SVC Service Information

Opt

AtMax 1

To supply payment and control information to a provider for a particular service

Elements

Position	Element	Name		Type	Min/Max	Repeat

C003Composite Medical Procedure IdentifierMandatory AtMax 1
2	782	Monetary Amount	Mandatory	Decimal	1/18	AtMax 1
3	782	Monetary Amount	Opt	Decimal	1/18	AtMax 1
4	234	Product/Service ID	Opt	Alphanumeric	1/48	AtMax 1
5	380	Quantity	Opt	Decimal	1/15	AtMax 1
C003Composite Medical Procedure IdentifierOpt AtMax 1
7	380	Quantity	Opt	Decimal	1/15	AtMax 1

ID782

NameMonetary Amount

LengthMin 1 / Max 18

Position2

RequirementMandatory