SVC Service Information
SVC Service Information
To supply payment and control information to a provider for a particular service
Position
Element
Name
Type
Requirement
Min
Max
Repeat
SVC-01
Mandatory
-
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).
SVC-02
Monetary Amount
Decimal number (R)
Mandatory
1
18
-
Monetary amount
SVC02 is the submitted service charge.
SVC-03
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
SVC03 is the amount paid this service.
SVC-04
Product/Service ID
String (AN)
Optional
1
48
-
Identifying number for a product or service
SVC04 is the National Uniform Billing Committee Revenue Code.
SVC-05
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
SVC05 is the paid units of service.
SVC-06
Optional
-
SVC06 is the original submitted medical procedure.
SVC-07
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
SVC07 is the original submitted units of service.