The Product/Service Group segment is used to form a logical grouping of Product/Service Line Items, Patients and Response Summaries for a particular Invoice. For example, a Product/Service Group can be used to group all Product/Service Line Items that must be adjudicated as a group in order to be paid.
Seq# | DataElement | Description | Must Implement | Flags | Cardinality | Length | C.LEN | Vocabulary | DataType |
---|---|---|---|---|---|---|---|---|---|
PSG | |||||||||
1 | 01950 | Provider Product/Service Group Number | SHALL | [1..1] | EI | ||||
2 | 01951 | Payer Product/Service Group Number | [0..1] | EI | |||||
3 | 01952 | Product/Service Group Sequence Number | SHALL | [1..1] | [1..4] | SI | |||
4 | 01953 | Adjudicate as Group | SHALL | [1..1] | [1..1] | ID | |||
5 | 01954 | Product/Service Group Billed Amount | SHALL | [1..1] | CP | ||||
6 | 02044 | Product/Service Group Description | SHALL | # | [1..1] | 254 | ST |
Definition: Unique Product/Service Group Number assigned by the Provider Application.
Definition: Unique Product/Service Group Number assigned by the Payer Application
Definition: Unique sequence number for the Product/Service Group (3) – starts with 1, then 2, etc. for each unique Product/Service Group in this Invoice.
Definition: Adjudicate all Product/Service Line Items together as a group (IPRs will be reported against the Product/Service Group). Refer to HL7 Table 0136 – Yes/No Indicator in Chapter 2C, Code Tables, for suggested values.
Definition: Sum of all Product/Service Billed Amounts for all Product/Service Line Items for this Product/Service Group.
Definition: Product/Service Group description or heading