Question

Javascript Error on form regarding date

Asked by: jansson17

On this prticular form I keep getting the following error message with regards to line 20 and 147. Can't seem to find what the problem is. Need to get this done ASAP

A runtime error has occured
Do you wish to Debug?

 Line: 20
Error: 'document.hdoprovidercredform.year' is null or not an object
                                             and
Line:147
Error: 'document.hdoprovidercredform.year' is null or not an object





<html>
<head>
<title>HDO/Organizational Provider Credentialing</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<link rel="stylesheet" href="base.css" type="text/css">

<!--------------------------------------------------->
<script language="JavaScript">
<!--
  function setdate()
  {
     var thetime=new Date();
     var nmonth=thetime.getMonth();
     var ntoday=thetime.getDate();
     var nyear=thetime.getYear();
     nmonth+=1;
     if (nyear<=99) nyear= "19"+nyear;
     if ((nyear>99) && (nyear<2000)) nyear+=1900;
     thedate=nmonth+"/"+ntoday+"/"+nyear;
     document.hdoprovidercredform.year.value=thedate;}
//-->
</script>
<!--------------------------------------------------->
<script>
 
                  var area=new Array();
                  area[0]=["Maine","Connecticut","Massachusetts","New Hampshire","Northern, NJ","Upstate, NY","Metro, NY","Rhode Island","Vermont"];
                  area[1]=["Western, PA","Cent./No., PA","Southeast, PA","Southern, NJ","Delaware","N.VA/WA/Linth, VA","Hampt. Rds, VA","Roanoke, VA","Richmond, VA","West Virginia"];
                  area[2]=["Charllote, NC","Raleigh, NC","South Carolina","Georgia","California","Alabama","Missippi","Tampa, FL","Orlando, FL","South, FL","Pensacola, FL","Jacksonville, FL","Louisiana","Arkansas","Nashville, TN","Memphis, TN"];
                  area[3]=["Illinois","Indiana","Kentucky","Michigan","Cincinnati, OH","Richfield, OH","New Albany, OH","Toledo, OH","Wisconsin","Colorado","Kansas City, MO","St.Louis, MO","South Dakota"];
                  area[4]=["Oklahoma City, OK","Tulsa, OK","Abilene, TX","Amarillo, TX","Austin, TX","Brownwood, TX","Bryan/College Station, TX","Corpus Christi, TX","Dallas, TX","East Texas, TX","El Paso, TX","Hill Country Network, TX","Houston, TX",
                  ,"Houston Cal. Vic., TX","Karnes, TX","Laredo, TX","Lubbock, TX","Midland/Odessa, TX","Rio Grande Valley, TX","San Angelo, TX","San Antontio, TX","West, TX","Witchita Falls, TX"];
                  area[5]=["Alaska","Arizona","California","Nevada","Southern, CA","Northern, CA","San Diego, CA","Utah","Washington","New Mexico"];
                  function createRegion(opt){

                        var sel=document.getElementById("area");
                        for(var j=sel.options.length; j>-1;j--){
                              sel.options[j]=null;
                        }

                        if(opt<0) return false;
                        for(var i=0; i<area[opt].length;i++){
                              var optIndex=sel.options.length;
                              sel.options[optIndex]=null;
                              sel.options[optIndex]=new Option(area[opt][i],area[opt][i]);
                        }
                  } </script>


