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18.8.122 PMT - Payment Information Segment (16.4.8)

This segment contains information that describes a payment made by a Payer organization.

HL7 Attribute Table - PMT - Payment Information

Base Framework
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
PMT
102018Payment/Remittance Advice Number SHOULD[1..1] 
EI

Entity Identifier

202019Payment/Remittance Effective Date/Time SHOULD[1..1] 
DTM

Date/Time

302020Payment/Remittance Expiration Date/Time SHOULD[1..1] 
DTM

Date/Time

402021Payment Method SHOULD[1..1] ex.:PaymentMethodCode (CD)
CWE

Coded with Exceptions

502022Payment/Remittance Date/Time SHOULD[1..1] 
DTM

Date/Time

602023Payment/Remittance Amount SHOULD[1..1] 
CP

Composite Price

702024Check Number MAY[0..1] 
EI

Entity Identifier

802025Payee Bank Identification MAY[0..1] 
XON

Extended Composite Name and Identification Number for Organizations

902026Payee Transit Number
=

Truncation not allowed!

MAY[0..1] 4
ST

String Data

1002027Payee Bank Account ID MAY[0..1] 
CX

Extended Composite ID with Check Digit

1102028Payment Organization SHOULD[1..1] 
XON

Extended Composite Name and Identification Number for Organizations

1202029ESR-Code-Line
=

Truncation not allowed!

MAY[0..1] 100
ST

String Data

Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
PMT
102018Payment/Remittance Advice Number SHALL[1..1] 
EI

Entity Identifier

202019Payment/Remittance Effective Date/Time SHALL[1..1] 
DTM

Date/Time

302020Payment/Remittance Expiration Date/Time SHALL[1..1] 
DTM

Date/Time

402021Payment Method SHALL[1..1] ex.:PaymentMethodCode (CD) hl7VS-paymentMethodCode (VS) paymentMethod (CS)
CWE

Coded with Exceptions

502022Payment/Remittance Date/Time SHALL[1..1] 
DTM

Date/Time

602023Payment/Remittance Amount SHALL[1..1] 
CP

Composite Price

702024Check Number MAY[0..1] 
EI

Entity Identifier

802025Payee Bank Identification MAY[0..1] 
XON

Extended Composite Name and Identification Number for Organizations

902026Payee Transit Number
=

Truncation not allowed!

MAY[0..1] 4
ST

String Data

1002027Payee Bank Account ID MAY[0..1] 
CX

Extended Composite ID with Check Digit

1102028Payment Organization SHALL[1..1] 
XON

Extended Composite Name and Identification Number for Organizations

1202029ESR-Code-Line
=

Truncation not allowed!

MAY[0..1] 100
ST

String Data

Base FrameworkBase Standard Profile
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData TypeImplementVocabulary
PMT 
102018Payment/Remittance Advice Number SHOULD[1..1] 
EI

Entity Identifier

SHALL
202019Payment/Remittance Effective Date/Time SHOULD[1..1] 
DTM

Date/Time

SHALL
302020Payment/Remittance Expiration Date/Time SHOULD[1..1] 
DTM

Date/Time

SHALL
402021Payment Method SHOULD[1..1] ex.:PaymentMethodCode (CD)
CWE

Coded with Exceptions

SHALLhl7VS-paymentMethodCode (VS) paymentMethod (CS)
502022Payment/Remittance Date/Time SHOULD[1..1] 
DTM

Date/Time

SHALL
602023Payment/Remittance Amount SHOULD[1..1] 
CP

Composite Price

SHALL
702024Check Number MAY[0..1] 
EI

Entity Identifier

MAY
802025Payee Bank Identification MAY[0..1] 
XON

Extended Composite Name and Identification Number for Organizations

MAY
902026Payee Transit Number
=

Truncation not allowed!

MAY[0..1] 4
ST

String Data

MAY
1002027Payee Bank Account ID MAY[0..1] 
CX

Extended Composite ID with Check Digit

MAY
1102028Payment Organization SHOULD[1..1] 
XON

Extended Composite Name and Identification Number for Organizations

SHALL
1202029ESR-Code-Line
=

Truncation not allowed!

