From: Subject: Form C: Quarterly Report Date: Thu, 29 Mar 2012 16:10:18 -0400 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01CD0DC6.6F942D40" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.6157 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01CD0DC6.6F942D40 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: https://www.dmecompetitivebid.com/secure/cbicsecure.nsf/FormC =EF=BB=BF Form C: Quarterly Report ', '<-- = SELECT CBA/PRODUCT CATEGORY-->'); for = (i=3D0;i
1

Form C: QUARTERLY REPORT

This report is used to update the Supplier Directory on the Medicare = website=20 at http://www.medicare.gov/ with the products you plan = to provide=20 during the NEXT quarter.

Please review your product information in the Supplier Directory = before=20 completing this report. You must complete this report for every = competitive=20 bidding area (CBA)/product category combination in your contract. Please = refer=20 to your contract for a complete listing of your CBA/product category=20 combinations.

  • If a CBA/product category combination needs to be updated in the = Supplier=20 Directory, you must complete information for ALL=20 HCPCS codes for that CBA/product category combination.
  • If some, but not all, CBA/product category combinations need to be = updated=20 in the Supplier Directory, you must identify those that do NOT need to = be=20 updated in section III of this form.
  • If all of your product information in the Supplier Directory for = ALL=20 CBA/product category combinations is current, select =E2=80=9CI have = no updates for=20 any of my CBA/product category combinations=E2=80=9D in section = III.

Failure to submit a Form C for all CBA/product category combinations = in your=20 contract may be considered a breach of contract and result in = termination of=20 your contract.

IMPORTANT: Data entered into Form C does NOT save. After 60 = minutes=20 of inactivity, Form C will time out and all data entered will be=20 lost.

You may enter all required information at one time and then select = =E2=80=9CView=20 Completed Form and Print,=E2=80=9D OR you may choose to enter product = information for=20 each single CBA/product category combination and then select = =E2=80=9CView Completed=20 Form and Print.=E2=80=9D You must PRINT EACH FORM since this information = is not saved=20 and cannot be retrieved after your browser closes. ALL forms must be = signed by a=20 company official and sent (either by mail or fax) to the Competitive = Bidding=20 Implementation Contractor (CBIC) and RECEIVED by the CBIC by the=20 deadline.

I. Business Information [*required]=20
*
 *

(Check your = contract for=20 the contract number)

 *
 *
=

II. Update(s) to the Supplier Directory
  1. Select a CBA/product category combination for the first product = you are=20 reporting.
  2. Select all additional CBAs in which the product will be made=20 available.
  3. Select the HCPCS code for the product. If you do not see a = particular=20 HCPCS code listed in the =E2=80=9CHCPCS Code=E2=80=9D dropdown box, = you are not required to=20 report it.
  4. Click =E2=80=9CModel=E2=80=9D and select the product=E2=80=99s = model from the list of choices in=20 the dropdown box. If you do not see the product=E2=80=99s model, = scroll to the bottom=20 of the list and select =E2=80=9COther =E2=80=93 Not Listed.=E2=80=9D = Enter the model of the=20 product.
    NOTE: Only select =E2=80=9COther =E2=80=93 Not = Listed" IF a particular=20 model does NOT appear in the list provided.
  5. If you do not see the manufacturer and you selected =E2=80=9COther = =E2=80=93 Not Listed=E2=80=9D=20 in the =E2=80=9CModel=E2=80=9D field, enter the manufacturer for the = product. Click =E2=80=9CAdd=20 Product Information.=E2=80=9D
  • The information you entered will appear in the table at the bottom = of this=20 section. If you wish to remove an item from the table, click the = corresponding=20 3D"Remove icon=20 for the item.
  • Repeat this process to add all the products you plan to make = available in=20 the next quarter for the listed HCPCS codes and for ALL CBA/product category combinations for = which you=20 were awarded a contract.

IMPORTANT: This update will delete all of your information = currently=20 listed on the Supplier Directory and replace it with the products you = enter on=20 Form C. Make sure you enter all of your products for every HCPCS code on = Form C=20 even if you have no updates for one or more of the = codes.





Select the = HCPCS=20 Code.
(You must enter all = products you=20 offer for every HCPCS code.)
Hold CTRL key and click to select=20 multiples



Add Product Information =

You have not = provided=20 information for the following HCPCS in the following Competitive Bid = Area(s).=20 You must provide this information before continuing:

List of Updates to the Supplier Directory

HCPCS Code CBA/Product Category Manufacturer Model

<= SPAN=20 class=3Dspan1>III. No Updates to the Supplier Directory=20 If=20 the product information in the Supplier Directory is current for some = but not=20 all of your CBA/product category combinations, select the CBA/product = category=20 combination(s) that do NOT need to be updated.

Hold CTRL key and click to select=20 multiples
Hold CTRL key and click to = select=20 multiples
If the product information in the = Supplier=20 Directory is current for ALL CBA/product category combinations, check=20 below.
Add CBA/Product Category = combination=20

List of CBA/Product Category combination(s) that do NOT need to be = updated=20 in the Supplier Directory

CBA/Product=20 Category

View = Completed Form and=20 Print

WARNING: You will not be able to make any changes to your = information=20 once you proceed to the next page. Please review all information on this = page=20 before you proceed to print. To review and make any changes to your = information,=20 click "CANCEL." If you are ready to print, click "OK." If you use the = browser to=20 go back after you click "OK", you will need to re-enter the = information.


