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PMT - Payment Information Segment

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

HL7 Attribute Table - PMT - Payment Information Segment
Seq# Data Element Name DataType Usage Vocabulary Cardinality Item # Length C.LEN Flags
PMT
1 Payment/Remittance Advice Number EI R [1..1] 02018
2 Payment/Remittance Effective Date/Time DTM R [1..1] 02019
3 Payment/Remittance Expiration Date/Time DTM R [1..1] 02020
4 Payment Method CWE R [1..1] 02021
5 Payment/Remittance Date/Time DTM R [1..1] 02022
6 Payment/Remittance Amount CP R [1..1] 02023
7 Check Number EI O [0..1] 02024
8 Payee Bank Identification XON O [0..1] 02025
9 Payee Transit Number ST O [0..1] 02026 4 #
10 Payee Bank Account ID CX O [0..1] 02027
11 Payment Organization XON R [1..1] 02028
12 ESR-Code-Line ST O [0..1] 02029 100 #

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

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

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

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

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

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

PMT-4: Payment Method (CWE) 02021

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.

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

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

PMT-6: Payment/Remittance Amount (CP) 02023

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

PMT-7: Check Number (EI) 02024

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

PMT-8: Payee Bank Identification (XON) 02025

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

PMT-9: Payee Transit Number (ST) 02026

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

PMT-10: Payee Bank Account ID (CX) 02027

Definition: Id of Payee's Bank account.

PMT-11: Payment Organization (XON) 02028

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

PMT-12: ESR-Code-Line (ST) 02029

Definition: Invoice Reference used with electronic banking methods.