<!------------------------------------->
<script type="text/JavaScript">
function concat(one,two,three,four)
{
document.getElementById('mailnamesrvloc').value=""+one+" "+two+" "+three+" "+four+"";
}
</script>
<!------------------------------------->
<script language="JavaScript">
                  var prov=new Array(1);
                  prov[0]=["Hospitals-HO","Hospitals-CH","Nursing Homes-CF","Nursing Homes-NC","Skilled Nursing-SK",
                  "Home Care Agencies-HA","Free Standing Surgical Centers-AC","Free Standing Abortion Centers-VIP",
            "Free Standing Birthing Centers-BC","Mental Health Hospital-PSH","Chemical Dependency Hospitals-SA",
"Residential Treatment Facilities-RTF","Partial Hospital Programs-PD","Intensive Outpatient Programs and Clinics-IO"
];
                  prov[1]=["Laboratories-LB","Comprehensive Outpatient Rehab Facilities-AR","Outpatient Physical Therapy Providers-PT"
,"Outpatient Speech Pathology Providers-ST","Outpatient Speech Pathology Providers-SH","End-Stage Renal Disease Services Providers-DI"
];
                  prov[2]=["Free Standing Abortion Clinics-VIP",
"Community Mental Health Centers-Other","Diagnostic Radiology Centers, including MRI and Mobile Units (which includes Mammography, Bone Density and Lithotripsy)-DA",
"Diagnostic Radiology Centers, including MRI and Mobile Units (which includes Mammography, Bone Density and Lithotripsy-MRI",
"Dialysis Centers-DI",
"DME Suppliers-DE",
"Hospice Agencies-HS",
"Infusion Service Centers-IC",
"Oncology Centers-OTC",
"Orthotics and Prosthetics-OF",
"Sleep Diagnostic-SD",
"Urgent Care Centers-UC"];
                 
                  function createProv(opt){

                        var sel=document.getElementById("prov");
                        for(var j=sel.options.length; j>-1;j--){
                              sel.options[j]=null;
                        }

                        if(opt<0) return false;
                        for(var i=0; i<prov[opt].length;i++){
                              var optIndex=sel.options.length;
                              sel.options[optIndex]=null;
                              sel.options[optIndex]=new Option(prov[opt][i],prov[opt][i]);
                        }
                  }
            </script>
<!------------------------------------->
<script type="text/javascript">
<!--
function formatPhoneFax(strField){//123-456-7890
      var oLen = strField.value.length;
      if(oLen == 3){strField.value += "-";}
      if(oLen == 7){strField.value += "-";}
}

// -->
</script>

<script type="text/javascript">
<!--
function formatFax(strField){//123-456-7890
      var oLen = strField.value.length;
      if(oLen == 3){strField.value += "-";}
      if(oLen == 7){strField.value += "-";}
}

// -->
</script>

<script type="text/javascript">
<!--
function formatProvphone(strField){//123-456-7890
      var oLen = strField.value.length;
      if(oLen == 3){strField.value += "-";}
      if(oLen == 7){strField.value += "-";}
}

// -->
</script>

<script type="text/javascript">
<!--
function formatDate(strField){//12-34-5678
      var oLen = strField.value.length;
      if(oLen == 2){strField.value += "-";}
      if(oLen == 6){strField.value += "-";}
}

// -->
</script>




</head>



<body bgcolor="#FFFFFF" text="#000000" marginheight="0" marginwidth="0" topmargin="0" leftmargin="0" vspace="0" hspace="0" onLoad="setdate(); initOptions(window.document.hdoprovidercredform.speca,Specialty); swapOptions(window.document.hdoprovidercredform.speca);">

<!-- Begin Top Nav Bar Script -->

<script type='text/javascript'>


function lastmodified()
{
var mdate = new String("Updated:  " + document.lastModified);
var mdate = mdate.slice(0,-8);
document.write(mdate);return (true);
}

function Go(){return}

</script>

<!-- End Top Nav Bar Script -->

<!-- Begin Co-Branding Area -->
<table width="100%" border="0" cellpadding="0" cellspacing="0">
     <tr hspace="0">

<!-- LOGO - Your Logo goes here. Maximum size is 375 pixels wide by 55 pixels high -->
     <td width="100%" align="center" valign="bottom">
      <h2 align="center"><a href="http://*******.*******.com/">
      <img src="*******.gif" alt="*******" border="0" align="left" width="133" height="55"></a></h2>
            <h2 align="center"><font face="Times New Roman">HDO/Organizational
            Provider Credentialing Application</font></h2>
</td>
<!-- END LOGO -->
     </tr>
<!-- End Co-Branding Area -->
</table>