OK=20
CANCEL
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optn.text =3D text; optn.value =3D value; cmbBox.options.add(optn); } function populateCBA(elmID, formName){ var arrCBA =3D new Array('Charlotte-Gastonia-Concord, NC-SC -- Non = Mail-Order','Charlotte-Gastonia-Concord, NC-SC -- Mail-Order', 'Cincinnati-Middletown, OH-KY-IN -- Non = Mail-Order','Cincinnati-Middletown, OH-KY-IN -- Mail-Order',=20 'Cleveland-Elyria-Mentor, OH -- Non = Mail-Order','Cleveland-Elyria-Mentor, OH -- Mail-Order',=20 'Dallas-Fort Worth-Arlington, TX -- Non Mail-Order','Dallas-Fort = Worth-Arlington, TX -- Mail-Order',=20 'Kansas City, MO-KS -- Non Mail-Order','Kansas City, MO-KS -- = Mail-Order',=20 'Miami-Fort Lauderdale-Pompano Beach, FL -- Non Mail-Order','Miami-Fort = Lauderdale-Pompano Beach, FL -- Mail-Order',=20 'Orlando-Kissimmee, FL -- Non Mail-Order','Orlando-Kissimmee, FL -- = Mail-Order',=20 'Pittsburgh, PA -- Non Mail-Order','Pittsburgh, PA -- Mail-Order', 'Riverside-San Bernardino-Ontario, CA -- Non Mail-Order','Riverside-San = Bernardino-Ontario, CA -- Mail-Order'); =09 for (var i=3D0; i < arrCBA.length;++i){ vAdd =3D true; if (formName=3D=3D'GNF'){ vAdd =3D false; if (arrCBA[i].indexOf('Non Mail-Order') !=3D -1){ vAdd =3D true; } } =09 if (formName =3D=3D 'FormC'){ vAdd =3D false; if (arrCBA[i].indexOf('Non Mail-Order') !=3D -1){ addOption(document.getElementById(elmID), = arrCBA[i].split(' -- ')[0], arrCBA[i].split(' -- ')[0]); } } =09 if (vAdd) {addOption(document.getElementById(elmID), arrCBA[i], = arrCBA[i]);} } } function populateAccredOrg(elmID){ var arrAO =3D new Array('Select One...','Accreditation Commission for = Healthcare, Inc', 'American Board for Certification in Orthotics and Prosthetics, Inc.', 'Board for Orthotist/Prosthetist Certification', 'Board of Certification in Pedorthics', 'Commission on Accreditation of Rehabilitation Facilities', 'Community Health Accreditation Program', 'Healthcare Quality Association on Accreditation', 'Joint Commission on Accreditation of Healthcare Organizations', 'National Association of Boards of Pharmacy', 'National Board of Accreditation for Orthotic Suppliers', 'The Compliance Team, Inc.'); for (var i=3D0; i < arrAO.length;++i){ addOption(document.getElementById(elmID), arrAO[i], arrAO[i]); } } function populateProductCat(elmID, formName){ var arrAO =3D new Array('Complex Rehabilitative Power Wheelchairs and = Related Accessories (Group 2)', 'CPAP Devices, Respiratory Assist Devices, and Related Supplies and = Accessories', 'Enteral Nutrients, Equipment and Supplies', 'Hospital Beds and Related Accessories', 'Mail-Order Diabetic Supplies', 'Oxygen Supplies and Equipment', 'Standard Power Wheelchairs, Scooters, and Related Accessories', 'Support Surfaces (Group 2 mattresses and overlays) in Miami', 'Walkers and Related Accessories'); for (var i=3D0; i < arrAO.length;++i){ vAdd =3D true; if (formName=3D=3D'GNF'){ if (arrAO[i] =3D=3D 'Enteral Nutrients, Equipment and Supplies' ||=20 arrAO[i] =3D=3D 'Mail-Order Diabetic Supplies'){ vAdd =3D false; } } if (vAdd) {addOption(document.getElementById(elmID), arrAO[i], = arrAO[i]);} } } function populateContactChange(elmID){ var arrAO =3D new Array('Select One...', 'Change Authorized Official', 'Modify Authorized Official E-mail', 'Modify Authorized Official Phone', 'Add Backup Authorized Official', 'Remove Backup Authorized Official', 'Modify Backup Authorized Official E-mail', 'Modify Backup Authorized Official Phone', 'Add/Update Toll-free Number',=20 'Update Doing Business As Name'); 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= updateBtnStyle(document.getElementById('xb2b'+btnType).style,'hidden',btn= Off,'0 3px','1px','1px solid '+brdr,'1px solid '+brdr,'0 2px'); = updateBtnStyle(document.getElementById('xb3t'+btnType).style,'hidden',btn= Off,'0 2px','1px','1px solid '+brdr,'1px solid '+brdr,''); = updateBtnStyle(document.getElementById('xb3b'+btnType).style,'hidden',btn= Off,'0 2px','1px','1px solid '+brdr,'1px solid '+brdr,''); = updateBtnStyle(document.getElementById('xb4t'+btnType).style,'hidden',btn= Off,'0 1px','2px','1px solid '+brdr,'1px solid '+brdr,''); = updateBtnStyle(document.getElementById('xb4b'+btnType).style,'hidden',btn= Off,'0 1px','2px','1px solid '+brdr,'1px solid '+brdr,''); =20 xbox =3D document.getElementById('btn'+btnType).style; xbox.backgroundColor=3DbtnOff; xbox.color=3D"#000000" xbox.border=3D'0 solid ' + brdr; xbox. borderWidth=3D'0 1px'; window.status =3D ''; } ------=_NextPart_000_0000_01CD0DC6.6F942D40 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: https://www.dmecompetitivebid.com/secure/cbicsecure.nsf/validationFunctions.js // JavaScript Document var cRegExName =3D "^([a-zA-Z\\s-_,.\\']+)$"; var cRegExName2 =3D "^([a-zA-Z\\s-.\\']+)$"; var cRegExTextNum =3D "^([a-zA-Z0-9\\s-()_,.\\']+)$"; var cRegExNumOnly =3D "^([0-9]+)$"; var cRegExNumDecOnly =3D "^([0-9\.]+)$"; var cRegExEmail =3D = '^([a-zA-Z0-9_\\-\\.]+)@((\\[[0-9]{1,3}\\.[0-9]{1,3}\\.[0-9]{1,3}\\.)|(([= a-zA-Z0-9\\-]+\\.)+))([a-zA-Z]{2,4}|[0-9]{1,3})(\\]?)$' var cRegExBidRnd2 =3D "^20-\\d{7}$"; function numbersOnly(e, decimal) { var key; var keychar; if (window.event) { key =3D window.event.keyCode; } else if (e) { key =3D e.which; } else { return true; } keychar =3D String.fromCharCode(key); if ((key =3D=3D null) || (key =3D=3D 0) || (key =3D=3D 8) || (key = =3D=3D 9) || (key =3D=3D 13) || (key =3D=3D 27) ) { return true; } else if ((("0123456789").indexOf(keychar) > - 1)) { return true; } else if (decimal && (keychar =3D=3D ".")) { return true; } else return false; } function limitText(limitField, limitNum) { if (limitField.value.length > limitNum) { limitField.value =3D limitField.value.substring(0, limitNum); } } function checkRequired(sText, sDesc, iMin, iMax, regEx){ sValue =3D document.getElementById(sText).value; if (sValue =3D=3D '') { arrErrors.push(sDesc + ' is a required field'); document.getElementById(sText).focus(); return false; } else if(iMax !=3D 0){ if(checkLength(sText, sDesc, iMin, iMax)){ if(regEx !=3D ''){ checkRegEx(sText, sDesc, regEx); } } else{ return false; } } return true; } function checkLength(sText, sDesc, iMin, iMax){ sValue =3D document.getElementById(sText).value.length; if (iMin =3D=3D iMax){ if (sValue !=3D iMin) { arrErrors.push(sDesc + ' must be ' + iMin + ' characters = long.'); document.getElementById(sText).focus(); return false; } } else { if (sValue < iMin) { arrErrors.push(sDesc + ' must by at least ' + iMin + ' = characters long.'); document.getElementById(sText).focus(); return false; } if (sValue > iMax) { arrErrors.push(sDesc + ' cannot be more than ' + iMax + ' = characters long.'); document.getElementById(sText).focus(); return false; } } return true; } function checkRegEx(sText, sDesc, regExPatt){ sValue =3D document.getElementById(sText).value; var regEx =3D new RegExp(regExPatt); if (!sValue.match(regEx)){ switch (regExPatt){ case cRegExName: arrErrors.push(sDesc + " only accepts letters, and the following = characters: .,_-'");document.getElementById(sText).focus();break; case cRegExName2: arrErrors.push(sDesc + " only accepts letters, and the following = characters: .