SVC Service Information

To supply payment and control information to a provider for a particular service

Position
Element
Name
Type
Requirement
Min
Max
Repeat
SVC-01
Product/Service ID Qualifier
Identifier (ID)
Mandatory
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
SVC-02
Product/Service ID
String (AN)
Mandatory
1
30
-
Identifying number for a product or service.
SVC-03
Monetary Amount
Decimal number (R)
Mandatory
1
15
-
Monetary amount.
SVC03 is the submitted service charge.
SVC-04
Monetary Amount
Decimal number (R)
Mandatory
1
15
-
Monetary amount.
SVC04 is the amount paid this service.

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