The Invoice Processing Results (IPR) segment provides summary information about an adjudicated Product/Service Group or Product/Service Line Item.
HL7 Attribute Table - IPR - Invoice Processing Results
| Base Framework | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Length | C.LEN | Vocabulary | Data Type | |
 IPR | ||||||||||
  | 1 | 02030 | IPR Identifier | SHOULD | [1..1] | EI Entity Identifier | ||||
| 2 | 02031 | Provider Cross Reference Identifier | SHOULD | [1..1] | EI Entity Identifier | ||||
| 3 | 02032 | Payer Cross Reference Identifier | SHOULD | [1..1] | EI Entity Identifier | ||||
| 4 | 02033 | IPR Status | SHOULD | [1..1] | ex.:InvoiceProcessingResultsStatus (CD) | CWE Coded with Exceptions | |||
| 5 | 02034 | IPR Date/Time | SHOULD | [1..1] | DTM Date/Time | ||||
| 6 | 02035 | Adjudicated/Paid Amount | MAY | [0..1] | CP Composite Price | ||||
| 7 | 02036 | Expected Payment Date/Time | MAY | [0..1] | DTM Date/Time | ||||
 | 8 | 02037 | IPR Checksum | = Truncation not allowed! | SHOULD | [1..1] | 10 | ST String Data | ||
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Length | C.LEN | Vocabulary | Data Type | |
|---|---|---|---|---|---|---|---|---|---|---|
| IPR | ||||||||||
| 1 | 02030 | IPR Identifier | SHALL | [1..1] | EI Entity Identifier | ||||
| 2 | 02031 | Provider Cross Reference Identifier | SHALL | [1..1] | EI Entity Identifier | ||||
| 3 | 02032 | Payer Cross Reference Identifier | SHALL | [1..1] | EI Entity Identifier | ||||
| 4 | 02033 | IPR Status | SHALL | [1..1] | ex.:InvoiceProcessingResultsStatus (CD) hl7VS-invoiceProcessingResultsStatus (VS) invoiceProcessingResultsStatus (CS) | CWE Coded with Exceptions | |||
| 5 | 02034 | IPR Date/Time | SHALL | [1..1] | DTM Date/Time | ||||
| 6 | 02035 | Adjudicated/Paid Amount | MAY | [0..1] | CP Composite Price | ||||
| 7 | 02036 | Expected Payment Date/Time | MAY | [0..1] | DTM Date/Time | ||||
| 8 | 02037 | IPR Checksum | = Truncation not allowed! | SHALL | [1..1] | 10 | ST String Data | ||
| Base Framework | Base Standard Profile | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Length | C.LEN | Vocabulary | Data Type | Implement | Vocabulary | |
| IPR | ||||||||||||
| 1 | 02030 | IPR Identifier | SHOULD | [1..1] | EI Entity Identifier | SHALL | |||||
| 2 | 02031 | Provider Cross Reference Identifier | SHOULD | [1..1] | EI Entity Identifier | SHALL | |||||
| 3 | 02032 | Payer Cross Reference Identifier | SHOULD | [1..1] | EI Entity Identifier | SHALL | |||||
| 4 | 02033 | IPR Status | SHOULD | [1..1] | ex.:InvoiceProcessingResultsStatus (CD) | CWE Coded with Exceptions | SHALL | hl7VS-invoiceProcessingResultsStatus (VS) invoiceProcessingResultsStatus (CS) | |||
| 5 | 02034 | IPR Date/Time | SHOULD | [1..1] | DTM Date/Time | SHALL | |||||
| 6 | 02035 | Adjudicated/Paid Amount | MAY | [0..1] | CP Composite Price | MAY | |||||
| 7 | 02036 | Expected Payment Date/Time | MAY | [0..1] | DTM Date/Time | MAY | |||||
| 8 | 02037 | IPR Checksum | = Truncation not allowed! | SHOULD | [1..1] | 10 | ST String Data | SHALL | |||
| Base Framework | Base Standard Profile | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Optionality | Repetition | Length | C.LEN | Table | Data Type | Optionality | Table | |
| IPR |
||||||||||||
|
1 | 02030 | IPR Identifier | O | EI Entity Identifier |
R | ||||||
|
2 | 02031 | Provider Cross Reference Identifier | O | EI Entity Identifier |
R | ||||||
|
3 | 02032 | Payer Cross Reference Identifier | O | EI Entity Identifier |
R | ||||||
|
4 | 02033 | IPR Status | O | (0571) | CWE Coded with Exceptions |
R | |||||
|
5 | 02034 | IPR Date/Time | O | DTM Date/Time |
R | ||||||
|
6 | 02035 | Adjudicated/Paid Amount | O | CP Composite Price |
|||||||
|
7 | 02036 | Expected Payment Date/Time | O | DTM Date/Time |
|||||||
|
8 | 02037 | IPR Checksum | O | 10= | ST String Data |
R | |||||
| Seq# | Data Element | Description | Optionality | Repetition | Length | C.LEN | Table | Data Type | |
|---|---|---|---|---|---|---|---|---|---|
| IPR |
|||||||||
|
1 | 02030 | IPR Identifier | R | EI Entity Identifier |
||||
|
2 | 02031 | Provider Cross Reference Identifier | R | EI Entity Identifier |
||||
|
3 | 02032 | Payer Cross Reference Identifier | R | EI Entity Identifier |
||||
|
4 | 02033 | IPR Status | R | (0571) | CWE Coded with Exceptions |
|||
|
5 | 02034 | IPR Date/Time | R | DTM Date/Time |
||||
|
6 | 02035 | Adjudicated/Paid Amount | O | CP Composite Price |
||||
|
7 | 02036 | Expected Payment Date/Time | O | DTM Date/Time |
||||
|
8 | 02037 | IPR Checksum | R | 10= | ST String Data |
|||
Definition: Unique IPR Number assigned by the Payer Application.
Definition: Cross reference to Provider Product/Service Group Number or Provider Product/Service Line Item Number from original Invoice.
Definition: Cross reference to Payer Product/Service Group Number or Payer Product/Service Line Item Number from original Invoice.
Definition: Processing status for the Product/Service Group (if Adjudicate as Group = "Y") or Product/Service Line Item. Refer to User-defined Table 0571 - Invoice Processing Results Status in Chapter 2C, Code Tables, for suggested values.
The referenced status codes represent status codes for an IPR (Invoice Processing Result).
Definition: Date/Time IPR was created.
Definition: Adjudicated Amount for the Product/Service Group or Product/Service Line Item, which could be 0 = sum of all Payer adjustments (Adjustment Amount on ADJ).
Definition: Date payment is expected for this IPR.
Definition: Conditional, if Status = "Accepted", then Required, else Not Permitted.
The field contains a checksum generated by the first Payer (referenced by Payer Organization in the IVC Segment) to ensure that the contents of IPR have not been altered before sending to subsequent Payers.
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