-'");document.getElementById(sText).focus();break; case cRegExTextNum: arrErrors.push(sDesc + " only accepts letters, numbers, and the = following characters: = .,_-'()");document.getElementById(sText).focus();break; case cRegExNumOnly: arrErrors.push(sDesc + " only accepts = numbers");document.getElementById(sText).focus();break; case cRegExBidRnd2: arrErrors.push("Valid bidder number format is = 20-XXXXXXX");document.getElementById(sText).focus();break; default: arrErrors.push(sDesc + ' is invalid = format');document.getElementById(sText).focus();break; } =09 } } function checkValueSelected(sText, sDesc){ sValue =3D document.getElementById(sText).value; if (sValue =3D=3D selectDefault) { arrErrors.push(sDesc + ' is a required field'); document.getElementById(sText).focus(); } } function checkValueChecked(form, sText, sDesc){ var radios =3D form.elements[sText]; for (var i=3D0; i < radios.length; i++){ if (radios[i].checked){ return true; } } arrErrors.push(sDesc + ' is a required field'); } function checkNotRequired(sText, sDesc, iMin, iMax, regEx){ sValue =3D document.getElementById(sText).value; fieldStyle =3D document.getElementById(sText).style fieldStyle.backgroundColor =3D ''; fieldStyle.border =3D brdrNormal; if (sValue =3D=3D ''){return true;} if(iMax !=3D 0){ if(checkLength(sText, sDesc, iMin, iMax) && regEx !=3D ''){ checkRegEx(sText, sDesc, regEx); } } } function checkValidDate(sText, sDesc){ if (checkRequired(sText, sDesc, 10, 10, '')){ txtDate =3D document.getElementById(sText).value; var objDate, // date object initialized from the txtDate string mSeconds, // txtDate in milliseconds day, // day month, // month year; // year // third and sixth character should be '/' if (txtDate.substring(2, 3) !=3D=3D '/' || txtDate.substring(5, 6) = !=3D=3D '/') { arrErrors.push(sDesc + ' is invalid = format');document.getElementById(sText).focus();return false; } // extract month, day and year from the txtDate (expected format is = mm/dd/yyyy) // subtraction will cast variables to integer implicitly month =3D txtDate.substring(0, 2) - 1; // because months in JS = start from 0 day =3D txtDate.substring(3, 5) - 0; year =3D txtDate.substring(6, 10) - 0; // test year range if (year < 1000 || year > 3000) { arrErrors.push(sDesc + ' is invalid = format');document.getElementById(sText).focus();return false; } // convert txtDate to milliseconds mSeconds =3D (new Date(year, month, day)).getTime(); // initialize Date() object from calculated milliseconds objDate =3D new Date(); objDate.setTime(mSeconds); // compare input date and parts from Date() object // if difference exists then date isn't valid if (objDate.getFullYear() !=3D=3D year || objDate.getMonth() !=3D=3D month || objDate.getDate() !=3D=3D day) { arrErrors.push(sDesc + ' is invalid = format');document.getElementById(sText).focus();return false; } // otherwise return true return true; } } ------=_NextPart_000_0000_01CD0DC6.6F942D40 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: https://www.dmecompetitivebid.com/secure/cbicsecure.nsf/formC.js var brdr =3D '#036'; var btnOn =3D '#036'; var btnOff =3D '#CCCCCC'; var tblRow =3D - 1; // Row being updated in the Data array var revRow =3D - 1; // Row being updated in the Review table var niRow =3D - 1; // Row being updated in the No Item Furnished array var arrData =3D []; var arrErrors =3D []; var arrNoItem =3D []; var arrNoUpdate =3D []; var arrHasItem =3D []; var arrHCPCS =3D []; var arrCBASelect =3D []; var arrCBAPCUpdate =3D []; var arrCBAPCNoUpdate =3D []; var arrComboSelect =3D []; var arrNoUpdatePend =3D []; // Section III No Update CBA / PC = Combinations going waiting for Validation var selectDefault =3D 'Select One...'; var currentForm =3D 'Form C'; var bOptOut =3D false; var bAllCBA =3D false; var focusRow; var sCBA =3D ''; var sMfg =3D ''; var sModName =3D ''; var sModNum =3D ''; var sHCPCS =3D ''; var modNumBlank =3D false; var modNameBlank =3D false; var sHTTP =3D 'http://'; var sHost =3D window.location.hostname; var sPDACData =3D '/secure/formclu.nsf'; var modelNumberRequired; // check to see if Model Number is an available field. For Q1 & Q2 yes, = but for Q3 no. var makeOrModel; function loadComment() { if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } sVal =3D replaceSubstring((sModName + '~' + sModNum), "+", "**"); if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; } xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/ModName-NumCom?readviewentries&count=3D-1&restricttocategory=3D" + = sVal, false); xmlhttp.send(); var sReturn =3D xmlhttp.responseText; document.getElementById('Comment').innerHTML =3D ''; if (sReturn.length > 100) { // Check for Error if(sReturn.indexOf('Error 404') > 0) { return false; } testVal =3D sReturn.split(''); sNew =3D replaceHTMLCharacters(testVal[0].split('')[1]); document.getElementById('Comment').innerHTML =3D sNew } } function loadHCPCS() { if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } sVal =3D sCBA; if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; } xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/HCPCS-CBA?readviewentries&count=3D-1&restricttocategory=3D" + sVal, = false); xmlhttp.send(); var sReturn =3D xmlhttp.responseText; ClearOptionsFast('HCPCSCode'); ClearOptionsFast('Manufacturer'); ClearOptionsFast('ModelName'); ClearOptionsFast('ModelNumber'); // document.getElementById('Comment').innerHTML =3D ''; var cmbBox =3D document.getElementById('HCPCSCode'); if (sReturn.length > 100) { // Check for Error if(sReturn.indexOf('Error 404') > 0) { return false; } sPrev =3D ''; testVal =3D sReturn.split(''); if (testVal.length =3D=3D 2) { sNew =3D = replaceHTMLCharacters(testVal[0].split('')[1]); addOption(cmbBox, sNew, sNew); } else { addOption(cmbBox, '<- SELECT ->', '<- SELECT ->'); if (arrData.length =3D=3D 0) { arrHCPCS =3D []; } for (ii =3D 0; ii < testVal.length - 1; ii ++ ) { sNew =3D = replaceHTMLCharacters(testVal[ii].split('')[1]); if(sNew !=3D sPrev) { sPrev =3D sNew; addOption(cmbBox, sNew, sNew); if (arrHasItem.length =3D=3D 0) { arrHCPCS.push(sNew); } } } } } } function loadModelNumber() { if ( ! modelNumberRequired) { return true; } if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } sVal =3D replaceSubstring(replaceSubstring(replaceSubstring(sHCPCS = + '~' + sMfg + '~' + sModName, ' &', ''), '"',''),"''",''); if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; } xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/Mfg-ModName?readviewentries&count=3D-1&restricttocategory=3D" + sVal, = false); xmlhttp.send(); var sReturn =3D xmlhttp.responseText; ClearOptionsFast('ModelNumber'); // document.getElementById('Comment').innerHTML =3D ''; var cmbBox =3D document.getElementById('ModelNumber'); if (sReturn.length > 100) { // Check for Error if(sReturn.indexOf('Error 404') > 0) { return false; } sPrev =3D '' iCnt =3D 0 testVal =3D sReturn.split(''); modNumBlank =3D false; if (testVal.length =3D=3D 2) { iCnt ++ ; sModNum =3D = replaceHTMLCharacters(testVal[0].split('')[1]); if (sModNum =3D=3D '') { modNumBlank =3D true; } addOption(cmbBox, sModNum, sModNum); } else { addOption(cmbBox, '<- SELECT ->', '<- SELECT ->'); for (ii =3D 0; ii < testVal.length - 1; ii ++ ) { sNew =3D = replaceHTMLCharacters(testVal[ii].split('')[1]); if(sNew !