Segment
X12 EDI Release 00302
To supply payment and control information to a provider for a particular service
Elements
  • SVC01235Product/Service ID Qualifier
    ID
    M必须(Mandatory)

    Code identifying the type/source of the descriptive number used in Product/Service ID (234).

    Codes (219)
  • SVC02234Product/Service ID
    AN
    M必须(Mandatory)
    Min 1 / Max 30

    Identifying number for a product or service.

  • SVC03782Monetary Amount
    R
    M必须(Mandatory)
    Min 1 / Max 15

    Monetary amount.

  • SVC04782Monetary Amount
    R
    M必须(Mandatory)
    Min 1 / Max 15

    Monetary amount.