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.
30
C.LenElement
1--EIR1-01914IVC-1Provider Invoice Number
2--EIO1-01915IVC-2Payer Invoice Number
3--EIO1-01916IVC-3Contract/Agreement Number
4--CWER1055301917IVC-4Invoice Control
5--CWER1055401918IVC-5Invoice Reason
6--CWER1055501919IVC-6Invoice Type
7--DTMR1-01920IVC-7Invoice Date/Time
8--CPR1-01921IVC-8Invoice Amount
9-80=STO1-01922IVC-9Payment Terms
10--XONR1-01923IVC-10Provider Organization
11--XONR1-01924IVC-11Payer Organization
12--XCNO1-01925IVC-12Attention
131-IDO1013601926IVC-13Last Invoice Indicator
14--DTMO1-01927IVC-14Invoice Booking Period
15-250=STO1-01928IVC-15Origin
16--CPO1-01929IVC-16Invoice Fixed Amount
17--CPO1-01930IVC-17Special Costs
18--CPO1-01931IVC-18Amount for Doctors Treatment
19--XCNO1-01932IVC-19Responsible Physician
20--CXO1-01933IVC-20Cost Center
21--CPO1-01934IVC-21Invoice Prepaid Amount
22--CPO1-01935IVC-22Total Invoice Amount without Prepaid Amount
23--CPC1-01936IVC-23Total-Amount of VAT
241..5-NMO*-01937IVC-24VAT-Rates applied
25--CWER1055601938IVC-25Benefit Group
26-20=STO1-02038IVC-26Provider Tax ID
27-20=STO1-02039IVC-27Payer Tax ID
28--CWEO1057202040IVC-28Provider Tax Status
29--CWEO1057202041IVC-29Payer Tax Status
30-20=STO1-02042IVC-30Sales Tax ID
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