The Product/Service Line Item segment is used to identify individual product/service items that typically are aggregated into an Invoice. Each instance of a Product/Service Line Item corresponds to a unique product delivered or service rendered.
| Seq# | Data Element Name | DataType | Usage | Vocabulary | Cardinality | Item # | Length | C.LEN | Flags |
|---|---|---|---|---|---|---|---|---|---|
PSL
|
|||||||||
1
|
Provider Product/Service Line Item Number | EI | R | [1..1] | 01955 | ||||
|
2
|
Payer Product/Service Line Item Number | EI | O | [0..1] | 01956 | ||||
|
3
|
Product/Service Line Item Sequence Number | SI | R | [1..1] | 01957 | [1..4] | |||
|
4
|
Provider Tracking ID | EI | O | [0..1] | 01958 | ||||
|
5
|
Payer Tracking ID | EI | O | [0..1] | 01959 | ||||
|
6
|
Product/Service Line Item Status | CWE | R | [1..1] | 01960 | ||||
|
7
|
Product/Service Code | CWE | R | [1..1] | 01961 | ||||
|
8
|
Product/Service Code Modifier | CWE | O | [0..0] | 01962 | ||||
|
9
|
Product/Service Code Description | ST | O | [0..1] | 01963 | 80 | # | ||
|
10
|
Product/Service Effective Date | DTM | C | [0..1] | 01964 | ||||
|
11
|
Product/Service Expiration Date | DTM | O | [0..1] | 01965 | ||||
|
12
|
Product/Service Quantity | CQ | C | [0..1] | 01966 | ||||
|
13
|
Product/Service Unit Cost | CP | C | [0..1] | 01967 | ||||
|
14
|
Number of Items per Unit | NM | C | [0..1] | 01968 | 10 | # | ||
|
15
|
Product/Service Gross Amount | CP | C | [0..1] | 01969 | ||||
|
16
|
Product/Service Billed Amount | CP | C | [0..1] | 01970 | ||||
|
17
|
Product/Service Clarification Code Type | CWE | O | [0..0] | 01971 | ||||
|
18
|
Product/Service Clarification Code Value | ST | O | [0..0] | 01972 | 40 | # | ||
|
19
|
Health Document Reference Identifier | EI | O | [0..0] | 01973 | ||||
|
20
|
Processing Consideration Code | CWE | O | [0..0] | 01974 | ||||
|
21
|
Restricted Disclosure Indicator | ID | R | [1..1] | 01975 | [1..4] | |||
|
22
|
Related Product/Service Code Indicator | CWE | O | [0..1] | 01976 | ||||
|
23
|
Product/Service Amount for Physician | CP | O | [0..1] | 01977 | ||||
|
24
|
Product/Service Cost Factor | NM | O | [0..1] | 01978 | 5 | # | ||
|
25
|
Cost Center | CX | O | [0..1] | 01933 | ||||
|
26
|
Billing Period | DR | O | [0..1] | 01980 | ||||
|
27
|
Days without Billing | NM | O | [0..1] | 01981 | 5 | # | ||
|
28
|
Session-No | NM | O | [0..1] | 01982 | [1..4] | |||
|
29
|
Executing Physician ID | XCN | O | [0..1] | 01983 | ||||
|
30
|
Responsible Physician ID | XCN | O | [0..1] | 01984 | ||||
|
31
|
Role Executing Physician | CWE | O | [0..1] | 01985 | ||||
|
32
|
Medical Role Executing Physician | CWE | O | [0..1] | 01986 | ||||
|
33
|
Side of body | CWE | O | [0..1] | 01987 | ||||
|
34
|
Number of TP's PP | NM | O | [0..1] | 01988 | 6 | # | ||
|
35
|
TP-Value PP | CP | O | [0..1] | 01989 | ||||
|
36
|
Internal Scaling Factor PP | NM | O | [0..1] | 01990 | 4 | # | ||
|
37
|
External Scaling Factor PP | NM | O | [0..1] | 01991 | 4 | # | ||
|
38
|
Amount PP | CP | O | [0..1] | 01992 | ||||
|
39
|
Number of TP's Technical Part | NM | O | [0..1] | 01993 | 6 | # | ||
|
40
|
TP-Value Technical Part | CP | O | [0..1] | 01994 | ||||
|
41
|
Internal Scaling Factor Technical Part | NM | O | [0..1] | 01995 | 4 | # | ||
|
42
|
External Scaling Factor Technical Part | NM | O | [0..1] | 01996 | 4 | # | ||
|
43
|
Amount Technical Part | CP | O | [0..1] | 01997 | ||||
|
44
|
Total Amount Professional Part + Technical Part | CP | O | [0..1] | 01998 | ||||
|
45
|
VAT-Rate | NM | O | [0..1] | 01999 | 3 | # | ||
|
46
|
Main-Service | ID | O | [0..1] | 02000 | [1..20] | |||
|
47
|
Validation | ID | O | [0..1] | 02001 | [1..1] | |||
48
|
Comment | ST | O | [0..1] | 02002 | 255 | # | ||
Definition: Unique Product/Service Line Item Number assigned by the Provider Application.
Definition: Unique Product/Service Line Item Number assigned by the Payer Application.
Definition: Unique sequence number for the Product/Service Line Item – starts with 1, then 2, etc. for each unique Product/Service Line Item in this Invoice.