MAY[0..1] 100
ST

String Data

MAY
Base Framework Base Standard Profile
Seq# Data Element Description Flags Optionality Repetition Length C.LEN Table Data Type Optionality Table
PMT  
1 02018 Payment/Remittance Advice Number   O      
EI

Entity Identifier

R  
2 02019 Payment/Remittance Effective Date/Time   O      
DTM

Date/Time

R  
3 02020 Payment/Remittance Expiration Date/Time   O      
DTM

Date/Time

R  
4 02021 Payment Method   O     (0570)
CWE

Coded with Exceptions

R  
5 02022 Payment/Remittance Date/Time   O      
DTM

Date/Time

R  
6 02023 Payment/Remittance Amount   O      
CP

Composite Price

R  
7 02024 Check Number   O      
EI

Entity Identifier

   
8 02025 Payee Bank Identification   O      
XON

Extended Composite Name and Identification Number for Organizations

   
9 02026 Payee Transit Number   O     4=  
ST

String Data

   
10 02027 Payee Bank Account ID   O      
CX

Extended Composite ID with Check Digit

   
11 02028 Payment Organization   O      
XON

Extended Composite Name and Identification Number for Organizations

R  
12 02029 ESR-Code-Line   O     100=  
ST

String Data

   
Seq# Data Element Description Optionality Repetition Length C.LEN Table Data Type
PMT
1 02018 Payment/Remittance Advice Number R      
EI

Entity Identifier

2 02019 Payment/Remittance Effective Date/Time R      
DTM

Date/Time

3 02020 Payment/Remittance Expiration Date/Time R      
DTM

Date/Time

4 02021 Payment Method R     (0570)
CWE

Coded with Exceptions

5 02022 Payment/Remittance Date/Time R      
DTM

Date/Time

6 02023 Payment/Remittance Amount R      
CP

Composite Price

7 02024 Check Number O      
EI

Entity Identifier

8 02025 Payee Bank Identification O      
XON

Extended Composite Name and Identification Number for Organizations

9 02026 Payee Transit Number O     4=  
ST

String Data

10 02027 Payee Bank Account ID O      
CX

Extended Composite ID with Check Digit

11 02028 Payment Organization R      
XON

Extended Composite Name and Identification Number for Organizations

12 02029 ESR-Code-Line O     100=  
ST

String Data

18.8.122.1 PMT field definitions (16.4.8.0)

18.8.122.2 PMT-1 Payment/Remittance Advice Number (EI) 02018 (16.4.8.1)

Definition: Unique Payment/Remittance Advice number for the sending Network Application ID.

18.8.122.3 PMT-2 Payment/Remittance Effective Date/Time (DTM) 02019 (16.4.8.2)

Definition: [ Start ] Date/Time for this Payment/Remittance Advice.

18.8.122.4 PMT-3 Payment/Remittance Expiration Date/Time (DTM) 02020 (16.4.8.3)

Definition: [ End ] Date/Time for this Payment/Remittance Advice.

18.8.122.5 PMT-4 Payment Method (CWE) 02021 (16.4.8.4)

Definition: Code identifying the method for the movement of payment. Refer to User-defined Table 0570 - Payment Method Code in Chapter 2C, Code Tables, for suggested values.

18.8.122.6 PMT-5 Payment/Remittance Date/Time (DTM) 02022 (16.4.8.5)

Definition: Date Payment/Remittance Advice was paid, which might not be the same as Date/Time of Message on MSH.

18.8.122.7 PMT-6 Payment/Remittance Amount (CP) 02023 (16.4.8.6)

Definition: Sum total of all Product/Service Paid Amount on PSL for this Payment/Remittance Advice, net of any Adjustments to Payee.

18.8.122.8 PMT-7 Check Number (EI) 02024 (16.4.8.7)

Definition: Unique check number from the Payer's application system.

18.8.122.9 PMT-8 Payee Bank Identification (XON) 02025 (16.4.8.8)

Definition: Identification of Payee's financial contact, e.g., name of the bank .

18.8.122.10 PMT-9 Payee Transit Number (ST) 02026 (16.4.8.9)

Definition: Personal ID of the payee used in financial transaction.

18.8.122.11 PMT-10 Payee Bank Account ID (CX) 02027 (16.4.8.10)

Definition: Id of Payee's Bank account.

18.8.122.12 PMT-11 Payment Organization (XON) 02028 (16.4.8.11)

Definition: Organization identifier that made the Payment/Remittance Advice; could be a Payer, Insurance Company, TPA, Drug Company.

18.8.122.13 PMT-12 ESR-Code-Line (ST) 02029 (16.4.8.12)

Definition: Invoice Reference used with electronic banking methods.