The Invoice Processing Results (IPR) segment provides summary information about an adjudicated Product/Service Group or Product/Service Line Item.
Seq# | DataElement | Description | Must Implement | Flags | Cardinality | Length | C.LEN | Vocabulary | DataType |
---|---|---|---|---|---|---|---|---|---|
IPR | |||||||||
1 | 02030 | IPR Identifier | SHALL | [1..1] | EI | ||||
2 | 02031 | Provider Cross Reference Identifier | SHALL | [1..1] | EI | ||||
3 | 02032 | Payer Cross Reference Identifier | SHALL | [1..1] | EI | ||||
4 | 02033 | IPR Status | SHALL | [1..1] | CWE | ||||
5 | 02034 | IPR Date/Time | SHALL | [1..1] | DTM | ||||
6 | 02035 | Adjudicated/Paid Amount | [0..1] | CP | |||||
7 | 02036 | Expected Payment Date/Time | [0..1] | DTM | |||||
8 | 02037 | IPR Checksum | SHALL | = | [1..1] | 10 | ST |
Definition: Unique IPR Number assigned by the Payer Application.
Definition: Cross reference to Provider Product/Service Group Number or Provider Product/Service Line Item Number from original Invoice.
Definition: Cross reference to Payer Product/Service Group Number or Payer Product/Service Line Item Number from original Invoice.
Definition: Processing status for the Product/Service Group (if Adjudicate as Group = "Y") or Product/Service Line Item. Refer to User-defined Table 0571 – Invoice Processing Results Status in Chapter 2C, Code Tables, for suggested values.
The referenced status codes represent status codes for an IPR (Invoice Processing Result).
Definition: Date/Time IPR was created.
Definition: Adjudicated Amount for the Product/Service Group or Product/Service Line Item, which could be 0 = sum of all Payer adjustments (Adjustment Amount on ADJ).
Definition: Date payment is expected for this IPR.
Definition: Conditional, if Status = "Accepted", then Required, else Not Permitted.
The field contains a checksum generated by the first Payer (referenced by Payer Organization in the IVC Segment) to ensure that the contents of IPR have not been altered before sending to subsequent Payers.