The Invoice segment is used for HealthCare Services Invoices and contains header style information for an invoice including invoice numbers, Provider Organization and Payer Organization identification.
Seq# | DataElement | Description | Must Implement | Flags | Cardinality | Length | C.LEN | Vocabulary | DataType |
---|---|---|---|---|---|---|---|---|---|
IVC | |||||||||
1 | 01914 | Provider Invoice Number | SHALL | [1..1] | EI | ||||
2 | 01915 | Payer Invoice Number | [0..1] | EI | |||||
3 | 01916 | Contract/Agreement Number | [0..1] | EI | |||||
4 | 01917 | Invoice Control | SHALL | [1..1] | CWE | ||||
5 | 01918 | Invoice Reason | SHALL | [1..1] | CWE | ||||
6 | 01919 | Invoice Type | SHALL | [1..1] | CWE | ||||
7 | 01920 | Invoice Date/Time | SHALL | [1..1] | DTM | ||||
8 | 01921 | Invoice Amount | SHALL | [1..1] | CP | ||||
9 | 01922 | Payment Terms | = | [0..1] | 80 | ST | |||
10 | 01923 | Provider Organization | SHALL | [1..1] | XON | ||||
11 | 01924 | Payer Organization | SHALL | [1..1] | XON | ||||
12 | 01925 | Attention | [0..1] | XCN | |||||
13 | 01926 | Last Invoice Indicator | [0..1] | [1..1] | ID | ||||
14 | 01927 | Invoice Booking Period | [0..1] | DTM | |||||
15 | 01928 | Origin | = | [0..1] | 250 | ST | |||
16 | 01929 | Invoice Fixed Amount | [0..1] | CP | |||||
17 | 01930 | Special Costs | [0..1] | CP | |||||
18 | 01931 | Amount for Doctors Treatment | [0..1] | CP | |||||
19 | 01932 | Responsible Physician | [0..1] | XCN | |||||
20 | 01933 | Cost Center | [0..1] | CX | |||||
21 | 01934 | Invoice Prepaid Amount | [0..1] | CP | |||||
22 | 01935 | Total Invoice Amount without Prepaid Amount | [0..1] | CP | |||||
23
|
01936 | Total-Amount of VAT |
MAY
True: False: |
C |
[1..1] [0..1] |
CP | |||
24 | 01937 | VAT-Rates applied | = | [0..*] | 1..5 | NM | |||
25 | 01938 | Benefit Group | SHALL | [1..1] | CWE | ||||
26 | 02038 | Provider Tax ID | = | [0..1] | 20 | ST | |||
27 | 02039 | Payer Tax ID | = | [0..1] | 20 | ST | |||
28 | 02040 | Provider Tax Status | [0..1] | CWE | |||||
29 | 02041 | Payer Tax Status | [0..1] | CWE | |||||
30 | 02042 | Sales Tax ID | = | [0..1] | 20 | ST |
Definition: Unique Invoice Number assigned by the Provider Application.
Definition: Unique Invoice Number assigned by the Payer Application.
Definition: Contract/agreement number issued by Payer which must be specified in some circumstances by the Provider.
Definition: Code indicating what action is being performed by this message. Refer to User-defined Table 0553 – Invoice Control Code in Chapter 2C, Code Tables, for suggested values.
Definition: Code describing reason for this Invoice. Refer to User-defined Table 0554 – Invoice Reason Codes in Chapter 2C, Code Tables, for suggested values.
Definition: Code indicating the type of Invoice. Refer to User-defined Table 0555 – Invoice Type in Chapter 2C, Code Tables, for suggested values.
Definition: Date Invoice was created.
Definition: Sum total of Product/Service Billed Amount on PSL for all Product/Service Line Items for this Invoice.
Definition: Terms for Payer payment of Invoice (e.g., 24% net 30 days).
Definition: Business organization that is responsible for the invoice (e.g., Provider organization, clinic organization).
Definition: The business organization that is designated as Payer for this Invoice. This Payer may be the primary, secondary, tertiary Payer, depending on Insurance Information specified in the Invoice
Definition: Attention to individual in Payer Organization who needs to review this Invoice.
Definition: Can be set to indicate that this is the last Invoice for a particular Case, Claim and/or Encounter (1). Refer to HL7 Table 0136 – Yes/No Indicator for suggested values.
Definition: Period in which the invoice must be booked.
Definition: Responsible Person for this specific invoice. For more structured output use CTD-Segment instead.
Definition: Fixed Amount for this invoice.
Definition: Special costs for this invoice.
Definition: Special amount for doctor's treatment.
Definition: Doctor who is responsible for this invoice.
(Definition from IVC.20 in Ch. 16)
Definition: Cost centers are organizational units or activities that provide goods and services. In this context, it would be the department which delivered the Service/Product Line Item, e.g., Radiology, Emergency Room.
(Definition from PSL.25 in Ch. 16)
Definition: Cost centers are organizational units or activities that provide goods and services. In this context, it would be the department which delivered the Service/Product Line Item, e.g., Radiology, Emergency Room.
Definition: Deposit paid to the service Provider prior to admission
Definition: Total amount of Invoice without the prepaid deposit (IV-8 minus IVC-21).
Definition: Total Amount of VAT included in the Total Invoice Amount (IVC-8)
Definition: Applied VAT Rates on Invoice. Multiple VAT-rates may be applied according to the type of service
Definition: Code indicating the Benefit group. Refer to User-defined Table 0556 – Benefit Group in Chapter 2C, Code Tables, for suggested values.
Definition: The Tax ID of the Provider (general Tax identification number or VAT number).
Definition: The Tax ID of the Payer (general Tax identification number or VAT number)
Definition: Code indicating the tax status of the provider. Refer to User-defined Table 0572 – Tax status in Chapter 2C, Code Tables, for suggested values.
Definition: Code indicating the tax status of the payer. Refer to User-defined Table 0572 – Tax status in Chapter 2C, Code Tables, for suggested values.
Definition: The Tax ID specific to Sales Tax