=3D sPrev) { sPrev =3D sNew; addOption(cmbBox, sNew, sNew); iCnt ++ } } if (iCnt =3D=3D 1) { sModNum =3D sNew; } } if (iCnt < 2) { sNew =3D sModNum; if (iCnt =3D=3D 0 || sModNum =3D=3D '') { sNew =3D 'N/A'; } ClearOptionsFast('ModelNumber'); cmbBox =3D document.getElementById('ModelNumber'); addOption(cmbBox, sNew, sNew); } } if (sModName =3D=3D 'NOT APPLICABLE') { addOption(cmbBox, 'N/A', 'N/A'); } } function loadModelName() { if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } sVal =3D replaceSubstring(sHCPCS, ' &', ''); if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; } xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/MakeByHCPCS?readviewentries&count=3D-1&restricttocategory=3D" + sVal, = false); xmlhttp.send(); var sReturn =3D xmlhttp.responseText; ClearOptionsFast('ModelName'); ClearOptionsFast('Manufacturer'); ClearOptionsFast('ModelNumber'); // document.getElementById('Comment').innerHTML =3D ''; var cmbBox =3D document.getElementById('ModelName'); if (sReturn.length > 100) { // Check for Error if(sReturn.indexOf('Error 404') > 0) { return false; } sPrev =3D ''; testVal =3D sReturn.split(''); iCnt =3D 0; addOption(cmbBox, '<-- SELECT MAKE -->', '<-- SELECT MAKE = -->'); for (ii =3D 0; ii < testVal.length - 1; ii ++ ) { sNew =3D = replaceHTMLCharacters(testVal[ii].split('')[1]); if(sNew !=3D sPrev) { iCnt ++ ; sPrev =3D sNew; addOption(cmbBox, sNew, sNew); } } addOption(cmbBox, 'OTHER - NOT LISTED', 'OTHER - NOT LISTED'); // addOption(cmbBox, 'NOT APPLICABLE', 'NOT APPLICABLE'); } } function loadManufacturer() { if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } sVal =3D = replaceSubstring(replaceSubstring(replaceSubstring(replaceSubstring(sCBA = + '~' + sHCPCS + '~' + sModName, ' &', ''), '"',''),"''",'')," + ", ' = '); if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; } // document.getElementById('hPrimarySupplierLBN').value =3D sHTTP + = sHost + sPDACData + = "/MfgByCBA-HCPCS-Make?readviewentries&count=3D-1&restricttocategory=3D" = + sVal; xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/MfgByCBA-HCPCS-Make?readviewentries&count=3D-1&restricttocategory=3D" = + sVal, false); xmlhttp.send(); //alert(sHTTP + sHost + sPDACData + = "/MfgByCBA-HCPCS-Make?readviewentries&count=3D-1&restricttocategory=3D" = + sVal) var sReturn =3D xmlhttp.responseText; ClearOptionsFast('Manufacturer'); ClearOptionsFast('ModelNumber'); // document.getElementById('Comment').innerHTML =3D ''; var cmbBox =3D document.getElementById('Manufacturer'); if (sReturn.length > 100) { // Check for Error if(sReturn.indexOf('Error 404') > 0) { return false; } sPrev =3D ''; iCnt =3D 0; testVal =3D sReturn.split(''); if (testVal.length =3D=3D 2) { iCnt ++ ; sMfg =3D = replaceHTMLCharacters(testVal[0].split('')[1]); addOption(cmbBox, sMfg, sMfg); loadModelNumber(); } else { addOption(cmbBox, '<-- SELECT MANUFACTURER -->', '<-- = SELECT MANUFACTURER -->'); for (ii =3D 0; ii < testVal.length - 1; ii ++ ) { sNew =3D = replaceHTMLCharacters(testVal[ii].split('')[1]); if(sNew !=3D sPrev) { iCnt ++ ; sPrev =3D sNew; addOption(cmbBox, sNew, sNew); } } if (iCnt =3D=3D 1) { sMfg =3D sNew; } } if (iCnt < 2) { if (iCnt =3D=3D 0) { sNew =3D 'N/A'; sMfg =3D ''; } if (iCnt =3D=3D 1) { sNew =3D sMfg; } ClearOptionsFast('Manufacturer'); cmbBox =3D document.getElementById('Manufacturer'); addOption(cmbBox, sNew, sNew); loadModelNumber(); } } if (sModName =3D=3D 'NOT APPLICABLE') { addOption(cmbBox, 'NOT APPLICABLE', 'NOT APPLICABLE'); sMfg =3D 'NOT APPLICABLE'; loadModelNumber(); } } function loadCBAOnePC() { ClearOptionsFast('CBA'); if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; } xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/CBA?readviewentries&restricttocategory=3D" + sCBA, false); xmlhttp.send(); var test =3D xmlhttp.responseText; if (test.indexOf('') > 10) { testVal =3D = test.split('')[0].split('')[1].split(''); var cmbBox =3D document.getElementById('CBA'); for(kgd =3D 0; kgd < (testVal.length - 1); kgd ++ ) { addVal =3D testVal[kgd].split('')[1]; addOption(cmbBox, addVal, addVal); } } else { testVal =3D test.split(''); var cmbBox =3D document.getElementById('CBA'); for(kgd =3D 0; kgd < (testVal.length - 1); kgd ++ ) { addVal =3D testVal[kgd].split('')[1]; addOption(cmbBox, addVal, addVal); } } defaultOptionList(cmbBox, sCBA) } function reloadCBA() { ClearOptionsFast('CBA'); ClearOptionsFast('OtherCBA'); ClearOptionsFast('HCPCSCode'); ClearOptionsFast('Manufacturer'); ClearOptionsFast('ModelName'); ClearOptionsFast('ModelNumber'); arrHCPCS =3D []; if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; } xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/CBAList?readviewentries", false); xmlhttp.send(); var test =3D xmlhttp.responseText; if (test.indexOf('') > 10) { testVal =3D test.split(''); var cmbBox =3D document.getElementById('CBA'); addOption(cmbBox, '<-- SELECT CBA/PRODUCT CATEGORY -->', '<-- = SELECT CBA/PRODUCT CATEGORY -->'); for(kgd =3D 0; kgd < (testVal.length - 1); kgd ++ ) { addVal =3D testVal[kgd].split('')[1]; addOption(cmbBox, addVal, addVal); } } } function loadAltCBA() { if (window.XMLHttpRequest) { // code for IE7 + , Firefox, Chrome, Opera, Safari xmlhttp =3D new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp =3D new ActiveXObject("Microsoft.XMLHTTP"); } if (sHost.indexOf('www.dmecompetitivebid.com') !=3D - 1) { sHTTP =3D 'https://'; sPDACData =3D '/secure/formclu.nsf'; } xmlhttp.open("GET", sHTTP + sHost + sPDACData + = "/CBA?readviewentries&restricttocategory=3D" + sCBA, false); xmlhttp.send(); var test =3D xmlhttp.responseText; ClearOptionsFast('OtherCBA'); ClearOptionsFast('HCPCSCode'); ClearOptionsFast('Manufacturer'); ClearOptionsFast('ModelName'); ClearOptionsFast('ModelNumber'); if (test.indexOf('') > 10) { testVal =3D = test.split('')[0].split('')[1].split(''); var cmbBox =3D document.getElementById('OtherCBA'); for(kgd =3D 0; kgd < (testVal.length - 1); kgd ++ ) { addVal =3D testVal[kgd].split('')[1]; if (addVal !=3D sCBA) { addOption(cmbBox, addVal, addVal); } } } } function ClearOptionsFast(id) { if (id =3D=3D 'ModelNumber') { return true; } var selectObj =3D document.getElementById(id); var selectParentNode =3D selectObj.parentNode; var newSelectObj =3D selectObj.cloneNode(false); // Make a shallow copy selectParentNode.replaceChild(newSelectObj, selectObj); return newSelectObj; } function changeCBA(sCBASelect) { sCBA =3D sCBASelect; hideOtherInfo(); loadAltCBA(); loadHCPCS(); } function changeHCPCS(sHCPCSCode) { sHCPCS =3D sHCPCSCode; hideOtherInfo(); loadModelName(); } function changeModelName(sModelNameSelect) { sModName =3D sModelNameSelect; if (sModName =3D=3D 'OTHER - NOT LISTED') { if (modelNumberRequired) { document.getElementById('ModelNumber').disabled =3D true; } document.getElementById('Manufacturer').disabled =3D true; document.getElementById('OtherMfg').style.display =3D ''; document.getElementById('OtherModelInfo').style.display =3D = ''; document.getElementById('ModelInfo').style.display =3D 'none'; ClearOptionsFast('Manufacturer'); ClearOptionsFast('ModelNumber'); } else { hideOtherInfo(); loadManufacturer(); } } function changeMfg(sMfgSelect) { sMfg =3D sMfgSelect; loadModelNumber(); } function hideOtherInfo() { if (modelNumberRequired) { document.getElementById('ModelNumber').disabled =3D false; } document.getElementById('Manufacturer').disabled =3D false; document.getElementById('OtherMfg').style.display =3D 'none'; document.getElementById('OtherModelInfo').style.display =3D 'none'; document.getElementById('ModelInfo').style.display =3D ''; document.getElementById('OtherManufacturer').value =3D ''; document.getElementById('OtherModelName').value =3D ''; if (modelNumberRequired) { document.getElementById('OtherModelNumber').value =3D ''; } } function validateProductInformation(){ form =3D document.forms[0]; makeOrModel =3D 'Model'; if (modelNumberRequired){ makeOrModel =3D 'Make'; } arrErrors =3D []; =20 if (!