.patient_nm.selectedIndex=0;setSelected(window.document.frmpayment.patient_nm,this.value);"-->
        <input onclick="openURL('searchpatient.jsp?source=openWin','search');" type="button" value="Search Patient&nbsp;">
      </td>

   <!--
      <td align="right"><font id="fontid">Insurance Payment:</font>&nbsp;&nbsp;</td>
      <td align="left" ><input type="text" disabled name="insurancePayment" value="<%=insurancePayment%>"size="8"></td>
   -->

   <td align="right"><font id="fontid">Insurance Payment:</font>&nbsp;&nbsp;</td>
      <td align="left" ><input type="text" disabled name="insurancePayment" value="<%=insurancePayment%>"size="8"></td>

   <!--<td  align="right"><font id="fontid">Patient Payments:</font>&nbsp;&nbsp;</td>
         <td >
         <input type="text" disabled name="patientPayment" size="8" value="<%=patientPayment%>"></td>
         -->
   </tr>
<tr >
      <td align="right"><font id="fontid">Charge Date Range&nbsp;&nbsp;<br> From:</font>&nbsp;&nbsp;</td>
                <td ><SELECT name="datefmmm">
                <OPTION value=1 selected>1</OPTION>
                <OPTION value=2>2</OPTION>
                <OPTION value=3>3</OPTION>
                <OPTION value=4>4</OPTION>
                <OPTION value=5>5</OPTION>
                <OPTION value=6>6</OPTION>
                <OPTION value=7>7</OPTION>
                <OPTION value=8>8</OPTION>
                <OPTION value=9>9</OPTION>
                <OPTION value=10>10</OPTION>
                <OPTION value=11>11</OPTION>
                <OPTION value=12>12</OPTION>
            </SELECT> <SELECT name="datefmdd">
                <OPTION selected value=1>1</OPTION>
                <OPTION value=2>2</OPTION>
                <OPTION value=3>3</OPTION>
                <OPTION value=4>4</OPTION>
                <OPTION value=5>5</OPTION>
                <OPTION value=6>6</OPTION>
                <OPTION value=7>7</OPTION>
                <OPTION value=8>8</OPTION>
                <OPTION value=9>9</OPTION>
                <OPTION value=10>10</OPTION>
                <OPTION value=11>11</OPTION>
                <OPTION value=12>12</OPTION>
                <OPTION value=13>13</OPTION>
                <OPTION value=14>14</OPTION>
                <OPTION value=15>15</OPTION>
                <OPTION value=16>16</OPTION>
                <OPTION value=17>17</OPTION>
                <OPTION value=18>18</OPTION>
                <OPTION value=19>19</OPTION>
                <OPTION value=20>20</OPTION>
                <OPTION value=21>21</OPTION>
                <OPTION value=22>22</OPTION>
                <OPTION value=23>23</OPTION>
                <OPTION value=24>24</OPTION>
                <OPTION value=25>25</OPTION>
                <OPTION value=26>26</OPTION>
                <OPTION value=27>27</OPTION>
                <OPTION value=28>28</OPTION>
                <OPTION value=29>29</OPTION>
                <OPTION value=30>30</OPTION>
                <OPTION value=31>31</OPTION>
            </SELECT>
            <INPUT maxLength=4 name="datefmyy" size=2 value="<%=datefmyy%>"
            onchange="copyDate(this.form.datefmmm,this.form.datefmdd,this.form.datefmyy,this.form.datetomm,this.form.datetodd,this.form.datetoyy);">
            <INPUT onclick="JavaScript:callcal(this,'frmpayment');" name='paymentfromdate' type=button value=Calendar>

            </td>
<script language="javascript">
    setSelected(window.document.frmpayment.datefmmm,'<%=datefmmm%>');
    setSelected(window.document.frmpayment.datefmdd,'<%=datefmdd%>');
</script>

     <!--
     <td  align="right"><font id="fontid">Patient Payments:</font>&nbsp;&nbsp;</td>
      <td >
      <input type="text" disabled name="patientPayment" size="8" value="<%=patientPayment%>"></td>

     -->

     <!--<td align="right"><font id="fontid">Credit Adjustments:</font>&nbsp;&nbsp;</td>
      <td  align="left"><input type="text" disabled name="creditAdjustment" value="<%=creditAdjustment%>"size="8"></td>
      -->
      <td  align="right"><font id="fontid">Patient Payments:</font>&nbsp;&nbsp;</td>
               <td >
         <input type="text" disabled name="patientPayment" size="8" value="<%=patientPayment%>"></td>





