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Welcome to our Patient Financial Services Center |
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"Alabama",
"AK" => "Alaska",
"AZ" => "Arizona",
"AR" => "Arkansas",
"CA" => "California",
"CO" => "Colorado",
"CT" => "Connecticut",
"DE" => "Delaware",
"DC" => "District of Columbia",
"FL" => "Florida",
"GA" => "Georgia",
"HI" => "Hawaii",
"ID" => "Idaho",
"IL" => "Illinois",
"IN" => "Indiana",
"IA" => "Iowa",
"KS" => "Kansas",
"KY" => "Kentucky",
"LA" => "Louisiana",
"ME" => "Maine",
"MD" => "Maryland",
"MA" => "Massachusetts",
"MI" => "Michigan",
"MN" => "Minnesota",
"MS" => "Mississippi",
"MO" => "Missouri",
"MT" => "Montana",
"NE" => "Nebraska",
"NV" => "Nevada",
"NH" => "New Hampshire",
"NJ" => "New Jersey",
"NM" => "New Mexico",
"NY" => "New York",
"NC" => "North Carolina",
"ND" => "North Dakota",
"OH" => "Ohio",
"OK" => "Oklahoma",
"OR" => "Oregon",
"PA" => "Pennsylvania",
"RI" => "Rhode Island",
"SC" => "South Carolina",
"SD" => "South Dakota",
"TN" => "Tennessee",
"TX" => "Texas",
"UT" => "Utah",
"VT" => "Vermont",
"VA" => "Virginia",
"WA" => "Washington",
"WV" => "West Virginia",
"WI" => "Wisconsin",
"WY" => "Wyoming"
);
// validate a date string of hiddenat MM/DD/YY , MM/DD/YYYY , or MMDDYYYY , return -1 on fail, else format YYYY-MM-DD
function read_date($date)
{
if(ctype_digit($date))
{ // the entire string is numbers, assume format of MMDDYYYY
if(strlen($date) != 8)
return -1;
$m = substr($date, 0, 2);
$d = substr($date, 2, 2);
$y = substr($date, 4, 4);
}
else if( preg_match("/[-\/]/", substr($date, 2, 1)) && preg_match("/[-\/]/", substr($date, 5, 1)) )
{ // assume formate of MM/DD/YYYY or MM/DD/YY
$m = substr($date, 0, 2);
$d = substr($date, 3, 2);
if(strlen($date) == 8)
{ // 2 digit year received
$y = substr($date, 6, 2);
// compare the 2 digit submitted year to 20 years from now (eg, '27' if now is 2007)
if((int)$y < (int)date("y") + 20)
{ // the 2 digit submitted year is less than the 2 digit year 20 years from now
// eg. if it's 2007, the year submitted is less than 27.
// treat it as 21st century
$y = 2000 + (int)$y;
}
else
{ // the 2 digit submitted year is greater than the 2 digit year 20 years from now
// treat is as 20th century
$y = 1900 + (int)$y;
}
}
else
$y = substr($date, 6, 4); // 4 digit year
}
else
return -1; // date string in unrecognized format
if(!ctype_digit($m))
return -1;
if(!ctype_digit($d))
return -1;
if(!ctype_digit($y))
return -1;
if(($m < 1) || ($m > 12))
return -1;
if(($d < 1) || ($d > 31))
return -1;
if(($y < 1800) || ($y > 2350))
return -1;
$formated = $y . '-' . $m . '-' . $d;
return $formated;
}
// validate a date string of either MM/YYYY or MM/DD/YYYY, return -1 on fail, else format YYYY-MM-DD
function read_exp_date($date)
{
if(strlen($date) == 10)
return read_date($date);
if(strlen($date) != 7)
return -1;
$m = substr($date, 0, 2);
$y = substr($date, 3, 4);
if(!ctype_digit($m))
return -1;
if(!ctype_digit($y))
return -1;
if(($m < 1) || ($m > 12))
return -1;
if(($y < 1800) || ($y > 2350))
return -1;
if(!preg_match("/[-\/]/", substr($date, 2, 1)))
return -1;
$days = array(
'01' => '31',
'02' => '28',
'03' => '31',
'04' => '30',
'05' => '31',
'06' => '30',
'07' => '31',
'08' => '31',
'09' => '30',
'10' => '31',
'11' => '30',
'12' => '31');
$d = $days[$m];
$formated = $y . '-' . $m . '-' . $d;
return $formated;
}
// validate a money string
function is_money($money)
{
return preg_match("/^([0-9]{1,9})(\.([0-9]{0,2}))?$/", $money);
}
function invalid($error)
{
return " $error
";
}
if(isset($_POST['submitfind']))
{
if(isset($_POST['accountplan']))
$accountplan = $_POST['accountplan'];
$authnet_values['x_accountplan'] = $_POST['accountplan'];
$space="HEAD";
$port = 4490;
$account="123456789 ";
$Clientno="03018500";
$socket = socket_create(AF_INET, SOCK_STREAM, 0) or die("Could not create socket\n");
$result = socket_connect($socket, $host, $port) or die("Could not connect to server\n");
socket_write($socket, $Clientno."|".$authnet_values[x_accountplan]."|find|") or die("Could not send data to server\n");
do{