<table width="100%" border="0" cellpadding="0" cellspacing="0" bgcolor="#CCFF33">
<!-- Begin Upper Top Nav -->
  <tr bgcolor="#003366">
     <td height="28" align="right" width="25%" bgcolor="#99CC33"><nobr>
      <p align="left" class="smallerbold"></nobr></td>
     <td width="55%" align="center" valign="center" bgcolor="#99CC33">&nbsp;</td>
    <td width="20%" height="28" align="right" bgcolor="#99CC33">
    </td>
  </tr>
</table>
<!-- End Upper Top Nav -->

<table width="100%" border="0" cellpadding="0" cellspacing="0">
<!-- Begin Lower Top Nav -->
  <tr bgcolor="#477aae">
    <td width="20%" height="25" class="smallerwhite" align="left"><span class="smallerwhite">
      &nbsp;&nbsp;<SCRIPT language="JavaScript" src="js/date.js"></SCRIPT>
      </span></td>
    <td width="80%"><font color="#ffffff">&nbsp;</font></td>
  </tr>
</table>
<!-- End Lower Top Nav -->
<table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="100%" id="AutoNumber7">
      <!-------hdo/organizational provider credentialing form--------->
      <form name="hdoprovidercredform" method="POST" ACTION="/sharedsvcsMail/MailServlet?html_genlerr_template=mailfail.tmpl" ENCTYPE="multipart/form-data" onSubmit="">

        <INPUT TYPE=HIDDEN NAME="from" VALUE="s029987@*******.com">
     <INPUT TYPE=HIDDEN NAME="to" VALUE="HDOCredentialing2@*******.com">
     <INPUT TYPE=HIDDEN NAME="html_success_template" VALUE="thankshdoapp.htm">
     <INPUT TYPE=HIDDEN NAME="mailmsg_template" VALUE="templatehdoprovapp.mt">
     <INPUT TYPE=HIDDEN NAME="html_editerr_template" VALUE="web-mail_editError.tmpl">

     <INPUT TYPE=HIDDEN NAME="required" VALUE="">
     <INPUT TYPE=HIDDEN NAME="subject" VALUE="HDO/Organizational Provider Application Request Form">
  <tr>
    <td width="100%">&nbsp;</td>
  </tr>
  <tr>
    <td width="100%">
    <p align="center">&nbsp;</td>
  </tr>
</table>
<hr>
<div align="center">
  <center>
  <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="95%" id="AutoNumber6">
    <tr>
      <td width="7" bgcolor="#0099FF" height="10">&nbsp;</td>
      <td width="95%" bgcolor="#0099FF" height="10">
      &nbsp;</td>
      <td width="7" bgcolor="#0099FF" height="10">&nbsp;</td>
    </tr>
    <tr>
      <td width="7" bgcolor="#0099FF">&nbsp;</td>
      <td width="95%">
      <p align="center"><font size="2">An &quot; <font color="#FF0000"><b>*</b></font>
            &quot; indicates a required field. </font></p>
      <p>&nbsp;<script language=javascript type="text/javascript">
<!--
 
//-->  
</script><input type="text" name="submitter" size="56" tabindex=1 maxlenght=2>

      <b><font color="#FF0000">*</font></b>Submitter name<p>&nbsp;<select name="region" onchange="javascript:createRegion(this.selectedIndex-1);" size="1" tabindex="2">
            <option>Select a region
            <option>Northeast
            <option>Mid-Atlantic
            <option>Southeast
            <option>North Central
            <option>Southwest
            <option>West
      </select>

      <select id="area" size="1" tabindex="3" name="site"></select>
            <font color="#FF0000"><b>*</b></font>Site<p>
      </p>
      <p>&nbsp;<script language="javascript">
function insertSlash(ele)
{
      if ((ele.value.length == 2) || (ele.value.length == 5)) ele.value += "/";
     
      return ele.value;
}
</script><input type="text" name="date" size="20" maxlength="10" onkeypress="this.value=insertSlash(this);" onblur="if(this.value==''){this.value='mm/dd/yyyy';}" onfocus="if(this.value=='mm/dd/yyyy'){this.value='';}" tabindex="4" />&nbsp;