     </tr>
      <tr>
      <td align="right"><font id="fontid">To:</font>&nbsp;&nbsp;</td>
            <td ><SELECT name="datetomm">
                <OPTION value=1 selected>1</OPTION>
                <OPTION value=2>2</OPTION>
                <OPTION value=3>3</OPTION>
                <OPTION value=4>4</OPTION>
                <OPTION value=5>5</OPTION>
                <OPTION value=6>6</OPTION>
                <OPTION value=7>7</OPTION>
                <OPTION value=8>8</OPTION>
                <OPTION value=9>9</OPTION>
                <OPTION value=10>10</OPTION>
                <OPTION value=11>11</OPTION>
                <OPTION value=12>12</OPTION>
            </SELECT> <SELECT name="datetodd">
                <OPTION selected value=1>1</OPTION>
                <OPTION value=2>2</OPTION>
                <OPTION value=3>3</OPTION>
                <OPTION value=4>4</OPTION>
                <OPTION value=5>5</OPTION>
                <OPTION value=6>6</OPTION>
                <OPTION value=7>7</OPTION>
                <OPTION value=8>8</OPTION>
                <OPTION value=9>9</OPTION>
                <OPTION value=10>10</OPTION>
                <OPTION value=11>11</OPTION>
                <OPTION value=12>12</OPTION>
                <OPTION value=13>13</OPTION>
                <OPTION value=14>14</OPTION>
                <OPTION value=15>15</OPTION>
                <OPTION value=16>16</OPTION>
                <OPTION value=17>17</OPTION>
                <OPTION value=18>18</OPTION>
                <OPTION value=19>19</OPTION>
                <OPTION value=20>20</OPTION>
                <OPTION value=21>21</OPTION>
                <OPTION value=22>22</OPTION>
                <OPTION value=23>23</OPTION>
                <OPTION value=24>24</OPTION>
                <OPTION value=25>25</OPTION>
                <OPTION value=26>26</OPTION>
                <OPTION value=27>27</OPTION>
                <OPTION value=28>28</OPTION>
                <OPTION value=29>29</OPTION>
                <OPTION value=30>30</OPTION>
                <OPTION value=31>31</OPTION>
            </SELECT>
            <INPUT maxLength=4 name="datetoyy" size=2 value="<%=datetoyy%>">
            <INPUT onclick="JavaScript:callcal(this,'frmpayment');" name='paymenttodate' type=button value=Calendar>
            </td>
<script language="javascript">
    setSelected(window.document.frmpayment.datetomm,'<%=datetomm%>');
    setSelected(window.document.frmpayment.datetodd,'<%=datetodd%>');
</script>


<!--
      <td align="right"><font id="fontid">Credit Adjustments:</font>&nbsp;&nbsp;</td>
      <td  align="left"><input type="text" disabled name="creditAdjustment" value="<%=creditAdjustment%>"size="8"></td>

-->


      <td align="right"><font id="fontid">Credit Adjustments:</font>&nbsp;&nbsp;</td>
      <td  align="left"><input type="text" disabled name="creditAdjustment" value="<%=creditAdjustment%>"size="8"></td>



        </tr>
        <tr>
        <td>&nbsp;</td>
        <td ><input type="button" name="btnRetreive"
             value="Retrieve pending line items"
             onclick="retreiveLineItems(this.form);"></td>


       <td  align="right"><font id="fontid">Balance Due:</font>&nbsp;&nbsp;</td>
            <td align="left"><input type="text" disabled name="newBalance" value="<%=newBalance%>" size="8"></td>

      <!--<td  align="right"><font id="fontid">Patient Credit</font>&nbsp;&nbsp;</td>
      <td align="left"><input type="text" disabled name="patientcredit" value="0.00" size="8"></td>
    <!----  -->





  </tr>
<!--
commented as told by client
        <tr>
        <td>&nbsp;</td>
        <td ><input type="button" name="btnRetreiveAll"
             value="Retrieve All Line Items          "
             onclick="this.form.retreiveLineItemType.value=2;retreiveLineItems(this.form);"></td>
      <td  align="right">&nbsp;</td>
      <td align="left">&nbsp;</td>
  </tr>

  -->

<input type ="hidden" name="retreiveLineItemType" value="1">


<tr>
<td></td>
<td></td>

  <td  align="right"><font id="fontid">Patient Credit</font>&nbsp;&nbsp;</td>

  <%
  String ipid=request.getParameter("pid");
  if(ipid== null || ipid.equalsIgnoreCase("")){
  ipid=(String)session.getAttribute("patientIdInSession");
  }
  if(pid== null || pid.equalsIgnoreCase("")){
  pid="0";
  }
  //System.outprintln("payment.jsp : pid%^%^ :"+ipid);
  double x = billingManagerJBean.getOutstandingCredits(((StaffEntryInfo)session.getAttribute("staffEntryInfo")).PRID,Integer.parseInt(pid));
  String credits = formatCurrencyJSP(String.valueOf(round2Prec(x)));
  session.setAttribute("pidforcredit",pid);
   //System.out.println("payment.jsp : credit :"+credits);
  %>
  <input type=hidden name="creditsindatabase" value=<%=credits%> >
  <input type=hidden name="adjustindatabase" value="" >

