To supply payment and control information to a provider for a particular service
SVC01 is the Medical Procedure upon which adjudication is based.
For Medicare Part A claims, SVC01 would be the Health Care Financing Administration (HCFA) Common Procedural Coding System (HCPCS) Code (see code source 130) and SVC04 would be the Revenue Code (see code source 132).
Monetary amount.
SVC02 is the submitted service charge.
Monetary amount.
SVC03 is the amount paid this service.
Identifying number for a product or service.
SVC04 is the National Uniform Billing Committee Revenue Code.
Numeric value of quantity.
SVC05 is the paid Units of Service.
SVC06 is the original submitted Medical Procedure.
Numeric value of quantity.
SVC07 is the original submitted Units of Service.