(document.getElementById('CBA').value.indexOf('>') > 0)){ arrCBA =3D = getSelectedOptions(document.forms[0].elements['OtherCBA']); arrCBA.splice(0, 0, document.getElementById('CBA').value); if (currentForm =3D=3D 'Form C'){ for(var j =3D 0; j < arrCBA.length; j ++ ){ if (arrNoItem.has('CBA^' + arrCBA[j])){ arrErrors.push(arrCBA[j] + ' has already been = selected as not having furnished items'); } if (arrNoUpdate.has(arrCBA[j])){ arrErrors.push('The following CBA/PC already = has been listed as not needing to be updated: ' + arrCBA[j]); } } } =20 } =20 =20 =20 if (arrErrors.length =3D=3D 0){ if (sModName =3D=3D 'OTHER - NOT LISTED'){ if (modelNumberRequired){ checkRequired('OtherModelNumber', 'Model Number', 1, = 247, cRegExTextNum); } checkRequired('OtherManufacturer', 'Manufacturer', 1, = 247, cRegExTextNum); checkRequired('OtherModelName', makeOrModel, 1, 247, = cRegExTextNum); } else { if (modelNumberRequired){ if ( ! modNumBlank){ checkRequired('ModelNumber', 'Model Number', 1, = 255, ''); } if = (document.getElementById('ModelNumber').value.indexOf('>') > 0){ arrErrors.push('Model Number is a required = field'); } } checkRequired('Manufacturer', 'Manufacturer', 1, 255, = ''); if = (document.getElementById('Manufacturer').value.indexOf('>') > 0){ arrErrors.push('Manufacturer is a required field'); } if ( ! modNameBlank){ checkRequired('ModelName', makeOrModel, 1, 255, ''); } if = (document.getElementById('ModelName').value.indexOf('>') > 0){ arrErrors.push(makeOrModel + ' is a required = field'); } } checkRequired('HCPCSCode', 'HCPCS Code', 1, 1000, ''); if (document.getElementById('HCPCSCode').value.indexOf('>') > = 0){ arrErrors.push('HCPCS is a required field'); } } checkRequired('CBA', 'CBA', 1, 1000, ''); if (document.getElementById('CBA').value.indexOf('>') > 0){ arrErrors.push('CBA is a required field'); } =20 if (arrErrors.length > 0){ arrErrors.reverse(); alert(arrErrors.join('\n')); return false; } return true; } function getSelectedValue(sID) { var selObj =3D document.getElementById(sID); var selIndex =3D selObj.selectedIndex; sReturn =3D selObj.options[selIndex].value; if (sReturn.length =3D=3D 0) { sReturn =3D selObj.options[selIndex].text; } return sReturn; } function validateHeader() { form =3D document.forms[0]; arrErrors =3D []; if (getSelectedValue('Quarter') =3D=3D '----') { arrErrors.push('Quarter is a required field'); } if (getSelectedValue('Year') =3D=3D '----') { arrErrors.push('Year is a required field'); } checkRequired('hBidderNumber', 'Contract Number', 10, 10, = '^12-\\d{7}$'); checkLength('hPrimarySupplierLBN', 'Primary Supplier Legal Business = Name', 0, 100, cRegExTextNum); if (document.getElementById('hPrimarySupplierLBN').value !=3D '') { checkRegEx('hPrimarySupplierLBN', 'Primary Supplier Legal = Business Name', cRegExTextNum); } checkRequired('hLegalBusinessName', 'Legal Business Name', 1, 100, = cRegExTextNum); if (arrErrors.length > 0) { arrErrors.reverse(); alert(arrErrors.join('\n')); return false; } return true } function validateSupplied() { var brdrError =3D '1px red solid'; var brdrErrorChk =3D '0'; var brdrNormal =3D '2px inset threedface'; var colorError =3D '#FFFF99'; arrErrors =3D []; var iErrCnt =3D 0; for (i =3D arrData.length - 1; i >=3D 0; i -- ) { if (arrData[i] !=3D 'DELETED' && arrData[i].indexOf('Form^Form = C') > 0) { sField =3D 'NumSupply' + i; if (document.getElementById(sField)) { fieldStyle =3D = document.getElementById(sField).style; fieldStyle.backgroundColor =3D ''; fieldStyle.border =3D brdrNormal; checkRequired(sField, 'Number Supplied', 1, 10, = cRegExNumOnly); if (iErrCnt !=3D arrErrors.length) { document.getElementById(sField).focus(); fieldStyle.backgroundColor =3D colorError; fieldStyle.border =3D brdrError; iErrCnt =3D arrErrors.length; } } } } if (arrErrors.length > 0) { arrErrUnique =3D unique(arrErrors); arrErrUnique.reverse(); alert(arrErrUnique.join('\n')); return false; } return true } function validateFormCMinimum() { // At least one entry must be made in a Form C table as either = having supplied an item // or not having supplied an item for (i =3D arrData.length - 1; i >=3D 0; i -- ) { if (arrData[i] !=3D 'DELETED' && arrData[i].indexOf('Form^Form = C') > 0) { return true; } } for (i =3D arrNoItem.length - 1; i >=3D 0; i -- ) { if (arrNoItem[i] !=3D 'DELETED') { return true; } } for (i =3D arrNoUpdatePend.length - 1; i >=3D 0; i -- ) { if (arrNoItem[i] !=3D 'DELETED') { return true; } } alert('At least one item must be entered as being supplied or one = CBA entered as not having furnished items'); return false; } function validateAllHCPCSEntered() { // Validate that all HCPCS Codes of the selected Product Category = have at least one entry arrErrors =3D []; arrCBASelect =3D []; arrComboSelect =3D []; document.getElementById('prodInfoError').style.display =3D 'none'; for (var i =3D 0; i < arrData.length; i ++ ) { if (arrData[i] !=3D 'DELETED') { var arrRow =3D []; arrRow =3D arrData[i].split('~'); arrComboSelect.push(arrRow[0] + '~' + arrRow[1]); found =3D false; for (var j =3D 0; j < arrCBASelect.length; j ++ ) { if (arrCBASelect[j] =3D=3D arrRow[0]) { found =3D true; break; } } if ( ! found) { arrCBASelect.push(arrRow[0]); } } } for (var i =3D 0; i < arrCBASelect.length; i ++ ) { for (var j =3D 0; j < arrHCPCS.length; j ++ ) { sTest =3D arrCBASelect[i] + "~HCPCS^" + arrHCPCS[j]; found =3D false; for (var k =3D 0; k < arrComboSelect.length; k ++ ) { if (arrComboSelect[k] =3D=3D sTest) { found =3D true; break; } } if ( ! found) { arrErrors.push(arrHCPCS[j] + ' | ' + = reverseNotesSwap(arrCBASelect[i].split('^')[1])); } } } if (arrErrors.length > 0) { document.getElementById('prodInfoError').style.display =3D ''; document.getElementById('prodInfoErrorDetail').innerHTML =3D = arrErrors.join('
'); return false; } return true; } function validatePlanSupply() { var brdrError =3D '1px red solid'; var brdrErrorChk =3D '0'; var brdrNormal =3D '2px inset threedface'; var colorError =3D '#FFFF99'; arrErrors =3D []; for (i =3D arrData.length - 1; i >=3D 0; i -- ) { if (arrData[i] !=3D 'DELETED' && arrData[i].indexOf('NOT = APPLICABLE') < 0) { sField =3D 'PlanSupply' + i; if (document.getElementsByName(sField)) { fieldStyle =3D document.getElementById('sdRow' + = i).style; fieldStyle.backgroundColor =3D ''; // fieldStyle.border =3D brdrNormal; if (getRadioOption(sField) =3D=3D '') { if (arrErrors.length =3D=3D 0) { arrErrors.push('Please select Yes or = No.'); } document.getElementById('PlanSupplyY' + = i).focus(); fieldStyle.backgroundColor =3D colorError; // fieldStyle.border =3D brdrError; } } } } if (arrErrors.length > 0) { arrErrors.reverse(); alert(arrErrors.join('\n')); return false; } return true; } function writeData(btnAction) { if (document.getElementById('chkbxNoUpdate').checked =3D=3D true){ alert('You have checked the box that you have no updates for any = CBA/Product Category combination. Please uncheck the box before = proceeding.'); return false; } if(arrData.length > 4990) { alert('You have reached the maximum number of entries for this = form. Please proceed to "View Completed Form and Print" and continue = your entries on a new form.'); return false; } // Validate