$result = socket_read ($socket, 1024) or die("Could not read server response\n");
$pos = strpos($result, $Clientno);
}
while ($pos === false);
echo "
";
socket_close($socket);
$Chunks = explode("|", $result);
$account = $Chunks[0];
$have = $Chunks[2];
if ( $have == "have" )
{
$findme = "y";
$authnet_values[x_card_num] = $Chunks[3];
$authnet_values[x_card_code] = $Chunks[4];
$authnet_values[x_first_name] = $Chunks[5];
$authnet_values[x_last_name] = $Chunks[6];
$authnet_values[x_address] = $Chunks[7];
$authnet_values[x_city] = $Chunks[8];
$authnet_values[x_state] = $Chunks[9];
$authnet_values[x_zip] = $Chunks[10];
$authnet_values[x_amount] = $Chunks[11];
$authnet_values[x_startmth] = $Chunks[12];
$authnet_values[x_startday] = $Chunks[13];
$authnet_values[x_startyear] = $Chunks[14];
$authnet_values[x_exp_mth] = $Chunks[15];
$authnet_values[x_exp_year] = $Chunks[16];
$authnet_values[x_frequency] = $Chunks[17];
$authnet_values[x_discount] = $Chunks[18];
$authnet_values[x_total] = $Chunks[19];
$authnet_values[x_accountplans] = "";
$authnet_values[x_accountplans] = $Chunks[20]."\r".$Chunks[21]."\r".$Chunks[22]."\r".$Chunks[23]."\r".$Chunks[24]."\r".$Chunks[25]."\r".$Chunks[26]."\r".$Chunks[27]."\r".$Chunks[28]."\r".$Chunks[29]."\r".$Chunks[30]."\r".$Chunks[31]."\r".$Chunks[32]."\r".$Chunks[33]."\r".$Chunks[34]."\r".$Chunks[35]."\r".$Chunks[36]."\r".$Chunks[37]."\r".$Chunks[38]."\r".$Chunks[39];
$authnet_values[x_initials] = $Chunks[40];
}
else
{
$findme = "y";
$dateme = date('Y m d h: s: m');
$authnet_values['x_startyear'] = substr($dateme, 0, 4 );
$authnet_values['x_startmth'] = substr($dateme, 5, 2 );
$authnet_values['x_startday'] = substr($dateme, 8, 2 );
$authnet_values[x_exp_year] = $authnet_values['x_startyear'];
$authnet_values[x_frequency] = "Monthly";
$authnet_values[x_discount] = "0%";
$authnet_values[x_state] = "New York";
}
}
if(isset($_POST['submit']))
{
// Form has been submitted, so process it
$auth_net_login_id = "6UM34xp8K3y";
$auth_net_tran_key = "8H7Ta22hS924x3cz";
$authnet_values = array
(
"x_login" => $auth_net_login_id,
"x_version" => "3.1",
"x_delim_char" => "|",
"x_delim_data" => "TRUE",
"x_url" => "FALSE",
"x_type" => "AUTH_CAPTURE",
"x_method" => "CC",
"x_tran_key" => $auth_net_tran_key,
"x_relay_response" => "FALSE",
"x_description" => "Lakes Region General Hospital",
# information collected through the form:
"x_card_num" => "4242424242424242",
"x_exp_date" => "1209",
"x_card_code" => "",
"x_amount" => "12.23",
"x_first_name" => "Charles D.",
"x_last_name" => "Gaulle",
"x_address" => "342 N. Main Street #150",
"x_city" => "Ft. Worth",
"x_state" => "TX",
"x_zip" => "12345",
);
// Validate information
$error = '';
$authnet_values['x_accountplan'] = $_POST['hotplan'];
if(isset($_POST['card_num']) && ctype_digit($_POST['card_num']))
$authnet_values['x_card_num'] = $_POST['card_num'];
else
$error .= invalid("credit card number - must be all numeric");
if(($_POST['exp_month'] != '') && ($_POST['exp_year'] != '') && read_exp_date($_POST['exp_month'].'/'.$_POST['exp_year']))
{
$authnet_values['x_exp_mth'] = $_POST['exp_month'];
$authnet_values['x_exp_year'] = $_POST['exp_year'];
}
else
$error .= invalid("expiration date");
if(($_POST['start_month'] != '') && ($_POST['start_year'] != ''))
{
$authnet_values['x_startmth'] = $_POST['start_month'];
$authnet_values['x_startday'] = $_POST['start_day'];
$authnet_values['x_startyear'] = $_POST['start_year'];
}
else
$error .= invalid("start date");
if(isset($_POST['card_code']) && ($_POST['card_code'] != ''))
$authnet_values['x_card_code'] = $_POST['card_code'];
else
$error .= invalid("security code");
if(isset($_POST['amount']))
$authnet_values['x_amount'] = $_POST['amount'];
else
$error .= invalid("amount");
if(isset($_POST['discount']))
$authnet_values['x_discount'] = $_POST['discount'];
else
$error .= invalid("discount");
if(isset($_POST['frequency']))
$authnet_values['x_frequency'] = $_POST['frequency'];
else
$error .= invalid("frequency");
if(isset($_POST['first_name']) && ($_POST['first_name'] != ''))
$authnet_values['x_first_name'] = $_POST['first_name'];
else
$error .= invalid("first name");