  <td align="left"><input type="text" disabled name="patientcredit" value="<%=credits%>" size="8"></td>
  </tr>
         <tr >
            <td align="right" valign="top"><font id="fontid">
            Type Of Transaction:&nbsp;&nbsp;
            </td>
            <td colspan="3">
            <input type="radio" value="insurancepayment"
<%=activeDIV.equals("insurancepayment")?" Checked":""%>
             name="trantype" onClick="changeDiv('insurancepayment');setBalDue(this.form);"><font id="fontid">Insurance Payment</font>
            <br>
            <input type="radio" value="creditadjustment"
<%=activeDIV.equals("creditadjustment")?" Checked":""%>
            name="trantype" onClick="changeDiv('creditadjustment');setBalDue(this.form);"><font id="fontid">Credit Adjustment/Patient Payment</font>
            <br>
             <input type="radio" value="addinformation"
<%=activeDIV.equals("addinformation")?" Checked":""%>
             name="trantype" onClick="changeDiv('addinformation');setBalDue(this.form);"><font id="fontid">Add Information</font>
             </font>
            </td>
          </tr>
          <script>
          if(<%=BLNINS%> == 0){
          window.document.frmpayment.trantype[0].disabled=true;
          }
          </script>
<tr>
<td colspan="4">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tr>
<td class="clsLeft" style="border-top: 1px solid rgb(58,118,118);border-right: 1px solid rgb(58,118,118);" align="left" colspan="11">
&nbsp;</td>
</tr>

<tr>
<td class="clsLeft"><font id="fontid">Claim No&nbsp;</font></td>
<td ><font id="fontid">Line Item No&nbsp;</font></td>
<td ><font id="fontid">Date&nbsp;</font></td>
<td ><font id="fontid">&nbsp;CPT&nbsp;</font></td>

<td colspan=2><font id="fontid" >Claim Amount&nbsp;</font></td>


<!-- <td colspan=2><font id="fontid">&nbsp;Total Paid Amount</font></td> -->
<td ><font id="fontid">Balance Due&nbsp;</font></td>
<td ><font id="fontid">Line Item Status&nbsp;</font></td>
<td ><font id="fontid">&nbsp;</font></td> <!-- Charged Amount -->





<td class="clsRight" >&nbsp;&nbsp;&nbsp;</td>

</tr>

<tr>
<td class="clsLeft" style="border-top: 1px solid rgb(58,118,118);border-right: 1px solid rgb(58,118,118);" align="left" colspan="11">
&nbsp;</td>
</tr>
    <input type="hidden" name="numClaimRows" value="<%=vctClaims.size()%>">
    <input type="hidden" name="activeDIV" value="">



<% if (isclaimentered && claimmatchcounter == 0) { %>

<tr>
<td width="624" class="clsLeft" align="center" colspan="8"><font color="red">Specified Claim Id does not exist  for the specified Patient
<%=GeysersSiteUtilities.getSpaces(150)%></font></td>
<td class="clsRight">&nbsp;</td>
</tr>

<% } else if(vctClaims.size() == 0){
%>
<tr>
<td width="624" class="clsLeft" align="center" colspan="9"><font color="red">Retrieve Line Item Postings
<%=GeysersSiteUtilities.getSpaces(150)%></font></td>
<td class="clsRight">&nbsp;</td>
</tr>
<%
}else{
%>
    <input type="hidden" name="currentPID" value="<%=hashMap.get("pid")%>">
    <input type="hidden" name="currentLineItem" value="1">

  <script>
    var arrclaimid = new String (<%=vctClaims.size()%>);
    var arrstatus = new String (<%=vctClaims.size()%>);
    var arrinsallowed = new String (<%=vctClaims.size()%>);
    var arritemcnt = new String (<%=vctClaims.size()%>);
  </script>

<%
   int vcsize=vctClaims.size();
    for(int cnt=0;cnt<vcsize;cnt++){
%>




    <%@include file="payment/paymentlineitemvars_inc.jsp"%>

<%
  if(csi.default1!=00) {
        //startingdefault1="0.00";

if(creditAdjustment==null || creditAdjustment.equals("")) {
  creditAdjustment=formatCurrencyJSP(csi.default1+"");
}
else {
  creditAdjustment=formatCurrencyJSP((Float.parseFloat(creditAdjustment)+csi.default1)+"");
}
  }


    %>

<input type="hidden" name="claimid<%=cnt%>" value="<%=claimid%>">
<input type="hidden" name="claimServiceId<%=cnt%>" value="<%=claimServiceId%>">
<input type="hidden" name="hdlstat<%=cnt%>" value="">
<input type="hidden" name="hduseocamt<%=cnt%>" value="<%=hduseocamt%>">
<input type="hidden" name="hdogamt<%=cnt%>" value="<%=hdogamt%>">
<input type="hidden" name="hdcuamt<%=cnt%>" value="<%=hdcuamt%>">
<input type="hidden" name="hdinsalamt<%=cnt%>" value="<%=hdinsalamt%>">
<input type="hidden" name="startinghdinsalamt<%=cnt%>" value="<%=startinghdinsalamt%>">

