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IVC - Invoice Segment

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.

HL7 Attribute Table - IVC - Invoice Segment
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

IVC-1: Provider Invoice Number (EI) 01914

Definition: Unique Invoice Number assigned by the Provider Application.

IVC-2: Payer Invoice Number (EI) 01915

Definition: Unique Invoice Number assigned by the Payer Application.

IVC-3: Contract/Agreement Number (EI) 01916

Definition: Contract/agreement number issued by Payer which must be specified in some circumstances by the Provider.

IVC-4: Invoice Control (CWE) 01917

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.

IVC-5: Invoice Reason (CWE) 01918

Definition: Code describing reason for this Invoice. Refer to User-defined Table 0554 – Invoice Reason Codes in Chapter 2C, Code Tables, for suggested values.

IVC-6: Invoice Type (CWE) 01919

Definition: Code indicating the type of Invoice. Refer to User-defined Table 0555 – Invoice Type in Chapter 2C, Code Tables, for suggested values.

IVC-7: Invoice Date/Time (DTM) 01920

Definition: Date Invoice was created.

IVC-8: Invoice Amount (CP) 01921

Definition: Sum total of Product/Service Billed Amount on PSL for all Product/Service Line Items for this Invoice.

IVC-9: Payment Terms (ST) 01922

Definition: Terms for Payer payment of Invoice (e.g., 24% net 30 days).

IVC-10: Provider Organization (XON) 01923

Definition: Business organization that is responsible for the invoice (e.g., Provider organization, clinic organization).

IVC-11: Payer Organization (XON) 01924

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

IVC-12: Attention (XCN) 01925

Definition: Attention to individual in Payer Organization who needs to review this Invoice.

IVC-13: Last Invoice Indicator (ID) 01926

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.

IVC-14: Invoice Booking Period (DTM) 01927

Definition: Period in which the invoice must be booked.

IVC-15: Origin (ST) 01928

Definition: Responsible Person for this specific invoice. For more structured output use CTD-Segment instead.

IVC-16: Invoice Fixed Amount (CP) 01929

Definition: Fixed Amount for this invoice.

IVC-17: Special Costs (CP) 01930

Definition: Special costs for this invoice.

IVC-18: Amount for Doctors Treatment (CP) 01931

Definition: Special amount for doctor's treatment.

IVC-19: Responsible Physician (XCN) 01932

Definition: Doctor who is responsible for this invoice.

IVC-20: Cost Center (CX) 01933

(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.

IVC-21: Invoice Prepaid Amount (CP) 01934

Definition: Deposit paid to the service Provider prior to admission

IVC-22: Total Invoice Amount without Prepaid Amount (CP) 01935

Definition: Total amount of Invoice without the prepaid deposit (IV-8 minus IVC-21).

IVC-23: Total-Amount of VAT (CP) 01936

Definition: Total Amount of VAT included in the Total Invoice Amount (IVC-8)

IVC-24: VAT-Rates applied (NM) 01937

Definition: Applied VAT Rates on Invoice. Multiple VAT-rates may be applied according to the type of service

IVC-25: Benefit Group (CWE) 01938

Definition: Code indicating the Benefit group. Refer to User-defined Table 0556 – Benefit Group in Chapter 2C, Code Tables, for suggested values.

IVC-26: Provider Tax ID (ST) 02038

Definition: The Tax ID of the Provider (general Tax identification number or VAT number).

IVC-27: Payer Tax ID (ST) 02039

Definition: The Tax ID of the Payer (general Tax identification number or VAT number)

IVC-28: Provider Tax Status (CWE) 02040

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.

IVC-29: Payer Tax Status (CWE) 02041

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.

IVC-30: Sales Tax ID (ST) 02042

Definition: The Tax ID specific to Sales Tax