SVD Service Line Adjudication

Batch

To convey service line adjudication information for coordination of benefits between the initial payers of a health care claim and all subsequent payers

Elements

PositionElementNameTypeMin/MaxRepeat
167Identification CodeMandatoryAlphanumeric2/801
2782Monetary AmountMandatoryDecimal1/181
C003Composite Medical Procedure IdentifierOpt
1
4234Product/Service IDOptAlphanumeric1/481
5380QuantityOptDecimal1/151
6554Assigned NumberOptNumber1/61

Element Details

ID67
NameIdentification Code
LengthMin 2 / Max 80
Position1
RequirementMandatory