<input type="hidden" name="hdsrlkupid<%=cnt%>" value="<%=hdsrlkupid%>">
<input type="hidden" name="hdptype<%=cnt%>" value="<%=hdptype%>">
<input type="hidden" name="hdinsadd<%=cnt%>" value="<%=hdinsadd%>">
<input type="hidden" name="hdrem<%=cnt%>" value="<%=hdrem%>">
<input type="hidden" name="hdcom<%=cnt%>" value="<%=hdcom%>">
<!--*************************Anand is a good man-->
<input type="hidden" name="hdbalforward<%=cnt%>" value="<%=startingcanbal%>">
<input type="hidden" name="hdcacopay<%=cnt%>" value="<%=hdcacopay%>">
<input type="hidden" name="startingcacopay<%=cnt%>" value="<%=startingcacopay%>">
<input type="hidden" name="hddefault1<%=cnt%>" value="<%=hddefault1%>">
<input type="hidden" name="startingdefault1<%=cnt%>" value="<%=startingdefault1%>">
<input type="hidden" name="hddefault2<%=cnt%>" value="<%=hddefault2%>">
<input type="hidden" name="startingdefault2<%=cnt%>" value="<%=startingdefault2%>">
<input type="hidden" name="hdcanbal<%=cnt%>" value="<%=hdcanbal%>">
<input type="hidden" name="startingcanbal<%=cnt%>" value="<%=startingcanbal%>">

<input type="hidden" name="hdccno1<%=cnt%>" value="<%=hdccno1%>">
<input type="hidden" name="hdchkno<%=cnt%>" value="<%=hdchkno%>">
<input type="hidden" name="hdccno<%=cnt%>" value="<%=hdccno%>">
<!--************************* very good man-->

<input type="hidden" name="hdRecordEdited<%=cnt%>" value="0">
<input type="hidden" name="hdclaimcopay<%=cnt%>" value="<%=hdclaimcopay%>">
<input type="hidden" name="status<%=cnt%>" value="<%=status%>">
<input type="hidden" name="hdcreditamount<%=cnt%>" value="<%=creditamount%>">
<input type="hidden" name="hdinsno" value="<%=secinsno%>">
<input type="hidden" name="hdinssecno" value="<%=prinsno%>">
<input type="hidden" name="hdtype<%=cnt%>" value="<%=hdtype%>">


 <script>

   arrclaimid[<%=cnt%>] = <%= claimid %>;
   arrinsallowed[<%=cnt%>] = <%= hdinsalamt %>;
   arrstatus[<%=cnt%>] = '<%= status %>';
   arritemcnt[<%=cnt%>] = <%= new Integer(cnt).toString() %>;

</script>




<tr height="26">
     <td class="clsLeft"><input readonly type="text" name="claimid" size="12" value="<%=claimid%>">&nbsp;&nbsp;&nbsp;</td>
     <td class="clsLeft"><input readonly type="text" name="claimServiceId" size="7" value="<%=claimServiceId%>">&nbsp;&nbsp;&nbsp;</td>

<td ><INPUT readonly type=text size=10 maxLength=10 name="trandate" value="<%=trandatemm%>/<%=trandatedd%>/<%=trandateyy%>">&nbsp;&nbsp;&nbsp;</td>

 <% dosStr = trandatemm + "/" + trandatedd + "/" + trandateyy;

  %>
<input type=hidden name="deductcopay<%=cnt%>" value=''>

<td ><input readonly type="text" name="cptcd<%=cnt%>" size="6" value="<%=cptcd%>">&nbsp;&nbsp;&nbsp;</td>

<!-- anand -->




<td ><input readonly type="text" name="hd<%=cnt%>" size="8" value="<%=hdogamt%>">&nbsp;&nbsp;&nbsp;</td>


<input readonly type="hidden" name="totalpamt<%=cnt%>" size="8" value="<%=totalPaidAmount%>">

<!-- <td ><input readonly type="text" name="totalpamt<%=cnt%>" size="8" value="<%=totalPaidAmount%>"></td> -->

<input type="hidden" name="hdcopay<%=cnt%>" value="<%=hdcopay%>">
<input type="hidden" name="startinghdcopay<%=cnt%>" value="<%=startinghdcopay%>">


<input type="hidden" name="pamt<%=cnt%>" value="<%=pamt%>">
<input type="hidden" name="startingpamt<%=cnt%>" value="<%=startingpamt%>">
<td ><input type="hidden" name="adjus<%=cnt%>" size="4" value="<%=adjus%>"></td>
<input type="hidden" name="startingadjus<%=cnt%>" size="4" value="<%=startingadjus%>">


<td ><input type="text" name="nbal<%=cnt%>" size="8" value="<%=nbal%>" readonly>&nbsp;&nbsp;&nbsp;</td>

<td ><select size="1" name="lstat<%=cnt%>" onchange="checkStatus('<%=cnt%>');">
    <option value="">Select One <%=GeysersSiteUtilities.getSpaces(43)%></option>
    <%= GeysersSiteUtilities.getLineItemStatus()%>
    </select></td>
<script language="javascript">
    setSelected(window.document.frmpayment.lstat<%=cnt%>,'<%=lstat%>');
</script>
<td ><input readonly type="hidden" name="amt<%=cnt%>" size="8" value="<%=hdogamt%>"<%//=amt%>>&nbsp;&nbsp;&nbsp;</td>

