IVC

Invoice Segment

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2.6Sep2007

2.7Jan2011

2.7.1Jul2012

...

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