Form if ( ! (validateProductInformation())) { return false; } // Write to Review Table arrCBA =3D = getSelectedOptions(document.forms[0].elements['OtherCBA']); arrCBA.splice(0, 0, document.getElementById('CBA').value); focusRow =3D tblRow; if (tblRow =3D=3D - 1) { focusRow =3D arrData.length; } sModNum =3D 'N/A'; if (modelNumberRequired) { sModNum =3D document.getElementById('ModelNumber').value; } if (sModName =3D=3D 'OTHER - NOT LISTED') { sMfg =3D 'OTHER - ' + = document.getElementById('OtherManufacturer').value; sModName =3D 'OTHER - ' + = document.getElementById('OtherModelName').value; if (modelNumberRequired) { sModNum =3D 'OTHER - ' + = document.getElementById('OtherModelNumber').value; } } for(var j =3D 0; j < arrCBA.length; j ++ ) { if (tblRow =3D=3D - 1) { tblRow =3D arrData.length; } updateFormCReviewTable(arrCBA[j], revRow, tblRow); if (modelNumberRequired) { updateSupplierReviewTable(arrCBA[j], revRow, tblRow); } if ( ! arrHasItem.has(arrCBA[j])) { arrHasItem.push(arrCBA[j]); } // Write to Data Table var arrRow =3D new Array(); arrRow.push('CBA^' + swapNotesCharacters(arrCBA[j])); arrRow.push('HCPCS^' + = document.getElementById('HCPCSCode').value); arrRow.push('Manufacturer^' + swapNotesCharacters(sMfg)); arrRow.push('ModelName^' + swapNotesCharacters(sModName)); arrRow.push('ModelNumber^' + swapNotesCharacters(sModNum)); arrRow.push('Form^' + currentForm); // updateValidationArrays(arrCBA[j], = document.getElementById('HCPCSCode').value); sRecord =3D arrRow.join('~'); if (tblRow =3D=3D - 1) { arrData.push(sRecord); } else { arrData[tblRow] =3D sRecord; } tblRow =3D - 1; revRow =3D - 1; } if (currentForm =3D=3D 'Form C' && sModName !=3D 'NOT APPLICABLE' = && modelNumberRequired) { document.getElementById('NumSupply' + (focusRow)).focus(); } clearProductInformationTable(false); disableNoUpdateCheckBox(); loadCBAOnePC(); refreshCBAPCUpdateArray() if(arrData.length > 4990) { alert('You have reached the maximum number of entries for this = form. Please proceed to "View Completed Form and Print" and continue = your entries on a new form.'); } } function disableNoUpdateCheckBox() { disableMe =3D false; for(i =3D 0; i < arrData.length; i ++ ) { if(arrData[i] !=3D 'DELETED') { disableMe =3D true; break; } } for(i =3D 0; i < arrNoUpdate.length; i ++ ) { if(arrNoUpdate[i] !=3D 'DELETED') { disableMe =3D true; break; } } if(disableMe) { document.getElementById('chkbxNoUpdate').checked =3D false; } document.getElementById('chkbxNoUpdate').disabled =3D disableMe; } function updateValidationArrays(sCBAVal, sHCPCSVal) { var found; // Add CBA to List found =3D false; for (var i =3D 0; i < arrCBASelect.length; i ++ ) { if (arrCBASelect[i] =3D=3D sCBAVal) { found =3D true; break; } } if ( ! found) { arrCBASelect.push(sCBAVal); } // Add CBA HCPCS Combo to list found =3D false; for (var i =3D 0; i < arrComboSelect.length; i ++ ) { if (arrComboSelect[i] =3D=3D (sCBAVal + '~' + sHCPCSVal)) { found =3D true; break; } } if ( ! found) { arrComboSelect.push(sCBAVal + '~' + sHCPCSVal); } } function clearProductInformationTable(clearRevTbl) { // If Location Table is filled from Review Table, then delete entry = from review table and location array if (clearRevTbl && tblRow > - 1) { deleteLocation(revRow, tblRow); } // Clear Production Information Table document.getElementById('Manufacturer').selectedIndex =3D 0; document.getElementById('ModelName').selectedIndex =3D 0; if (modelNumberRequired) { document.getElementById('ModelNumber').selectedIndex =3D 0; } document.getElementById('OtherCBA').selectedIndex =3D - 1; ClearOptionsFast('Manufacturer'); ClearOptionsFast('ModelNumber'); document.getElementById('OtherManufacturer').value =3D ''; document.getElementById('OtherModelName').value =3D ''; if (modelNumberRequired) { document.getElementById('OtherModelNumber').value =3D ''; } hideOtherInfo(); sMfg =3D ''; sModName =3D ''; sModNum =3D ''; tblRow =3D - 1; revRow =3D - 1; } function updateFormCReviewTable(CBA, rRow, tRow) { var table =3D document.getElementById('tableReview'); if (rRow =3D=3D - 1) { rRow =3D table.rows.length; } else { // Delete Row table.deleteRow(rRow); } var row =3D table.insertRow(rRow); row.id =3D 'fcRow' + (rRow - 1); if (currentForm !=3D 'Form C') { row.style.display =3D 'none'; } // Insert Delete Column var colDesc =3D row.insertCell(0); colDesc.innerHTML =3D ''; colDesc.className =3D "fcDelete"; // Insert HCPCS Code Column var colDesc =3D row.insertCell(1); colDesc.innerHTML =3D document.getElementById('HCPCSCode').value; // Insert CBA Column var colDesc =3D row.insertCell(2); colDesc.innerHTML =3D CBA; // Insert Manufacturer Column var colType =3D row.insertCell(3); colType.innerHTML =3D sMfg; // Insert Make (Model Name) Column var colDesc =3D row.insertCell(4); colDesc.innerHTML =3D sModName; if (modelNumberRequired) { // Insert Model Number Column var colDesc =3D row.insertCell(5); colDesc.innerHTML =3D sModNum; // Insert Number Supplied Column var colLinks =3D row.insertCell(6); colLinks.className =3D "rightAlign"; if (sModName =3D=3D 'NOT APPLICABLE') { colLinks.innerHTML =3D ''; } else { colLinks.innerHTML =3D (''); } } revRow =3D - 1; } function updateNoItemReviewTable(CBA) { var table =3D document.getElementById('tableNoUpdateReview'); rRow =3D table.rows.length; var row =3D table.insertRow(rRow); row.id =3D 'nuRow' + (rRow - 1); // Insert Delete Column var colDesc =3D row.insertCell(0); colDesc.innerHTML =3D '3D"Remove'; colDesc.className =3D "fcDelete"; // Insert CBA Column var colDesc =3D row.insertCell(1); colDesc.innerHTML =3D CBA; } function getPendingNoUpdate(){ arrNoUpdatePend =3D []; arrCBA =3D getSelectedOptions(document.forms[0].elements['nuCBA']); for(var j =3D 0; j < arrCBA.length; j ++ ){ if (arrCBA[j] !=3D 'Miami-Fort Lauderdale-Pompano Beach, FL'){ var arrExclude =3D new Array(); arrExclude.push('Support Surfaces (Group 2 mattresses and = overlays) in Miami'); arrPC =3D = getSelectedOptionsExcept(document.forms[0].elements['nuProductCategories'= ], arrExclude); } else { arrPC =3D = getSelectedOptions(document.forms[0].elements['nuProductCategories']); } for(var k =3D 0; k < arrPC.length; k ++ ){ sRecord =3D arrCBA[j].replace(', ', '-') + ' / ' + = arrPC[k]; arrNoUpdatePend.push(sRecord); } } } function validateCBANoUpdate(){ arrErrors =3D []; checkSupportSurface('nuCBA', 'nuProductCategories'); checkRequired('nuProductCategories', 'Product Category', 1, 1000, = ''); checkRequired('nuCBA', 'CBA', 1, 1000, ''); if (arrErrors.length =3D=3D 0){ getPendingNoUpdate(); for (var i =3D 0; i < arrNoUpdatePend.length; i ++ ){ if(arrCBAPCUpdate.has(arrNoUpdatePend[i])){ arrErrors.push('The following CBA/PC already has = been listed as having an update: ' + arrNoUpdatePend[i]); } if(arrNoUpdate.has(arrNoUpdatePend[i])){ arrErrors.push('The following CBA/PC already has = been listed as not needing to be updated: ' + arrNoUpdatePend[i]); } } } if (arrErrors.length > 0){ arrErrors.reverse(); alert(arrErrors.join('\n')); return false; } return true } // Compare List of CBA / PC combinations entered in Section II against = those already entered in Section III function compareUpdateToNoUpdate(){ arrCBA =3D = getSelectedOptions(document.forms[0].elements['OtherCBA']); arrCBA.splice(0, 0, document.getElementById('CBA').value); } function clickCheckBoxNoUpdate(){ if (document.getElementById('chkbxNoUpdate').checked =3D=3D true){ updateNoItemReviewTable('All CBA/Product Categories'); arrNoUpdate.push('All CBA/Product Categories'); } else { var table =3D document.getElementById('tableNoUpdateReview'); rRow =3D table.rows.length-2; deleteNURow(rRow); } } function addCBANoUpdate(){ if (document.getElementById('chkbxNoUpdate').checked =3D=3D true){ alert('You have checked the box that you have no updates for any = CBA/Product Category combination. Please uncheck the box before = proceeding.'); return false; } // Validate Form if ( ! (validateCBANoUpdate())) { return false; } // Write to Review Table arrCBA =3D getSelectedOptions(document.forms[0].elements['nuCBA']); for(var j =3D 0; j < arrCBA.length; j ++ ) { if (arrCBA[j] !