<td class="clsRight">&nbsp;&nbsp;<input type="button" value="Payment" name="edit<%=cnt%>"  onclick="setclaim(this.form);displayclaimno(<%=cnt%>);validateAmountData('<%=cnt%>');calculate(this.form,'<%=cnt %>');setBalDue(this.form);setInitial();openURL2('showfaximage.jsp?mm=<%=trandatemm%>&dd=<%=trandatedd%>&yy=<%=trandateyy%>&pid=<%=hashMap.get("pid")%>&patientname=<%=patient_nm%>&cptcd=<%=cptcd%>&claimid=<%=claimid%>&claimServiceId=<%=claimServiceId%>&cnt=<%=cnt%>&lstat=<%=lstat%>','Image')"></td>

</tr>

<%

    }//end of for i<GeysersSiteConstants.TOTAL_NO_OF_PAYMENT_DETAIL_ROWS
}//end of else


%>
<script>
function displayclaimno(cnt){
window.document.frmpayment.lineclaimeId.value=window.document.frmpayment["claimid"+cnt].value;
window.document.frmpayment.lineId.value=window.document.frmpayment["claimServiceId"+cnt].value;

}

</script>

<script>
//added by Gopi on 13-8-2004
function setRadioButtons(cnt) {
var claimamount=window.document.frmpayment["hd"+cnt].value;
//alert(claimamount);
var balance=window.document.frmpayment["nbal"+cnt].value;
//alert(balance);
var lstatus=window.document.frmpayment["lstat"+cnt].value;
//alert(lstatus);
if(claimamount==balance ) {
if((lstatus=='14' || lstatus=='15' || lstatus=='3' || lstatus=='4') ) {
//alert("comes");
window.document.frmpayment.trantype[1].disabled=true;
}
else {
window.document.frmpayment.trantype[1].disabled=false;
}

}

}
</script>
<tr>
<td class="clsLeft" style="border-bottom: 1px solid rgb(58,118,118);border-right: 1px solid rgb(58,118,118);" align="left" colspan="11">
&nbsp;</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan=4><font id="fontid" >For Claim No
<input type=text name="lineclaimeId" size=12 readonly value="">
and Line Item No <input type=text name="lineId" size=12 readonly value="">
Allowed Amount per Contract<input type=text name="allowedcontract" size=12 readonly value="">
</font>
</td></tr>
<tr>
	<td colspan=4><font id="fontid" >Rendering Physician</font>
	<input type=text name="renderdoc" size=20 readonly value="">
	<font id="fontid" >Production Physician</font>
		<input type=text name="proddoc" size=20 readonly value="">
	</td>
</tr>

<tr>
<td colspan="4" >
<Div style="visibility:hidden;position:relative;height:375"  id="useless" >
<table>
</table>
</div>
<Div style="visibility:hidden;position:absolute"  id="insurancepayment" >
<table>
<jsp:include page="payment/payment_insurancepayment.jsp" flush="true"/>
</table>
</Div>
<Div style="visibility:hidden;position:absolute"  id="creditadjustment" >
<table>
<jsp:include page="payment/payment_creditadjustment.jsp" flush="true"/>
</table>
</Div>
<Div style="visibility:hidden;position:absolute"  id="addinformation" >
<table>
<jsp:include page="payment/payment_addinformation.jsp" flush="true"/>
</table>
</Div>
</td>
</tr>

<script language="javascript">
    if(window.document.frmpayment.numClaimRows.value!=0){
    //alert("execute");
    var firsttime='f';
    // editLineItem(window.document.frmpayment,0);
     window.document.frmpayment.hdRecordEdited0.value =0;
    }

    var insurancepayment=formatCurrency(0);
    var patientpayments=formatCurrency(0);
    var creditadjustments=formatCurrency(0);
    var balancedue=formatCurrency(0);
    var patientcredit=formatCurrency(0);
    var insuranceAllowed=formatCurrency(0);



    for(var i=0;i<window.document.frmpayment.numClaimRows.value;i++){
    insurancepayment=formatCurrency(parseFloat(insurancepayment)+parseFloat(window.document.frmpayment["pamt"+i].value)+parseFloat(window.document.frmpayment["startingpamt"+i].value));
    //insurancepayment=formatCurrency(Math.round((insurancepayment+(formatCurrency(Math.round((window.document.frmpayment["startingpamt"+i].value)*100)/100 ) )+(formatCurrency(Math.round((window.document.frmpayment["pamt"+i].value)*100)/100 ) ) )*100)/100 );

    insuranceAllowed=formatCurrency(parseFloat(insuranceAllowed)+parseFloat(window.document.frmpayment["startinghdinsalamt"+i].value));
    if(window.document.frmpayment["claimServiceId"+i].value==1 && window.document.frmpayment["hdogamt"+i].value!=window.document.frmpayment["hdcuamt"+i].value) {
  patientpayments=formatCurrency(parseFloat(patientpayments)+parseFloat(window.document.frmpayment["hdcopay"+i].value));
}

