SVC Service Information
To supply payment and control information to a provider for a particular service
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
Identifying number for a product or service
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-03 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-04 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-05 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-06 modifies the value in C003-02.
A free-form description to clarify the related data elements and their content
C003-07 is the description of the procedure identified in C003-02.
Monetary amount
SVC02 is the submitted service charge.
Monetary amount
SVC03 is the amount paid this service.
Identifying number for a product or service
SVC04 is the National Uniform Billing Committee Revenue Code.
Numeric value of quantity
SVC05 is the paid units of service.
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
Identifying number for a product or service
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-03 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-04 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-05 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-06 modifies the value in C003-02.
A free-form description to clarify the related data elements and their content
C003-07 is the description of the procedure identified in C003-02.
Numeric value of quantity
SVC07 is the original submitted units of service.