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
Composite Medical Procedure Identifier
Composite (composite)
Mandatory
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).
02
Product/Service ID
String (AN)
Mandatory
1
30
-
Identifying number for a product or service.
03
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-03 modifies the value in C003-02.
04
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-04 modifies the value in C003-02.
05
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-05 modifies the value in C003-02.
06
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-06 modifies the value in C003-02.
07
Description
String (AN)
Optional
1
80
-
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.
SVC-02
Monetary Amount
Decimal number (R)
Mandatory
1
15
-
Monetary amount.
SVC02 is the submitted service charge.
SVC-03
Monetary Amount
Decimal number (R)
Mandatory
1
15
-
Monetary amount.
SVC03 is the amount paid this service.
SVC-04
Product/Service ID
String (AN)
Optional
1
30
-
Identifying number for a product or service.
SVC04 is the National Uniform Billing Committee Revenue Code.
SVC-05
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
SVC05 is the paid Units of Service.
SVC-06
Composite Medical Procedure Identifier
Composite (composite)
Optional
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).
02
Product/Service ID
String (AN)
Mandatory
1
30
-
Identifying number for a product or service.
03
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-03 modifies the value in C003-02.
04
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-04 modifies the value in C003-02.
05
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-05 modifies the value in C003-02.
06
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-06 modifies the value in C003-02.
07
Description
String (AN)
Optional
1
80
-
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.
SVC-07
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
SVC07 is the original submitted Units of Service.

Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference is provided for marketing purposes and is free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.