    creditadjustments=formatCurrency(parseFloat(creditadjustments)+parseFloat(window.document.frmpayment["adjus"+i].value)+parseFloat(window.document.frmpayment["startingadjus"+i].value));
    //balancedue=formatCurrency(parseFloat(formatCurrency(balancedue))+parseFloat(formatCurrency(window.document.frmpayment["hdcanbal"+i].value)));
    //alert("balancedue"+balancedue);
    //alert("window.document.frmpayment[hdcanbal+i].value"+window.document.frmpayment["hdcanbal"+i].value);
    //alert("window.document.frmpayment[hdcanbal+i].value"+window.document.frmpayment["hdcanbal"+i].value);
    balancedue=(parseFloat(balancedue)+parseFloat(window.document.frmpayment["hdcanbal"+i].value))

    patientcredit=formatCurrency(parseFloat(formatCurrency(patientcredit))+parseFloat(formatCurrency(window.document.frmpayment["hdcreditamount"+i].value)));

    }

    for(var i=0;i<window.document.frmpayment.numClaimRows.value;i++){
    /*patientpayments=formatCurrency(parseFloat(formatCurrency(patientpayments))+
    parseFloat(formatCurrency((window.document.frmpayment["hdcacopay"+i].value)))+
    parseFloat(window.document.frmpayment["startingcacopay"+i].value)+
    parseFloat(window.document.frmpayment["hddefault1"+i].value)+
    parseFloat(window.document.frmpayment["startingdefault1"+i].value)+
    parseFloat(window.document.frmpayment["hddefault2"+i].value)+
    parseFloat(window.document.frmpayment["startingdefault2"+i].value) );*/
/*patientpayments=formatCurrency(parseFloat(formatCurrency(patientpayments))+
    parseFloat(formatCurrency((window.document.frmpayment["hdcacopay"+i].value)))+
    parseFloat(window.document.frmpayment["startingcacopay"+i].value)+
    parseFloat(window.document.frmpayment["hddefault1"+i].value)+
    parseFloat(window.document.frmpayment["hddefault2"+i].value) );*/

patientpayments=formatCurrency(parseFloat(formatCurrency(patientpayments))+parseFloat(window.document.frmpayment["startingcacopay"+i].value));

    }
    window.document.frmpayment.insurancePayment.value= formatCurrency(insurancepayment);
    window.document.frmpayment.insuranceAllowed.value=formatCurrency(insuranceAllowed);
    window.document.frmpayment.patientPayment.value=formatCurrency(patientpayments);
    window.document.frmpayment.creditAdjustment.value=formatCurrency(parseFloat(<%=creditAdjustment%>));
//window.document.frmpayment.creditAdjustment.value=formatCurrency((parseFloat(creditadjustments)+(parseFloat(<%=creditAdjustment%>)))+"");
    window.document.frmpayment.newBalance.value=formatCurrency(balancedue);

    //commented by Gopi on 8-4-2005
    //window.document.frmpayment.patientcredit.value=formatCurrency(parseFloat(formatCurrency(patientcredit))+parseFloat(formatCurrency(window.document.frmpayment.creditsindatabase.value)));
     //alert(patientcredit);
    window.document.frmpayment.patientcredit.value=formatCurrency(parseFloat(formatCurrency(patientcredit)));

  //  alert(window.document.frmpayment.patientcredit.value);


</script>
<%
    if(fromSession || request.getParameter("pid") != null){
%>
    <script>retreiveLineItems(window.document.frmpayment);</script>
<%
    }
%>

<script>

  function isValidDate(dateStr) {
				var datePat = /^(\d{1,2})(\/|-)(\d{1,2})\2(\d{4})$/; // requires 4 digit year
			//alert(datePat);
			var matchArray = dateStr.match(datePat); // is the format ok?
			if (matchArray == null) {
			alert(dateStr + " Date is not in a valid format.")
			return false;
			}
			month = matchArray[1]; // parse date into variables
			day = matchArray[3];
			year = matchArray[4];
			if (month < 1 || month > 12) { // check month range
			alert("Month must be between 1 and 12.");
			return false;
			}
			if (day < 1 || day > 31) {
			alert("Day must be between 1 and 31.");
			return false;
			}
			if ((month==4 || month==6 || month==9 || month==11) && day==31) {
			alert("Month "+month+" doesn't have 31 days!")
			return false;
			}
			if (month == 2) { // check for february 29th
			var isleap = (year % 4 == 0 && (year % 100 != 0 || year % 400 == 0));
			if (day>29 || (day==29 && !isleap)) {
			alert("February " + year + " doesn't have " + day + " days!");
			return false;
			   }
			}
			return true;
		}


    function days_between(date1, date2) {

					var ONE_DAY = 1000 * 60 * 60 * 24;
					// Convert both dates to milliseconds
					var date1_ms = date1.getTime();

					var date2_ms = date2.getTime();