Definition: Identifier for this Product/Service Line Item assigned by the Provider Application. This will be echoed on all interactions between participants for this Product/Service Line Item.
Definition: Identifier for this Product/Service Line Item assigned by the Payer Application. This will be echoed on all interactions between participants for this Product/Service Line Item.
Definition: Processing status for the Product/Service Code. Refer to User-defined Table 0559 – Product/Service Status in Chapter 2C, Code Tables, for suggested values.
Definition: Code describing the service that was delivered/received. Refer to User-defined Table 0879 – Product/Service Code in Chapter 2C, Code Tables, for suggested values.
Definition: Additional optional modifier(s) for the Product/Service Code (e.g., after hours – evening, after hours – weekend); repeats up to 5 times. Refer to User-defined Table 0880 – Product/Service Code Modifier in Chapter 2C, Code Tables, for suggested values.
Definition: Text describing Product/Service Code in PSL.
Definition: [ Start ] Date/Time product/service was delivered/received.
Definition: [ End ] Date/Time product/service was delivered/received. If specified, must be greater than or equal to Product/Service Effective Date.
Definition: Amount that has been negotiated for this Product/Service Code on PSL between a Provider and Payer for each unit. Refer to User-defined Table 0560 – Quantity Units in Chapter 2C, Code Tables, for valid values.
Definition: This field contains the cost per unit either in monetary amount or in points.
Examples:
1. Qty * cost/unit = gross amount
2. Qty * cost/unit * factor = gross amount
3. Qty * cost/point * factor * points = gross amount
Definition: Number of items in each unit – for Services, this should be set to 1.
Definition: = Product/Service Quantity * Product/Service Unit Cost
Definition: Amount that is being billed for this Product/Service Code on PSL, = Product/Service Gross Amount + sum of all Product/Service Adjustments on ADJ for this Product/Service Line Item.
= Product/Service Gross Amount + sum of all Product/Service Adjustments on ADJ
Definition: Additional codes describing the Product/Service Code on PSL – examples are Northern Allowance, Data Center Numbers, Sequence Numbers; repeats with Product/Service Clarification Code Value. Refer to User-defined Table 0561 – Product/Services Clarification Codes in Chapter 2C, Code Tables, for suggested values.
Definition: Actual value for Product/Service Clarification Code Type (40) – examples are "Y", "N" for Northern Allowance, an actual number for a Data Center Number; repeats with Product/Service Clarification Code Type.
Repeats with Product/Service Clarification Code Type.
Definition: Health Documents (electronic or paper) that support this Product/Service Line Item. This includes such health documents as forms used to register a claim with a Payer, reports, medical images, etc.
Definition: Codes indicating special processing requested of Payer for this Product/Service Line Item (e.g., hold until paper supporting documentation is received by Payer). Refer to User-defined Table 0562 – Processing Consideration Codes in Chapter 2C, Code Tables, for suggested values.
Definition: Set to "Yes" if information on this invoice should be treated with increased confidentiality/security. Refer to User-defined Table 0532 – Expanded Yes/No Indicator in Chapter 2C, Code Tables, for suggested values.
Definition: Two Product /Service Line Items (PSL-7) may be in a relation to each other. One could be an addition to another. In this case this field contains the Code of PSL-7 of the "master" Product/Service Line Item. Refer to User-defined Table 0879 – Product/Service Code in Chapter 2C, Code Tables, for suggested values.
Definition: Monetary Amount of product/service item which is for the physician.
Definition: Factor to increase the billed amount.
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.
Definition: Begin and end of billing period.
Definition: Number of Days for which no invoice is created.
Definition: Several line items may be grouped to a session.
Definition: ID of the physician who is providing the Service, e.g., executing the radiology-exam (EAN ID = European Article Numbering).
Definition: ID of the physician who is responsible for the Service.
Definition: Account role of the physician, for example only billing for the professional part, the technical part or both. Refer to User-defined Table 0881 – Role Executing Physician in Chapter 2C, Code Tables, for suggested values.
Definition: The role of the Physician ("self-employed" or "employed"). Refer to User-defined Table 0882 – Medical Role Executing Physician in Chapter 2C, Code Tables, for suggested values.
Definition: Left / right. Refer to User-defined Table 0894 – Side of Body in Chapter 2C, Code Tables, for suggested values.
Definition: Cost of the service "professional part" expressed in "points".
Definition: Monetary Value of one "point" for the professional part of the service.
Definition: Internal Scaling Factor for the amount of the professional part of the service.
Definition: External Scaling Factor for the amount of the professional part of the service.
Definition: Total Amount for the professional part of this service.
Definition: Cost of the service (Technical Part) expressed in "points".
Definition: Monetary Value of one "point" for the technical part of the service.
Definition: Internal Scaling Factor for the amount of the technical part of the service.
Definition: External Scaling Factor for the amount of the technical part of the service.
Definition: Total Amount for the technical part of this service.
Definition: Total Amount of the cost of this service (Professional plus technical part)
Definition: VAT–Rate Applied on the total amount of this service.
Definition: Main service.
Definition: Service line item has passed an approved validator software (yes/no). For reason see PSL-48. Refer to HL7 Table 0136 – Yes/No Indicator in Chapter 2C, Code Tables, for suggested values.
Definition: Reason why the service line item has not passed the validator software.
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