X12 810 Invoice

Beginning Segment for Invoice

Functional Group Header

Transaction Set Header

Reference Identification

Additional Name Information

Additional Name Information

Terms of Sale/Deferred Terms of Sale

Baseline Item Data (Invoice)

Product/Item Description

Total Monetary Value Summary

Service, Promotion, Allowance, or Charge Information

Transaction Set Trailer

Functional Group Trailer

Interchange Control Trailer

IEA

ISA

Interchange Control Header

RequiredMax use 1

—

Example

ISA-01

I01

Authorization Information Qualifier

Required

Identifier (ID)

—

00: No Authorization Information Present (No Meaningful Information in I02)

ISA-02

I02

Authorization Information

Required

String (AN)

Min 10Max 10

—

ISA-03

I03

Security Information Qualifier

Required

Identifier (ID)

—

00: No Security Information Present (No Meaningful Information in I04)

ISA-04

I04

Security Information

Required

String (AN)

Min 10Max 10

—

ISA-05

I05

Interchange ID Qualifier

Required

Identifier (ID)

Min 2Max 2

—

Codes

01: Duns (Dun & Bradstreet)
02: SCAC (Standard Carrier Alpha Code)
03: FMC (Federal Maritime Commission)
04: IATA (International Air Transport Association)
08: UCC EDI Communications ID (Comm ID)
09: X.121 (CCITT)
10: Department of Defense (DoD) Activity Address Code
11: DEA (Drug Enforcement Administration)
12: Phone (Telephone Companies)
13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
14: Duns Plus Suffix
15: Petroleum Accountants Society of Canada Company Code
16: Duns Number With 4-Character Suffix
17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
18: Association of American Railroads (AAR) Standard Distribution Code
19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
20: Health Industry Number (HIN)
21: Integrated Postsecondary Education Data System, or (IPEDS)
22: Federal Interagency Commission on Education, or FICE
23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
26: Statistics of Canada List of Postsecondary Institutions
27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
30: U.S. Federal Tax Identification Number
31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
32: U.S. Federal Employer Identification Number (FEIN)
33: National Association of Insurance Commissioners Company Code (NAIC)
34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
35: Statistics Canada Canadian College Student Information System Institution Codes
36: Statistics Canada University Student Information System Institution Codes
37: Society of Property Information Compilers and Analysts
AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
NR: National Retail Merchants Association (NRMA) - Assigned
SN: Standard Address Number
ZZ: Mutually Defined

ISA-06

I06

Interchange Sender ID

Required

String (AN)

Min 15Max 15

—

ISA-07

I05

Interchange ID Qualifier

Required

Identifier (ID)

—

01: Duns (Dun & Bradstreet)
—
ZZ: Mutually Defined
—

ISA-08

I07

Interchange Receiver ID

Required

String (AN)

Min 15Max 15

—

Example values

```
7089906600     
```
```
006928311      
```

ISA-09

I08

Interchange Date

Required

Date (DT)

YYMMDD format

—

ISA-10

I09

Interchange Time

Required

Time (TM)

HHMM format

—

ISA-11

I10

Interchange Control Standards Identifier

Required

Identifier (ID)

—

U: U.S. EDI Community of ASC X12, TDCC, and UCS

ISA-12

I11

Interchange Control Version Number

Required

Identifier (ID)

—

00401: Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1997

ISA-13

I12

Interchange Control Number

Required

Numeric (N0)

Min 9Max 9

—

ISA-14

I13

Acknowledgment Requested

Required

Identifier (ID)

Min 1Max 1

—

0: No Acknowledgment Requested
1: Interchange Acknowledgment Requested

ISA-15

I14

Usage Indicator

Required

Identifier (ID)

Min 1Max 1

—

I: Information
P: Production Data
T: Test Data

ISA-16

I15

Component Element Separator

Required

String (AN)

Min 1Max 1

—

>: Component Element Separator

Functional Group Header

RequiredMax use 1

—

Example

GS-01

479

Functional Identifier Code

Required

Identifier (ID)

—

IN: Invoice Information (810,819)

GS-02

142

Application Sender's Code

Required

String (AN)

Min 2Max 15

—

GS-03

124

Application Receiver's Code

Required

String (AN)

Min 2Max 15

—

Example values

```
7089906600
```
```
006928311
```

GS-04

Date

Required

Date (DT)

CCYYMMDD format

—

GS-05

337

Time

Required

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

GS-06

Group Control Number

Required

Numeric (N0)

Min 1Max 9

—

GS-07

455

Responsible Agency Code

Required

Identifier (ID)

Min 1Max 2

—

T: Transportation Data Coordinating Committee (TDCC)
X: Accredited Standards Committee X12

