IVC - Invoice Segment

The Invoice segment is used for HealthCare Services Invoices and contains header style information for an invoice including invoice numbers, Provider Organization and Payer Organization identification.

HL7 Attribute Table - IVC - Invoice Segment

Seq#	Data Element Name	DataType	Usage	Vocabulary	Cardinality	Item #	Length	C.LEN	Flags
IVC
1	Provider Invoice Number	EI	R		[1..1]	01914
2	Payer Invoice Number	EI	O		[0..1]	01915
3	Contract/Agreement Number	EI	O		[0..1]	01916
4	Invoice Control	CWE	R	0553(S) Invoice Control Code(Suggested)	[1..1]	01917
5	Invoice Reason	CWE	R	0554 Invoice Reason Codes	[1..1]	01918
6	Invoice Type	CWE	R	0555 Invoice Type	[1..1]	01919
7	Invoice Date/Time	DTM	R		[1..1]	01920
8	Invoice Amount	CP	R		[1..1]	01921
9	Payment Terms	ST	O		[0..1]	01922		80	#
10	Provider Organization	XON	R		[1..1]	01923
11	Payer Organization	XON	R		[1..1]	01924
12	Attention	XCN	O		[0..1]	01925
13	Last Invoice Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	01926	[1..1]
14	Invoice Booking Period	DTM	O		[0..1]	01927
15	Origin	ST	O		[0..1]	01928		250	#
16	Invoice Fixed Amount	CP	O		[0..1]	01929
17	Special Costs	CP	O		[0..1]	01930
18	Amount for Doctors Treatment	CP	O		[0..1]	01931
19	Responsible Physician	XCN	O		[0..1]	01932
20	Cost Center	CX	O		[0..1]	01933
21	Invoice Prepaid Amount	CP	O		[0..1]	01934
22	Total Invoice Amount without Prepaid Amount	CP	O		[0..1]	01935
23	Total-Amount of VAT	CP	C		[0..1]	01936
24	VAT-Rates applied	NM	O		[0..*]	01937		1..5	#
25	Benefit Group	CWE	R	0556 Benefit Group	[1..1]	01938
26	Provider Tax ID	ST	O		[0..1]	02038		20	#
27	Payer Tax ID	ST	O		[0..1]	02039		20	#
28	Provider Tax Status	CWE	O	0572 Tax status	[0..1]	02040
29	Payer Tax Status	CWE	O	0572 Tax status	[0..1]	02041
30	Sales Tax ID	ST	O		[0..1]	02042		20	#

IVC-1: Provider Invoice Number (EI) 01914

Definition: Unique Invoice Number assigned by the Provider Application.

IVC-2: Payer Invoice Number (EI) 01915

Definition: Unique Invoice Number assigned by the Payer Application.

IVC-3: Contract/Agreement Number (EI) 01916

Definition: Contract/agreement number issued by Payer which must be specified in some circumstances by the Provider.

IVC-4: Invoice Control (CWE) 01917

Definition: Code indicating what action is being performed by this message. Refer to User-defined Table 0553 – Invoice Control Code in Chapter 2C, Code Tables, for suggested values.

IVC-5: Invoice Reason (CWE) 01918

Definition: Code describing reason for this Invoice. Refer to User-defined Table 0554 – Invoice Reason Codes in Chapter 2C, Code Tables, for suggested values.

IVC-6: Invoice Type (CWE) 01919

Definition: Code indicating the type of Invoice. Refer to User-defined Table 0555 – Invoice Type in Chapter 2C, Code Tables, for suggested values.

IVC-7: Invoice Date/Time (DTM) 01920

Definition: Date Invoice was created.

IVC-8: Invoice Amount (CP) 01921

Definition: Sum total of Product/Service Billed Amount on PSL for all Product/Service Line Items for this Invoice.

IVC-9: Payment Terms (ST) 01922

Definition: Terms for Payer payment of Invoice (e.g., 24% net 30 days).

IVC-10: Provider Organization (XON) 01923

Definition: Business organization that is responsible for the invoice (e.g., Provider organization, clinic organization).

IVC-11: Payer Organization (XON) 01924

Definition: The business organization that is designated as Payer for this Invoice. This Payer may be the primary, secondary, tertiary Payer, depending on Insurance Information specified in the Invoice

IVC-12: Attention (XCN) 01925

Definition: Attention to individual in Payer Organization who needs to review this Invoice.

IVC-13: Last Invoice Indicator (ID) 01926

Definition: Can be set to indicate that this is the last Invoice for a particular Case, Claim and/or Encounter (1). Refer to HL7 Table 0136 – Yes/No Indicator for suggested values.

IVC-14: Invoice Booking Period (DTM) 01927

Definition: Period in which the invoice must be booked.

IVC-15: Origin (ST) 01928

Definition: Responsible Person for this specific invoice. For more structured output use CTD-Segment instead.

IVC-16: Invoice Fixed Amount (CP) 01929

Definition: Fixed Amount for this invoice.

IVC-17: Special Costs (CP) 01930

Definition: Special costs for this invoice.

IVC-18: Amount for Doctors Treatment (CP) 01931

Definition: Special amount for doctor's treatment.

IVC-19: Responsible Physician (XCN) 01932

Definition: Doctor who is responsible for this invoice.

IVC-20: Cost Center (CX) 01933

Definition: Cost centers are organizational units or activities that provide goods and services. In this context, it would be the department which delivered the Service/Product Line Item, e.g., Radiology, Emergency Room.

IVC-21: Invoice Prepaid Amount (CP) 01934

Definition: Deposit paid to the service Provider prior to admission

IVC-22: Total Invoice Amount without Prepaid Amount (CP) 01935

Definition: Total amount of Invoice without the prepaid deposit (IV-8 minus IVC-21).

IVC-23: Total-Amount of VAT (CP) 01936

Definition: Total Amount of VAT included in the Total Invoice Amount (IVC-8)

IVC-24: VAT-Rates applied (NM) 01937

Definition: Applied VAT Rates on Invoice. Multiple VAT-rates may be applied according to the type of service

IVC-25: Benefit Group (CWE) 01938

Definition: Code indicating the Benefit group. Refer to User-defined Table 0556 – Benefit Group in Chapter 2C, Code Tables, for suggested values.

IVC-26: Provider Tax ID (ST) 02038

Definition: The Tax ID of the Provider (general Tax identification number or VAT number).

IVC-27: Payer Tax ID (ST) 02039

Definition: The Tax ID of the Payer (general Tax identification number or VAT number)

IVC-28: Provider Tax Status (CWE) 02040

Definition: Code indicating the tax status of the provider. Refer to User-defined Table 0572 – Tax status in Chapter 2C, Code Tables, for suggested values.

IVC-29: Payer Tax Status (CWE) 02041

Definition: Code indicating the tax status of the payer. Refer to User-defined Table 0572 – Tax status in Chapter 2C, Code Tables, for suggested values.

IVC-30: Sales Tax ID (ST) 02042

Definition: The Tax ID specific to Sales Tax