      <b><font color="#FF0000">*</font></b>Date of Request <font size="2">month,
            day, year (ex: '12/15/02')</font><br>
            <br>
            &nbsp;<select size="1" name="client" tabindex=5 onBlur="">
            <option>Please choose client</option>
                                <option value="Local">Local</option>
                     <option value="National">National</option>
                     <option value="AWCA">AWCA</option>
                     <option value="BH">BH</option>
                     <option value="Medicaid">Medicaid</option>
                  </select> </p>
      <p>&nbsp;<b><font color="#FF0000"><select name="provdescr" onchange="javascript:createProv(this.selectedIndex-1);" size="1" tabindex="6">
            <option>Select a Provider Type
            <option>******* RECOGNIZED HDO PROVIDERS TYPES
            <option>MEDICARE PRODUCT FACILITIES
            <option>ADDITIONAL FACILITIES ONLY CREDENTIALED IN TX            
      </select>

      *</font></b>HDO/Organizational Provider Type <b><font color="#FF0000">
            <br>
            &nbsp;<select id="prov" name="provdetails" size="1" tabindex="7"></select>
</font></b><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
            (*Applies to Medicare Product Only- **State Mandated-Requires Comment)<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></p>
      <p>&nbsp;<input type="text" name="HdoProvName" size="39" tabindex=8> <b><font color="#FF0000">
            *</font></b>HDO/Organizational Provider Name</p>
      <p><font size="2">&nbsp;</font><input type="text" name="servicelocation" size="24" tabindex=9 onBlur="">
            <b><font color="#FF0000">
            *</font></b>List Primary Service Location and ALL additional service
            locations</p>
            <p>&nbsp;<input type="text" name="street" size="44" tabindex=10 onBlur="">
            <font color="#FF0000"><b>*</b></font>Street</p>
            <p>&nbsp;<input type="text" name="suite" size="5" tabindex=11 onBlur="">
            <font color="#FF0000"><b>*</b></font>Suite<br>
        <br>
        &nbsp;<input type="text" name="city" size="44" tabindex=12 onBlur=""><b><font color="#FF0000">
            *</font></b>City: <font size="2">(Anytown)</font></p>
      <p>
        &nbsp;<select size="1" name="state" tabindex=13 onBlur="">
            <option></option>
                     <option value="AL">Alabama</option>
                     <option value="AK">Alaska</option>
                     <option value="AR">Arkansas</option>
                     <option value="AZ">Arizona</option>
                     <option value="CA">California</option>
                     <option value="CO">Colorado</option>
                     <option value="CT">Connecticut</option>
                     <option value="DC">Dist.of Colum.</option>
                     <option value="DE">Delaware</option>
                     <option value="FL">Florida</option>
                     <option value="GA">Georgia</option>
                     <option value="HI">Hawaii</option>
                     <option value="ID">Idaho</option>
                     <option value="IL">Illinois</option>
                     <option value="IN">Indiana</option>
                     <option value="IA">Iowa</option>
                     <option value="KS">Kansas</option>
                     <option value="KY">Kentucky</option>
                     <option value="LA">Louisiana</option>
                     <option value="MA">Massachusetts</option>
                     <option value="MD">Maryland</option>
                     <option value="ME">Maine</option>
                     <option value="MI">Michigan</option>
                     <option value="MN">Minnesota</option>
                     <option value="MS">Mississippi</option>
                     <option value="MO">Missouri</option>
                     <option value="MT">Montana</option>
                     <option value="NC">North Carolina</option>
                     <option value="ND">North Dakota</option>
                     <option value="NE">Nebraska</option>
                     <option value="NH">New Hampshire</option>
                     <option value="NJ">New Jersey</option>
                     <option value="NM">New Mexico</option>
                     <option value="NV">Nevada</option>
                     <option value="NY">New York</option>
                     <option value="OH">Ohio</option>
                     <option value="OK">Oklahoma</option>
                     <option value="OR">Oregon</option>
                     <option value="PA">Pennsylvania</option>
                     <option value="PR">Puerto Rico</option>
                     <option value="RI">Rhode Island</option>
                     <option value="SC">South Carolina</option>
                     <option value="SD">South Dakota</option>
                     <option value="TN">Tennessee</option>
                     <option value="TX">Texas</option>
                     <option value="UT">Utah</option>
                     <option value="VA">Virginia</option>
                     <option value="VT">Vermont</option>
                     <option value="WA">Washington</option>
                     <option value="WI">Wisconsin</option>
                     <option value="WV">West Virginia</option>
                              <option value="WY">Wyoming</option>
                  </select> <b><font color="#FF0000">*</font></b>Please Select
            State</p>
      <p>
      &nbsp;<input type="text" name="zip1" size="7" tabindex=14 onBlur="">
      -
      <input type="text" name="zip2" size="6" tabindex=15 onBlur=""><font color="#FF0000"> <b>
            *</b></font>ZIP<p>
      &nbsp;<input type="text" name="phone1" maxlength="12" size="12" onkeypress="formatPhoneFax(this)" tabindex="16" />
<b><font color="#FF0000">*</font></b>Phone<p>
      &nbsp;<input type="text" name="fax1" maxlength="12" size="12" onkeypress="formatFax(this)" tabindex="17" />
 
