Segment: SV5

Loop: 2400  Element: SV5

Element: SV501-1 (Durable Medical Equipment Service Product/Service ID Qualifier)

Hard coded to 'HC'.

Element: SV501-2 (Durable Medical Equipment Service Product/Service ID)

Element: SV501-2 (Durable Medical Equipment Service Product/Service ID)

Edit Charge->Code

Element: SV502 (Durable Medical Equipment Service Unit or Basis for Measurement Code)

Hard coded to 'DA'.

Element: SV503 (Durable Medical Equipment Service Length of Medical Necessity)

Element: SV503 (Durable Medical Equipment Service Length of Medical Necessity)

Edit Charge->DME Tab-> Length of Medical Necessity (Days)

Element: SV504 (Durable Medical Equipment Service Rental Price)

Element: SV504 (Durable Medical Equipment Service Rental Price)

Edit Charge->DME Tab-> Rental Price

Element: SV505 (Durable Medical Equipment Service Purchase Price)

Element: SV505 (Durable Medical Equipment Service Purchase Price)

Edit Charge->DME Tab-> Purchase Price

Element: SV506 (Durable Medical Equipment Service Frequency Code)

Element: SV506 (Durable Medical Equipment Service Frequency Code)

Edit Charge->DME Tab-> Payment Frequency