					// Calculate the difference in milliseconds
					var difference_ms = date1_ms - date2_ms;

					// Convert back to days and return
					var diff = Math.round(difference_ms/ONE_DAY);

//					alert("diff "+diff);

				if((diff <= 367)&&(diff>=0)){
					//alert("iam inside if part");
					return true;
					}else{
//						alert("iam inside else part");
						alert(" Date should be within 1 year of current date and less or equal current \n");
						return false;
					}



			}


function callmethod(){

if(window.document.frmpayment.trantype[0].checked) {
	var allowed=window.document.frmpayment.allowedcontract.value;
	//var allowed=window.document.frmpayment.allowedcontract.value;
	var ins=window.document.frmpayment.ipinsalamt.value;
	var paid=window.document.frmpayment.ippamt.value;
	var allowedamount=window.document.frmpayment.allowedamount.value;
	var paidamount=window.document.frmpayment.paidamount.value;
	if(allowedamount!=0.00){
		if(ins==allowedamount){
		// alert("comes true");
		}else{
			if(paidamount!=0.00){
				if(paid==paidamount){
					if(confirm("Save changed Allowed Amount to default amount")) {
						window.document.frmpayment.updatehistory.value='YES';
					}else{
						window.document.frmpayment.updatehistory.value='NO';
					}
				}else{
					if(confirm("Save changed Allowed/Paid amount to default amount")) {
						window.document.frmpayment.updatehistory.value='YES';
					}else{
						window.document.frmpayment.updatehistory.value='NO';
					}
				}
			}
			else{
				if(confirm("Save changed Allowed Amount to default amount")) {
					window.document.frmpayment.updatehistory.value='YES';
				}else{
					window.document.frmpayment.updatehistory.value='NO';
				}
			}
		}
	}
	var dep	= window.document.frmpayment.depdate.value
if(dep==''){
	alert("Deposit Date cannot be Empty");
	return false;
	//commented by Gopi on 10-1-2005

	/*if(ins<allowed){
			if(confirm("Insurance Allowed Amount is less than Allowed Contract")) {
				window.document.frmpayment.action = "process_payment.jsp";
				window.document.frmpayment.submit();
				window.document.frmpayment.method="POST";
			}
			else {
				return false;
			}
		}
		else if(ins>allowed) {
			if(confirm("Insurance Allowed Amount is greater than Allowed Contract")) {
				window.document.frmpayment.action = "process_payment.jsp";
				window.document.frmpayment.submit();
				window.document.frmpayment.method="POST";
			}
			else {
			return false;
		}
	}
	else {
		window.document.frmpayment.action = "process_payment.jsp";
		window.document.frmpayment.submit();
		window.document.frmpayment.method="POST";
	}*/
}
else {
if (isValidDate(dep)) { // Validates depdate
	var current_date = new Date();
	var typeddate = new Date(dep);
	if (days_between(current_date,typeddate)){
		if(ins<allowed){
			if(confirm("Insurance Allowed Amount is less than Allowed Contract")) {
				window.document.frmpayment.action = "process_payment.jsp";
				window.document.frmpayment.submit();
				window.document.frmpayment.method="POST";
			}
			else {
				return false;
			}
		}
		else if(ins>allowed) {
			if(confirm("Insurance Allowed Amount is greater than Allowed Contract")) {
				window.document.frmpayment.action = "process_payment.jsp";
				window.document.frmpayment.submit();
				window.document.frmpayment.method="POST";
			}
			else {
			return false;
		}
	}
	else {
		window.document.frmpayment.action = "process_payment.jsp";
		window.document.frmpayment.submit();
		window.document.frmpayment.method="POST";
	}
	}else{
			window.document.frmpayment.depdate.select();
			return false;
		}
}
}
}

else if(window.document.frmpayment.trantype[1].checked) {
var dep	= window.document.frmpayment.depdate1.value;
var cacopay=window.document.frmpayment.cacopay.value;
/*	if(cacopay=='' || cacopay=='0' || cacopay=='0.00'){
		alert("Patient Payment should be greater than Zero");
		return false;
	}*/
	
//alert(dep);
if(dep==''){
	alert("Deposit Date cannot be Empty");
	return false;
/*		window.document.frmpayment.action = "process_payment.jsp";
		window.document.frmpayment.submit();
		window.document.frmpayment.method="POST";*/
}
else{
if (isValidDate(dep)) { // Validates depdate
	var current_date = new Date();
	var typeddate = new Date(dep);
	if (days_between(current_date,typeddate)){
		window.document.frmpayment.action = "process_payment.jsp";
		window.document.frmpayment.submit();
		window.document.frmpayment.method="POST";
	}else{
		window.document.frmpayment.depdate1.select();
		return false;
	}
}
}

}

else {
	window.document.frmpayment.action = "process_payment.jsp";
	window.document.frmpayment.submit();
	window.document.frmpayment.method="POST";
}


