IVC

Invoice Segment

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2.5.1May2007

2.6Sep2007

2.7Jan2011

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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.

RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler

		C.Len						Element		v2.5
1	..74	-	EI	R	1	-	01914	IVC-1	Provider Invoice Number	NEW
2	..74	-	EI	O	1	-	01915	IVC-2	Payer Invoice Number	NEW
3	..74	-	EI	O	1	-	01916	IVC-3	Contract/Agreement Number	NEW
4	..2	-	IS	R	1	0553	01917	IVC-4	Invoice Control	NEW
5	..4	-	IS	R	1	0554	01918	IVC-5	Invoice Reason	NEW
6	..2	-	IS	R	1	0555	01919	IVC-6	Invoice Type	NEW
7	..24	-	DTM	R	1	-	01920	IVC-7	Invoice Date/Time	NEW
8	..254	-	CP	R	1	-	01921	IVC-8	Invoice Amount	NEW
9	..80	-	ST	O	1	-	01922	IVC-9	Payment Terms	NEW
10	..183	-	XON	R	1	-	01923	IVC-10	Provider Organization	NEW
11	..183	-	XON	R	1	-	01924	IVC-11	Payer Organization	NEW
12	..637	-	XCN	O	1	-	01925	IVC-12	Attention	NEW
13	..1	-	ID	O	1	0136	01926	IVC-13	Last Invoice Indicator	NEW
14	..24	-	DTM	O	1	-	01927	IVC-14	Invoice Booking Period	NEW
15	..250	-	ST	O	1	-	01928	IVC-15	Origin	NEW
16	..254	-	CP	O	1	-	01929	IVC-16	Invoice Fixed Amount	NEW
17	..254	-	CP	O	1	-	01930	IVC-17	Special Costs	NEW
18	..254	-	CP	O	1	-	01931	IVC-18	Amount for Doctors Treatment	NEW
19	..250	-	XCN	O	1	-	01932	IVC-19	Responsible Physician	NEW
20	..250	-	CX	O	1	-	01933	IVC-20	Cost Center	NEW
21	..254	-	CP	O	1	-	01934	IVC-21	Invoice Prepaid Amount	NEW
22	..254	-	CP	O	1	-	01935	IVC-22	Total Invoice Amount without Prepaid Amount	NEW
23	..254	-	CP	C	1	-	01936	IVC-23	Total-Amount of VAT	NEW
24	..1024	-	NM	O	*	-	01937	IVC-24	VAT-Rates applied	NEW
25	..4	-	IS	R	1	0556	01938	IVC-25	Benefit Group	NEW
26	..20	-	ST	O	1	-	02038	IVC-26	Provider Tax ID	NEW
27	..20	-	ST	O	1	-	02039	IVC-27	Payer Tax ID	NEW
28	..4	-	IS	O	1	0572	02040	IVC-28	Provider Tax status	NEW
29	..4	-	IS	O	1	0572	02041	IVC-29	Payer Tax status	NEW
30	..20	-	ST	O	1	-	02042	IVC-30	Sales Tax ID	NEW