EHC_E01

EHC^E01 - Submit HealthCare Services Invoice (event E01)

36 segments · 1 events

This message is used to submit a HealthCare Services Invoice to a TPA/Payer for processing and payment. A HealthCare Services Invoice may have 1 or more Product/Service Line Items (detail lines), grouped as a Product/Service Group. Each Product/Service Line Item represents a specific fee item. Refer to the beginning of this section for more information on the structure of a HealthCare Services Invoice.

This message can be used to submit a HealthCare Services Invoice or to resubmit a previously submitted HealthCare Services Invoice (in case it was not properly acknowledged the first time that it was submitted). This message cannot be used to update an Invoice (e.g., add or cancel Product/Service Line Items) or cancel a HealthCare Services Invoice. To cancel a HealthCare Services Invoice, use the EHC^E02 - Cancel HealthCare Services Invoice message. To update a HealthCare Services Invoice it must first be cancelled (see EHC^E02 - Cancel HealthCare Services Invoice) and then re-submitted using this message with new Invoice numbers.

Message Structure

36 segments
R RequiredO Optional Choice
MSH
R1
SFT
O*
UAC
O*
INVOICE_INFORMATION_SUBMITChoice
R1
IVC
R1
PYE
O1
CTD
O*
AUT
O1
LOC
O*
PRT
O*
ROL
O*
PRODUCT_SERVICE_SECTION
R*
PSS
R1
PRODUCT_SERVICE_GROUP
R*
PSG
R1
LOC
O*
PRT
O*
ROL
O*
PATIENT_INFO
O*
PID
R1
PV1
O1
PV2
O1
ACC
O*
INSURANCE
R*
IN1
R1
IN2
O1
DIAGNOSIS
O*
DG1
R1
NTE
O*
OBX
O*
PRODUCT_SERVICE_LINE_ITEM
R*
PSL
R1
NTE
O*
ADJ
O*
AUT
O1
LOC
O*
PRT
O*
ROL
O*
PROCEDURE
O*
PR1
R1
NTE
O*
PRT
O*
ROL
O*
IPR
O*
Used by Events:E01Submit HealthCare Services Invoice