            <b><font color="#FF0000">
            *</font></b>Fax<p>&nbsp;<select size="1" name="taxid_lett" tabindex=18>
        <option></option>
        <option>E</option>
        <option>S</option>
       </select> - <input type="text" name="taxid" size="9" tabindex=19><b><font color="#FF0000">
            *</font></b>Providers Tax ID Number<font size="2"> <font color="#FF0000"><b>
            DO NOT INCLUDE SPACES OR DASHES </b></font></font></p>
            <p>&nbsp;<input type="text" name="ProvContactName" size="24" tabindex=20>
            <b><font color="#FF0000">
            *</font></b>Provider Contact Name</p>
            <p>&nbsp;<input type="text" name="ProvContactPhone1" maxlength="12" size="12" onkeypress="formatProvphone(this)" tabindex="21" />
 
            <b><font color="#FF0000">
            *</font></b>Provider Contact Phone </p><b>&nbsp;Comments:</b><p>
      &nbsp;<textarea rows="4" name="comments" cols="66" tabindex=22></textarea><p>&nbsp;</p>
       </td>
      <td width="7" bgcolor="#0099FF">&nbsp;</td>
    </tr>
  </table>
  </center>
</div>
<hr>
<p align="center">
  <input type="submit" value="Submit" name="B1" tabindex=23 style="font-weight: bold">&nbsp;&nbsp;&nbsp;
  <input type="reset" value="Reset" name="B2" tabindex=24 style="font-weight: bold"><b><br>
      ******* Credentialing - One Team One Process One Standard - Excellence</b></p>
  <hr>
<p align="left">
<font class="footer">
<a href="http://www.*******.com">
<img src="aelogo_s.gif" border="0" alt="******* logo" align="right" width="150" height="47"></a>
&nbsp;Owner: Credentialing &nbsp;|&nbsp; Contact: Jeff Coddington |&nbsp;
<a href="mailto:?subject=Feedback from the Credentialing Web Site">Feedback</a>
<BR>
&nbsp;<script>lastmodified();</script> &nbsp;|&nbsp; ©2002 ******* Inc. &nbsp;|&nbsp; <a href="/">
******* home</a>
</font>
<!-- End footer -->
</p>

</body>
</html>

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Asked On
2007-02-07 at 07:06:34ID22153076
Topics

JavaScript

,

Scripting Languages

Participating Experts
2
Points
500
Comments
3

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Answers

 

by: thirdPosted on 2007-02-07 at 07:17:13ID: 18485466

you are trying to set a value to a field named 'year' which doesn't exist.

try to add this field

<input type="text" name="year">

 

by: pD_EOPosted on 2007-02-07 at 07:18:10ID: 18485475

There is no form field called "year".  If you add...

<input type="text" name="year" />

That will solve it.

Also there are no functions called "initOptions" and "swapOptions" that I can see.

 

by: thirdPosted on 2007-02-26 at 06:10:16ID: 18609067

any reason for the C grade?

20120131-EE-VQP-002

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