=3D 'Miami-Fort Lauderdale-Pompano Beach, FL') { var arrExclude =3D new Array(); arrExclude.push('Support Surfaces (Group 2 mattresses and = overlays) in Miami'); arrPC =3D = getSelectedOptionsExcept(document.forms[0].elements['nuProductCategories'= ], arrExclude); } else { arrPC =3D = getSelectedOptions(document.forms[0].elements['nuProductCategories']); } for(var k =3D 0; k < arrPC.length; k ++ ) { updateNoItemReviewTable(arrCBA[j].replace(', ', '-') + ' = / ' + arrPC[k]) arrNoUpdate.push(arrCBA[j].replace(', ', '-') + ' / ' + = arrPC[k]); } } clearNoUpdateTable(); disableNoUpdateCheckBox(); } function clearNoUpdateTable() { document.getElementById('nuCBA').selectedIndex =3D - 1; document.getElementById('nuProductCategories').selectedIndex =3D - = 1; } function updateSupplierReviewTable(CBA, rRow, tRow) { var table =3D document.getElementById('tablePlan'); if (rRow =3D=3D - 1) { rRow =3D table.rows.length; } else { // Delete Row table.deleteRow(rRow); } var row =3D table.insertRow(rRow); row.id =3D 'sdRow' + (rRow - 1); // Insert Delete Column var colDesc =3D row.insertCell(0); if (currentForm !=3D 'Form C') { colDesc.innerHTML =3D '3D"Remove'; } colDesc.className =3D "fcDelete"; // Insert HCPCS Code Column var colDesc =3D row.insertCell(1); colDesc.innerHTML =3D document.getElementById('HCPCSCode').value; // Insert CBA Column var colDesc =3D row.insertCell(2); colDesc.innerHTML =3D CBA; // Insert Manufacturer Column var colType =3D row.insertCell(3); colType.innerHTML =3D sMfg; // Insert Make (Model Name) Column var colDesc =3D row.insertCell(4); colDesc.innerHTML =3D sModName; if (modelNumberRequired) { // Insert Model Number Column var colDesc =3D row.insertCell(5); colDesc.innerHTML =3D sModNum; // Insert Number Supplied Column var colLinks =3D row.insertCell(6); if (sModName =3D=3D 'NOT APPLICABLE') { colLinks.innerHTML =3D ''; } else { var radYes =3D '' var radNo =3D '' colLinks.innerHTML =3D radYes + radNo ; } } } function printForm() { cMaxRecords =3D 50; arrFinalData =3D []; for (var i =3D 0; i < arrData.length; i ++ ) { if (arrData[i] !=3D 'DELETED') { var arrRow =3D []; arrRow =3D arrData[i].split('~'); if (modelNumberRequired) { if(document.getElementById('NumSupply' + i)) { arrRow.push('NumSupply^' + = document.getElementById('NumSupply' + i).value); } else { arrRow.push('NumSupply^-'); } if (arrData[i].indexOf('NOT APPLICABLE') > 0) { arrRow.push('PlanSupply^ ') } else { arrRow.push('PlanSupply^' + = getRadioOption('PlanSupply' + i)); } } else { arrRow.push('PlanSupply^ ') } arrFinalData.push(arrRow.join('~')); } } arrFinalData.sort(); // Split Records into Multiple DataInfo Fields aLen =3D arrFinalData.length; aMod =3D aLen % cMaxRecords; aGrp =3D (aLen - aMod) / cMaxRecords; if (aMod =3D=3D 0) { aGrp =3D aGrp - 1; } for (var i =3D 0; i <=3D aGrp; i ++ ) { aStart =3D i * cMaxRecords; aEnd =3D (i + 1) * cMaxRecords; if (aEnd > aLen) { aEnd =3D aLen; } document.getElementById('DataInfo' + (i + 1)).value =3D = arrFinalData.slice(aStart, aEnd); } document.getElementById('LegalBusinessName').value =3D = document.getElementById('hLegalBusinessName').value; document.getElementById('PrimarySupplierLBN').value =3D = document.getElementById('hPrimarySupplierLBN').value; document.getElementById('BidderNumber').value =3D = document.getElementById('hBidderNumber').value; document.getElementById('Browser').value =3D BrowserDetect.browser; document.getElementById('BrowserVersion').value =3D = BrowserDetect.version; document.getElementById('NoItemFurnished').value =3D arrNoItem; if (document.getElementById('chkbxNoUpdate').checked =3D=3D false) = { arrFinalNoUpdate =3D []; for (i =3D 0; i < arrNoUpdate.length; i ++ ){ if (arrNoUpdate[i] !=3D 'DELETED'){arrFinalNoUpdate[i] =3D = swapNotesCharacters(arrNoUpdate[i]);} } document.getElementById('NoDirectoryUpdate').value =3D = arrFinalNoUpdate.sort(); } else { document.getElementById('NoDirectoryUpdate').value =3D 'All = CBA/Product Categories'; } warning =3D false; document.forms[0].submit(); } function getSelectedOptions(oList) { var sdValues =3D []; for(var i =3D 0; i < oList.options.length; i ++ ) { if(oList.options[i].selected =3D=3D true) { sdValues.push(oList.options[i].value); } } return sdValues; } function getRadioOption(sElm) { var radios =3D document.forms[0].elements[sElm]; for (var i =3D 0; i < radios.length; i ++ ) { if (radios[i].checked) { return radios[i].value; } } return ''; } function defaultOptionList(oList, sVal) { sdValues =3D sVal.split('@'); for(var j =3D 0; j < sdValues.length; j ++ ) { sTestVal =3D reverseNotesSwap(sdValues[j]); for(var i =3D 0; i < oList.options.length; i ++ ) { if(oList.options[i].value =3D=3D sTestVal ) { oList.options[i].selected =3D true; } } } } function checkSupportSurface(CBA, PC) { arrCBA =3D getSelectedOptions(document.forms[0].elements[CBA]); arrPC =3D getSelectedOptions(document.forms[0].elements[PC]); vMiami =3D false; for(var j =3D 0; j < arrCBA.length; j ++ ) { if (arrCBA[j].indexOf('Miami') !=3D - 1) { vMiami =3D true; break; } } if ( ! vMiami || (arrCBA.length > 1 && arrPC.length =3D=3D 1)) { vSS =3D false; for(var j =3D 0; j < arrPC.length; j ++ ) { if (arrPC[j].indexOf('Support Surfaces') !=3D - 1) { vSS =3D true; break; } } if (vSS) { arrErrors.push('Support Surfaces is applicable only in = the Miami-Fort Lauderdale-Pompano Beach, FL CBA'); } } } function replaceSubstring(inputString, fromString, toString) { // Goes through the inputString and replaces every occurrence of = fromString with toString var temp =3D inputString; if (fromString =3D=3D "") { return inputString; } if (toString.indexOf(fromString) =3D=3D - 1) { // If the string being replaced is not a part of the = replacement string (normal situation) while (temp.indexOf(fromString) !=3D - 1) { var toTheLeft =3D temp.substring(0, = temp.indexOf(fromString)); var toTheRight =3D = temp.substring(temp.indexOf(fromString) + fromString.length, = temp.length); temp =3D toTheLeft + toString + toTheRight; } } else { // String being replaced is part of replacement string (like = "+" being replaced with "++") - prevent an infinite loop var midStrings =3D new Array("~", "`", "_", "^", "#"); var midStringLen =3D 1; var midString =3D ""; // Find a string that doesn't exist in the inputString to be = used // as an "inbetween" string while (midString =3D=3D "") { for (var i =3D 0; i < midStrings.length; i ++ ) { var tempMidString =3D ""; for (var j =3D 0; j < midStringLen; j ++ ) { tempMidString +=3D midStrings[i]; } if (fromString.indexOf(tempMidString) =3D=3D - 1) { midString =3D tempMidString; i =3D midStrings.length + 1; } } } // Keep on going until we build an "inbetween" string that = doesn't exist // Now go through and do two replaces - first, replace the = "fromString" with the "inbetween" string while (temp.indexOf(fromString) !