if(isset($_POST['last_name']) && ($_POST['last_name'] != ''))
$authnet_values['x_last_name'] = $_POST['last_name'];
else
$error .= invalid("last name");
if(isset($_POST['address']) && ($_POST['address'] != ''))
$authnet_values['x_address'] = $_POST['address'];
else
$error .= invalid("address");
if(isset($_POST['city']) && ($_POST['city'] != ''))
$authnet_values['x_city'] = $_POST['city'];
else
$error .= invalid("city");
if(isset($_POST['state']) && ($_POST['state'] != ''))
$authnet_values['x_state'] = $_POST['state'];
else
$error .= invalid("state");
if(isset($_POST['zip']) && (($_POST['zip'] != '') && (strlen($_POST['zip']) == 5)))
$authnet_values['x_zip'] = $_POST['zip'];
else
$error .= invalid("zip code - must be 5 digits");
$authnet_values['x_accountplans'] = $_POST['accountplans'];
if(isset($_POST['initials']) && (($_POST['initials'] != '') && (strlen($_POST['initials']) == 3)))
$authnet_values['x_initials'] = $_POST['initials'];
else
$error .= invalid("user - must be 3 digits");
if($error == '')
{
// form submission successfully validated, submit request to authorize.net and exit
$fields = "";
foreach( $authnet_values as $key => $value ) $fields .= "$key=" . urlencode( $value ) . "&";
// * * * * *
#$auth_net_url = "https://certification.authorize.net/gateway/transact.dll";
# Uncomment the line ABOVE for test accounts or BELOW for live merchant accounts
#$auth_net_url = "https://secure.authorize.net/gateway/transact.dll";
# October 1, 2007
# Current API Login ID:
# Current Transaction Key:
$auth_net_login_id = "6UM34xp8K3y";
$auth_net_tran_key = "8H7Ta22hS924x3cz";
// * * * * *
$text = $resp;
echo "
";
///////////////////////////////////////////////////////////
///////////////////////////////////////////////////////////
// STATISTICAL USE ONLY: //
///////////////////////////////////////////////////////////
$howMany = substr_count($resp, "|");
///////////////////////////////////////////////////////////
$text = $resp;
$h = substr_count($text, "|");
$h++;
for($j=1; $j <= $h; $j++){
$p = strpos($text, "|");
if ($p === false) { // note: three equal signs
// x_delim_char is obviously not found in the last go-around
if($j>=69){
} else {
}
}else{
$p++;
// We found the x_delim_char and accounted for it . . . now do something with it
// get one portion of the response at a time
$pstr = substr($text, 0, $p);
// this prepares the text and returns one value of the submitted
// and processed name/value pairs at a time
// for AIM-specific interpretations of the responses
// please consult the AIM Guide and look up
// the section called Gateway Response API
$pstr_trimmed = substr($pstr, 0, -1); // removes "|" at the end
if($pstr_trimmed==""){
$pstr_trimmed="NO VALUE RETURNED";
}
switch($j){
case 1:
$fval="";
if($pstr_trimmed=="1"){
$fval="Approved";
}elseif($pstr_trimmed=="2"){
$fval="Declined";
}elseif($pstr_trimmed=="3"){
$fval="Error";
}
$resp_code=$fval;
break;
case 2:
$resp_subcode=$pstr_trimmed;
break;
case 3:
$resp_reasoncode=$pstr_trimmed;
break;
case 4:
$resp_text=$pstr_trimmed;
break;
case 5:
$approval_code=$pstr_trimmed;
break;
case 6:
break;
case 7:
$trans_id=$pstr_trimmed;
break;
case 10:
$this_amount=$pstr_trimmed;
break;
case 14:
$first_name=$pstr_trimmed;
break;
case 15:
$last_name=$pstr_trimmed;
break;
case 17:
//echo "Billing Address : ";
//echo $pstr_trimmed;
break;
case 18:
//echo "City : ";
//echo $pstr_trimmed;
break;
case 19:
//echo "State : ";
//echo $pstr_trimmed;
break;
case 20:
//echo "ZIP : ";
//echo $pstr_trimmed;
break;
case 21:
//echo "Country : ";
//echo $pstr_trimmed;
break;
case 22:
//echo "Phone : ";
break;
default:
break;
}
// remove the part that we identified and work with the rest of the string
$text = substr($text, $p);
}
}
$acct_num1=$account;
$auth_code=$approval_code;
$amount=$this_amount;
//$balance1=$row_RecSetPeople['balance'];
$resp_code1=$resp_code;
$trans_id1=$trans_id;
$holdinitials=$_POST['initials'];
$t=time();
$thedate = date("D F d Y h:i:s A",$t);
#
include ("/srv/include/db.inc.php");
#
#
if ( $resp_code == "Approved" ){
$shortcard = substr($_POST['card_num'], 10, 28);
?>
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