}
</script>
<br>
<br>
<tr>
<td colspan="4" align="center"><input type="submit" value="Apply Payments" name="B3" onclick="javascript:callmethod();return false;">&nbsp;&nbsp;
&nbsp;&nbsp;
&nbsp;&nbsp;
<input type="button" value="Cancel" name="B3" onclick="javascript:location.href='<%=GeysersSiteUtilities.getHomePage(((StaffEntryInfo)session.getAttribute("staffEntryInfo")).UTYPE)%>'">
<%
   if(prinsnm != null){
     if(prinsnm.length() > 1){
%>
<input type="button" value="Apply to Primary-Send Claim to Secondary" onclick=sendtosecondary();>
<%
}
}
%>
</td>
</tr>
</table>
</form>
</TD>
</TR>
</table>
</TD>
</TR>
</table>
</TD>
</TR>
</table>
</td>
</tr>
<TR>
                <tr>
<TD align=center vAlign=top width=100%>
                  <jsp:include page="footer.jsp" flush="true"/>
                 </td></tr>
                </table>
<!---Kanag--->
<form name='dummyForm'  method="POST" >
  <input type=hidden name=patientId value=' '>
  <input type=hidden name=isRefreshed value='true'>
</form>
<form name='dummyForm2'  method="POST" >
  <input type=hidden name=pid value =' '>
  <input type=hidden name=patientName value=' '>
  <input type=hidden name=isRefreshed value='true'>
</form>

<form name='formforfax'>
   <input type=hidden name=dosforfax value =' '>
 </form>

<script>
function submitForm(pid,targetTo){
  window.document.dummyForm.patientId.value=pid;
  if(targetTo=='demographic'){
    window.document.dummyForm.action='redirectdemographic.jsp';
  }
  else{
    window.document.dummyForm.action= 'patientquestionnaire.jsp';
  }
  <%if(pid!=null && !pid.equals(""))
session.setAttribute("patientIdInSession",(new Integer(pid)).toString());%>
  window.document.dummyForm.submit();
 }

 function submitForm2(pid,pname,targetTo){
   window.document.dummyForm2.pid.value=pid;
   window.document.dummyForm2.patientName.value=pname;
   if(targetTo=='claim'){
     window.document.dummyForm2.action='createclaim.jsp';
   }
   else if(targetTo=='transaction') {
     window.document.dummyForm2.action='dmppayment.jsp';
   }
   else{
     window.document.dummyForm2.action= 'payment.jsp';
   }
   <%if(pid!=null && !pid.equals(""))
session.setAttribute("patientIdInSession",(new Integer(pid)).toString());%>
   window.document.dummyForm2.submit();
 }
</script>
<!---Kanag--->

                </body>
    <script>

    function setclaim(thisform){
    if(firsttime=='f'){


    var arrlength = <%= vctClaims.size()%>;

    arrclaimids = new Array(arrlength);


    if(arrlength >0){
    arrclaimids[0]=thisform["claimid"+0].value;
    }
    j=0;

    for (var i=1; i<arrlength ; i++) {

    if(arrclaimids[j] == thisform["claimid"+i].value){

    }else{

    j++;
    arrclaimids[j]=thisform["claimid"+i].value;

    }
    }
    arrclaimflags = new Array(j+1);
    arrclaimflagindex = new Array(j+1);

    for(var x=0;x<j+1;x++){;
    arrclaimflags[x]='F';

    }

    }
    firsttime='t';

    }


    function calculate(thisform,cnt) {
    //alert(thisform["claimid"+cnt].value);
    var arrlength = <%= vctClaims.size()%>;

    var temparrclaimid = new Array(arrlength);
    var temparrinsallowed = new Array(arrlength);
    var temparritemcnt = new Array(arrlength);
    var temparrstatus = new Array(arrlength);

    var z = 0;

    for (var i=0; i<arrlength ; i++) {
        if (arrclaimid[i] == thisform["claimid"+cnt].value ) {
   temparrinsallowed[z] = arrinsallowed[i];
   temparritemcnt[z] = arritemcnt[i];
   temparrstatus[z] = arrstatus[i];
   z++;
        }
    }

var tempinsallowed = "";
var tempcount = "";

if (temparrinsallowed[1] != null || temparrinsallowed[1] != "") {
for (var j=0; j<arrlength-1 ;j++) {
    for (var k=j; k<arrlength ;k++) {
if (temparrinsallowed[j] < temparrinsallowed[k]) {
tempinsallowed = temparrinsallowed[j];
temparrinsallowed[j] = temparrinsallowed[k];
temparrinsallowed[k] = tempinsallowed;

tempcount = temparritemcnt[j];
temparritemcnt[j] = temparritemcnt[k];
temparritemcnt[k] = tempcount;
}
    }
}
}

}

    </script>

    <script>
    function setDosPid(dosmm,dosdd,dosyy,pid){
      var dos = dosmm + "/" + dosdd + "/" + dosyy;
      window.document.formforfax.dosforfax.value = dos;
      window.document.formforfax.submit();



    }
    </script>

    </html>


<%
}
catch(Exception exc){
}finally{
	try{
		if(conn!=null){conn.close();conn=null;}
	}catch(Exception dd){}
}
%>