AttachmentDenialInfoFeeInvoiceDetailSysKeyInvoiceRequirementInfoOLifEExtension| Description |
| Invoice Detail |
| Type : Complex Element |
| Definition |
| Used to reflect attributes and properties that are unique to an invoice. |
| Parents |
| BillingDetail |
| Elements | |||
| AmountPaidToDate | Amount Paid to Date | ||
| Attachment | Attachment | ||
| CustomerAccountNumber | Customer Account Number | ||
| DenialInfo | Denial Information | ||
| DiscountAmt | Discount Amount | ||
| DisputedAmt | Disputed Amount | ||
| EvaluationFaceAmt | Evaluation Face Amount | ||
| Fee | Fee | ||
| FilledQuantity | Filled Quantity | ||
| GrossAmt | Gross amount for line item | ||
| InvoiceDetailKey | InvoiceDetail Key | ||
| InvoiceDetailStatus | Invoice Detail Status | ||
| InvoiceDetailSysKey | InvoiceDetail System Key | ||
| InvoiceRequirementInfo | Invoice Requirement Information | ||
| Jurisdiction | Jurisdiction | ||
| LabSlipTicketNum | Lab Slip Ticket Number | ||
| OLifEExtension | OLifE Extension | ||
| OrderedQuantity | Ordered Quantity | ||
| OriginalBilledAmt | Original Billed Amount | ||
| ProviderPackageCode | Provider Package Code | ||
| ProviderPackageDesc | Provider Package Description | ||
| ServiceDate | Service Date | ||
| UserCode | User Code | ||
| Zip | Zip | ||
| Attributes | |||
| AgencyPartyID | Agency Party IDREF (References Party) |
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| AgentPartyID | Agent Party ID (References Party) |
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| AppliesToPartyID | Applies To Party IDREF (References Party) |
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| DataRep | Data Representation | ||
| ExaminerCompanyID | This is the PartyID of the company the examiner is employed by. (References Party) |
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| FacilityPartyID | Facility Party IDRef (References Party) |
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| FulfillerPartyID | Fulfiller Party IDRef (References Party) |
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| id | id | ||
| PhysicianPartyID | Physician Party IDRef (References Party) |
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| RequesterPartyID | Requester Party IDRef (References Party) |
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