GS-08

480

Version / Release / Industry Identifier Code

Required

String (AN)

—

004010: Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997

Heading

010

Heading > ST

Transaction Set Header

RequiredMax use 1

—

Example

ST-01

143

Transaction Set Identifier Code

Required

Identifier (ID)

—

810: Invoice

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BIG

020

Heading > BIG

Beginning Segment for Invoice

RequiredMax use 1

—

Example

BIG-01

Date

Required

Date (DT)

CCYYMMDD format

—

BIG-02

Invoice Number

Required

String (AN)

Min 1Max 22

—

BIG-03

Date

Optional

Date (DT)

CCYYMMDD format

—

BIG-04

324

Purchase Order Number

Optional

String (AN)

Min 1Max 22

—

BIG-05

328

Release Number

Optional

String (AN)

Min 1Max 30

—

Usage notes

—

BIG-07

640

Transaction Type Code

Optional

Identifier (ID)

—

DI: Debit Invoice

REF

050

Heading > REF

Reference Identification

RequiredMax use 12

—

Example

REF-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

IA: Internal Vendor Number

REF-02

127

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

N1 Loop Remit To

RequiredMax 1

Variants (all may be used)

N1 Loop Ship To

070

Heading > N1 Loop Remit To > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

RI: Remit To

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

080

Heading > N1 Loop Remit To > N2

Additional Name Information

OptionalMax use 2

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 60

—

090

Heading > N1 Loop Remit To > N3

Address Information

RequiredMax use 2

—

Example

N3-01

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

Address Information

Optional

String (AN)

Min 1Max 55

—

100

Heading > N1 Loop Remit To > N4

Geographic Location

RequiredMax use 1

—

Example

N4-01

City Name

Optional

String (AN)

Min 2Max 30

—

N4-02

156

State or Province Code

Optional

Identifier (ID)

Min 2Max 2

—

N4-03

116

Postal Code

Optional

Identifier (ID)

Min 3Max 15

—

N4-04

Country Code

Optional

Identifier (ID)

Min 2Max 3

—

N1 Loop Remit To end

N1 Loop Ship To

RequiredMax 1

Variants (all may be used)

N1 Loop Remit To

070

Heading > N1 Loop Ship To > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

ST: Ship To

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

080

Heading > N1 Loop Ship To > N2

Additional Name Information

OptionalMax use 2

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 60

—

090

Heading > N1 Loop Ship To > N3

Address Information

RequiredMax use 2

—

Example

N3-01

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

Address Information

Optional

String (AN)

Min 1Max 55

—

100

Heading > N1 Loop Ship To > N4

Geographic Location

RequiredMax use 1

—

Example

If Location Identifier (N4-06) is present, then Location Qualifier (N4-05) is required

N4-01

City Name

Optional

String (AN)

Min 2Max 30

—

N4-02

156

State or Province Code

Optional

Identifier (ID)

Min 2Max 2

—

N4-03

116

Postal Code

Optional

Identifier (ID)

Min 3Max 15

—

N4-04

Country Code

Optional

Identifier (ID)

Min 2Max 3

—

N4-05

309

Location Qualifier

Optional

Identifier (ID)

—

DC: Distribution Center Number
SN: Store Number

N4-06

310

Location Identifier

Optional

String (AN)

Min 1Max 30

—

Usage notes

—

N1 Loop Ship To end

ITD

130

Heading > ITD

Terms of Sale/Deferred Terms of Sale

RequiredMax use >1

—

Example

Only one of Terms Discount Due Date (ITD-04) or Terms Discount Days Due (ITD-05) may be present

Only one of Terms Net Due Date (ITD-06) or Terms Net Days (ITD-07) may be present

ITD-01

336

Terms Type Code

Optional

Identifier (ID)

—

14: Previously agreed upon

ITD-02

333

Terms Basis Date Code

Optional

Identifier (ID)

—

3: Invoice Date

ITD-03

338

Terms Discount Percent

Optional

Decimal number (R)

Min 1Max 6

—

Usage notes

—

ITD-04

370

Terms Discount Due Date

Optional

Date (DT)

CCYYMMDD format

—

Usage notes

—

ITD-05

351

Terms Discount Days Due

Optional

Numeric (N0)

Min 1Max 3

—

Usage notes

—

ITD-06

446

Terms Net Due Date

Optional

Date (DT)

CCYYMMDD format

—

Usage notes

—

ITD-07

386

Terms Net Days

Optional

Numeric (N0)

Min 1Max 3

—

Usage notes

—

ITD-08

362

Terms Discount Amount

Optional

Numeric (N2)

Min 1Max 10

—

Usage notes

—

DTM

140

Heading > DTM

Date/Time Reference

RequiredMax use 10

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

011: Shipped

DTM-02