=3D - 1) { var toTheLeft =3D temp.substring(0, = temp.indexOf(fromString)); var toTheRight =3D = temp.substring(temp.indexOf(fromString) + fromString.length, = temp.length); temp =3D toTheLeft + midString + toTheRight; } // Next, replace the "inbetween" string with the "toString" while (temp.indexOf(midString) !=3D - 1) { var toTheLeft =3D temp.substring(0, = temp.indexOf(midString)); var toTheRight =3D temp.substring(temp.indexOf(midString) = + midString.length, temp.length); temp =3D toTheLeft + toString + toTheRight; } } // Ends the check to see if the string being replaced is part of = the replacement string or not return temp; // Send the updated string back to the user } // Ends the "replaceSubstring" function function swapNotesCharacters(sText) { sText =3D replaceSubstring(sText, ',', '**'); sText =3D replaceSubstring(sText, ';', '<'); sText =3D replaceSubstring(sText, ':', '>'); sText =3D replaceSubstring(sText, '"', '#'); sText =3D replaceSubstring(sText, "''", '#'); return sText; } function reverseNotesSwap(sText) { sText =3D replaceSubstring(sText, '**', ','); sText =3D replaceSubstring(sText, '<', ';'); sText =3D replaceSubstring(sText, '>', ':'); sText =3D replaceSubstring(sText, '#', '"'); sText =3D replaceSubstring(sText, '#', "''"); return sText; } function nextPage() { warning =3D true; if ( ! validateHeader()) { return false; } if ( ! validateSupplied()) { return false; } if ( ! validateFormCMinimum()) { return false; } if ( ! validateAllHCPCSEntered()) { return false; } document.getElementById('FormC').style.display =3D 'none'; document.getElementById('SupplierDirectory').style.display =3D ''; document.getElementById('NextPage').style.display =3D 'none'; document.getElementById('PreviousPage').style.display =3D ''; document.getElementById('NoUpdate').style.display =3D ''; document.getElementById('ReviewPrint').style.display =3D ''; document.getElementById('ProductInformation').style.display =3D = 'none'; document.getElementById('fcReview').style.display =3D 'none'; document.getElementById('sdReview').style.display =3D ''; document.getElementById('sdProductInfo').style.display =3D ''; document.getElementById('sdLBN').innerHTML =3D = document.getElementById('hLegalBusinessName').value; document.getElementById('sdBidderNumber').innerHTML =3D = document.getElementById('hBidderNumber').value; document.getElementById('sdPSLBN').innerHTML =3D = document.getElementById('hPrimarySupplierLBN').value; document.getElementById('sdYear').innerHTML =3D = getSelectedValue('Year'); document.getElementById('sdQuarter').innerHTML =3D = getSelectedValue('Quarter'); clearProductInformationTable(false); currentForm =3D 'Supply'; } function previousPage() { document.getElementById('FormC').style.display =3D ''; document.getElementById('SupplierDirectory').style.display =3D = 'none'; document.getElementById('NextPage').style.display =3D ''; document.getElementById('PreviousPage').style.display =3D 'none'; document.getElementById('NoUpdate').style.display =3D 'none'; document.getElementById('ReviewPrint').style.display =3D 'none'; document.getElementById('ProductInformation').style.display =3D ''; document.getElementById('fcReview').style.display =3D ''; document.getElementById('sdReview').style.display =3D 'none'; currentForm =3D 'Form C'; } function sdAddProdInfo() { document.getElementById('sdProductInfo').style.display =3D 'none'; document.getElementById('ProductInformation').style.display =3D ''; } function deleteFCRow(iRow) { document.getElementById('fcRow' + iRow).style.display =3D 'none'; if (modelNumberRequired) { document.getElementById('sdRow' + iRow).style.display =3D = 'none'; } arrData[iRow] =3D 'DELETED'; reloadHasItemArray(); refreshCBAPCUpdateArray() disableNoUpdateCheckBox(); } function deleteNIRow(iRow) { document.getElementById('niRow' + iRow).style.display =3D 'none'; arrNoItem[iRow] =3D 'DELETED'; } function deleteNURow(iRow) { document.getElementById('nuRow' + iRow).style.display =3D 'none'; if (arrNoUpdate[iRow] =3D=3D 'All CBA/Product = Categories'){document.getElementById('chkbxNoUpdate').checked =3D = false;} arrNoUpdate[iRow] =3D 'DELETED'; disableNoUpdateCheckBox(); } function sdOptOut() { document.getElementById('OptOut').value =3D 'Yes'; bOptOut =3D true; printForm(); } function reloadHasItemArray() { arrHasItem =3D []; for (var i =3D 0; i < arrData.length; i ++ ) { if (arrData[i] !=3D 'DELETED') { var arrRow =3D []; arrRow =3D arrData[i].split('~'); var arrTemp =3D []; arrTemp =3D arrRow[0].split('^'); arrHasItem.push(arrTemp[1]); } } if (arrHasItem.length =3D=3D 0) { reloadCBA(); } } function refreshCBAPCUpdateArray() { arrCBAPCUpdate =3D []; for (var i =3D 0; i < arrData.length; i ++ ) { if (arrData[i] !=3D 'DELETED') { var arrRow =3D []; arrRow =3D arrData[i].split('~'); var arrTemp =3D []; arrTemp =3D arrRow[0].split('^'); if ( ! arrCBAPCUpdate.has(arrTemp[1])) { arrCBAPCUpdate.push(reverseNotesSwap(arrTemp[1])); } } } } function mouseOverDelete(tStyle) { tStyle.cursor =3D 'pointer'; } function unique(arrayName) { var newArray =3D new Array(); label : for(var i =3D 0; i < arrayName.length; i ++ ) { for(var j =3D 0; j < newArray.length; j ++ ) { if(newArray[j] =3D=3D arrayName[i]) continue label; } newArray[newArray.length] =3D arrayName[i]; } return newArray; } function replaceHTMLCharacters(sText) { return = replaceSubstring(replaceSubstring(replaceSubstring(replaceSubstring(sText= , '&', '&'), '''', '"'), ''',"'"),'"', '"') ; } function showPrintDialog(vOptOut, vAll) { if (document.getElementById('chkbxNoUpdate').checked =3D=3D true){ vOptOut =3D true; vAll =3D true; } if (modelNumberRequired) { document.getElementById('sdProductInfo').style.display =3D ''; document.getElementById('ProductInformation').style.display = =3D 'none'; if ( ! validateBeforePrint()) { return false; } } else { if ( ! validateHeader()) { return false; } if ( ! vOptOut) { if ( ! validateFormCMinimum()) { return false; } } if (vOptOut && ! vAll) { checkRequired('CBA', 'CBA', 1, 1000, ''); if (document.getElementById('CBA').value.indexOf('>') > = 0) { arrErrors.push('Please choose a Competitive Bidding = Area'); } if (arrErrors.length > 0) { arrErrors.reverse(); alert(arrErrors.join('\n')); return false; } } if ( ! validateAllHCPCSEntered()) { return false; } if (vAll) { document.getElementById('AllCBA').value =3D 'Yes'; bAllCBA =3D true; } else { document.getElementById('AllCBA').value =3D = document.getElementById('CBA').value; bAllCBA =3D false; } } if (vOptOut) { document.getElementById('OptOut').value =3D 'Yes'; bOptOut =3D true; } else { document.getElementById('OptOut').value =3D 'No'; bOptOut =3D false; } fireMyPopup(); } function validateBeforePrint() { if (document.getElementById('chkbxNoUpdate').checked =3D true || = arrNoUpdatePend.length > 0){ return true; } if ((arrData.length < 1 && arrNoItem.length < 1) || (arrData.length = < 1 && ! bOptOut)) { alert("Please enter at least one Product."); return false; } if ( ! bOptOut) { if ( ! validatePlanSupply()) { return false; } } return true; } Array.prototype.has =3D function(value) { var i for (var i =3D 0, loopCnt =3D this.length; i < loopCnt; i ++ ) { if (this[i] =3D=3D value) { return true; } } return false; } ------=_NextPart_000_0000_01CD0DC6.6F942D40--