RFI #
2654
Format of the SVC Segment
Description
Is there a circumstance where a payer would appropriately send in an 'R' character as part of SVC01 Piece 2? For example: SVC*NU>R300*42*3.85**1~
Scenario
A payer is sending in the SVC using the following structure. My understanding is that SVC01 piece 2 should only contain the relevant Revenue Code when piece 1 is NU.
For example, the correct format for the above would be SVC*NU>300*42*3.85**1~
RFI Response
The SVC01 is the adjudicated procedure or revenue code as identified by the qualifier. When qualifier ‘NU’ is used, SVC01-02 must be compliant with the NUBC code source 132.
RFI Recommendation
Related RFIs: 2497
DOCUMENT ID
005010X221A1