HL7 - Version 2.6


Segment IVC: Invoice Segment (Allgemeine Rechnungsinformation)

Seq Description German Interpretation Length C.LEN Table r/o/c Rep# Item Data Structure Section
1 Provider Invoice Number
..74

R
01914 EI 16.4.2.1
2 Payer Invoice Number
..74

O
01915 EI 16.4.2.2
3 Contract/Agreement Number
..74

O
01916 EI 16.4.2.3
4 Invoice Control
..2
0553 R
01917 IS 16.4.2.4
5 Invoice Reason
..4
0554 R
01918 IS 16.4.2.5
6 Invoice Type
..2
0555 R
01919 IS 16.4.2.6
7 Invoice Date/Time
..24

R
01920 DTM 16.4.2.7
8 Invoice Amount
..254

R
01921 CP 16.4.2.8
9 Payment Terms
..80

O
01922 ST 16.4.2.9
10 Provider Organization
..183

R
01923 XON 16.4.2.10
11 Payer Organization
..183

R
01924 XON 16.4.2.11
12 Attention
..637

O
01925 XCN 16.4.2.12
13 Last Invoice Indicator
..1
0136 O
01926 ID 16.4.2.13
14 Invoice Booking Period
..24

O
01927 DTM 16.4.2.14
15 Origin
..250

O
01928 ST 16.4.2.15
16 Invoice Fixed Amount
..254

O
01929 CP 16.4.2.16
17 Special Costs
..254

O
01930 CP 16.4.2.17
18 Amount for Doctors Treatment
..254

O
01931 CP 16.4.2.18
19 Responsible Physician
..250

O
01932 XCN 16.4.2.19
20 Cost Center Kostenstelle ..250

O
01933 CX 16.4.2.20
21 Invoice Prepaid Amount
..254

O
01934 CP 16.4.2.21
22 Total Invoice Amount without Prepaid Amount
..254

O
01935 CP 16.4.2.22
23 Total-Amount of VAT
..254

C
01936 CP 16.4.2.23
24 VAT-Rates applied
..1024

O Y 01937 NM 16.4.2.24
25 Benefit Group
..4
0556 R
01938 IS 16.4.2.25
26 Provider Tax ID
..20

O
02038 ST 16.4.2.26
27 Payer Tax ID
..20

O
02039 ST 16.4.2.27
28 Provider Tax status
..4
0572 O
02040 IS 16.4.2.28
29 Payer Tax status
..4
0572 O
02041 IS 16.4.2.29
30 Sales Tax ID
..20

O
02042 ST 16.4.2.30

Used within following Message Structures:

EHC_E01 Submit HealthCare Services Invoice (16.3.1)
EHC_E02 Cancel HealthCare Services Invoice (16.3.2)
EHC_E04 Re-Assess HealthCare Services Invoice Request (16.3.5)
EHC_E10 Edit/Adjudication Results (16.3.6)
EHC_E12 Request Additional Information (16.3.7)
EHC_E13 Additional Information Response (16.3.8)
EHC_E15 Payment/Remittance Advice (16.3.9)
EHC_E20 Submit Authorization Request (16.3.10)
EHC_E21 Cancel Authorization Request (16.3.11)
EHC_E24 Authorization Response (16.3.14)
RSP_E22 Authorization Request Query Response (16.3.13)