To convey service line adjudication information for coordination of benefits between the initial payers of a health care claim and all subsequent payers
Code identifying a party or other code.
SVD01 is the payer identification code.
Monetary amount.
SVD02 is the amount paid for this service line.
SVD03 represents the medical procedure code upon which adjudication of this service line was based. This may be different than the submitted medical procedure code.
Identifying number for a product or service.
SVD04 is the revenue code.
Numeric value of quantity.
SVD05 is the paid units of service.
Number assigned for differentiation within a transaction set.
SVD06 is only used for bundling of service lines. It references the LX Assigned Number of the service line into which this service line was bundled.
