Stedi maintains this guide based on public documentation from AmerisourceBergen. Contact AmerisourceBergen for official EDI specifications. To report any errors in this guide, please contact us.

X12 810 Invoice

X12 Release 4010

—

Delimiters

~ Segment
| Element
> Component

EDI sample

—

Sample from AmerisourceBergen

View the latest version of this implementation guide as an interactive webpage

https://www.stedi.com/app/guides/view/amerisource-bergen/invoice/01H5N5AZK3YM3VMZ419XF9TD0P

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Overview

ISA

Interchange Control Header

Max use 1

Required

Functional Group Header

Max use 1

Required

Functional Group Trailer

Max use 1

Required

IEA

Interchange Control Trailer

Max use 1

Required

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)

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-08

I07

Interchange Receiver ID

Required

String (AN)

Min 15Max 15

—

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

—

GS-04

373

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

373

Date

Required

Date (DT)

CCYYMMDD format

—

BIG-02

Invoice Number

Required

String (AN)

Min 1Max 22

—

BIG-03

373

Date

Optional

Date (DT)

CCYYMMDD format

—

BIG-04

324

Purchase Order Number

Required

String (AN)

Min 1Max 22

—

Usage notes

—

BIG-07

640

Transaction Type Code

Required

Identifier (ID)

—

Usage notes

—

DO: Drop Shipment Invoice

N1 Bill-to-Party

RequiredMax 1

Variants (all may be used)

N1 Loop Ship To

070

Heading > Bill-to-Party > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

BT: Bill-to-Party

N1-03

Identification Code Qualifier

Required

Identifier (ID)

—

9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)

N1-04

Identification Code

Required

String (AN)

Min 2Max 80

—

Usage notes

—

N1 Bill-to-Party end

N1 Loop

RequiredMax 200

Variants (all may be used)

Bill-to-Party Ship To

070

Heading > N1 Loop > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

RE: Party to receive commercial invoice remittance
SU: Supplier/Manufacturer

N1-02

Name

Required

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Required

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet
—
11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)

N1-04

Identification Code

Required

String (AN)

Min 2Max 80

—

Usage notes

—

N1 Loop end

N1 Ship To

RequiredMax 1

Usage notes

—

Variants (all may be used)

Bill-to-Party N1 Loop

070

Heading > Ship To > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

ST: Ship To

N1-02

Name

Required

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Required

Identifier (ID)

—

11: Drug Enforcement Administration (DEA)
21: Health Industry Number (HIN)
91: Assigned by Seller or Seller's Agent
—

N1-04

Identification Code

Required

String (AN)

Min 2Max 80

—

090

Heading > Ship To > N3

Address Information

RequiredMax use 1

—

Usage notes

—

Example

N3-01

166

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

166

Address Information

Optional

String (AN)

Min 1Max 55

—

100

Heading > Ship To > N4

Geographic Location

RequiredMax use 1

—

Usage notes

—

Example

N4-01

City Name

Required

String (AN)

Min 2Max 30

—

N4-02

156

State or Province Code

Required

Identifier (ID)

Min 2Max 2

—

N4-03

116

Postal Code

Required

Identifier (ID)

Min 3Max 15

—

N1 Ship To end

ITD

130

Heading > ITD

Terms of Sale/Deferred Terms of Sale

RequiredMax use >1

—

Example

ITD-01

336

Terms Type Code

Required

Identifier (ID)

—

01: Basic
02: End of Month (EOM)
03: Fixed Date
07: Extended
08: Basic Discount Offered

ITD-02

333

Terms Basis Date Code

Required

Identifier (ID)

—

1: Ship Date
2: Delivery Date
3: Invoice Date
5: Invoice Receipt Date

ITD-03

338

Terms Discount Percent

Required

Decimal number (R)

Min 1Max 6

—

ITD-04

370

Terms Discount Due Date

Required

Date (DT)

CCYYMMDD format

—

ITD-05

351

Terms Discount Days Due

Required

Numeric (N0)

Min 1Max 3

—

ITD-06

446

Terms Net Due Date

Required

Date (DT)

CCYYMMDD format

—

ITD-07

386

Terms Net Days

Required

Numeric (N0)

Min 1Max 3

—

ITD-08

362

Terms Discount Amount

Required

Numeric (N2)

Min 1Max 10

—

Heading end

Detail

IT1 Loop

RequiredMax 200000

IT1

010

Detail > IT1 Loop > IT1

Baseline Item Data (Invoice)

RequiredMax use 1

—

Example

If either Product/Service ID Qualifier (IT1-08) or Product/Service ID (IT1-09) is present, then the other is required

IT1-01

350

Assigned Identification

Optional

String (AN)

Min 1Max 20

—

IT1-02

358

Quantity Invoiced

Required

Decimal number (R)

Min 1Max 10

—

Usage notes

—

IT1-03

355

Unit or Basis for Measurement Code

Required

Identifier (ID)

—

BX: Box
CA: Case
DE: Deal
DZ: Dozen
EA: Each
GS: Gross
PK: Package

IT1-04

212

Unit Price

Required

Decimal number (R)

Min 1Max 15

—

Usage notes

—

IT1-06

235

Product/Service ID Qualifier

Required

Identifier (ID)

—

Usage notes

—

IN: Buyer's Item Number
MF: Manufacturer
—
N1: National Drug Code in 4-4-2 Format
N2: National Drug Code in 5-3-2 Format
N3: National Drug Code in 5-4-1 Format
N4: National Drug Code in 5-4-2 Format
N5: National Health Related Item Code in 5-5 Format
N6: National Health Related Item Code in 4-6 Format
ND: National Drug Code (NDC)
—
NH: National Health Related Item Code
UA: U.P.C./EAN Case Code (2-5-5)
UI: U.P.C. Consumer Package Code (1-5-5)
UP: U.P.C. Consumer Package Code (1-5-5-1)
UX: Universal Product Number
VC: Vendor's (Seller's) Catalog Number

IT1-07

234

Product/Service ID

Required

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-08

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

LT: Lot Number

IT1-09

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

PID Loop

OptionalMax 1000

PID

060

Detail > IT1 Loop > PID Loop > PID

Product/Item Description

RequiredMax use 1

—

Example

PID-01

349

Item Description Type

Required

Identifier (ID)

—

F: Free-form

PID-05

352

Description

Required

String (AN)

Min 1Max 80

—

PID Loop end

SAC Loop

OptionalMax 25

SAC

180

Detail > IT1 Loop > SAC Loop > SAC

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1

—

Example

SAC-01

248

Allowance or Charge Indicator

Required

Identifier (ID)

—

A: Allowance
C: Charge

SAC-02

1300

Service, Promotion, Allowance, or Charge Code

Required

Identifier (ID)

—

A250: Advances
A260: Advertising Allowance
A400: Allowance Non-performance
B010: Cents Off
B240: COD Charges
B660: Contract Allowance
B720: Cooperative Advertising/Merchandising Allowance (Performance)
C000: Defective Allowance
C030: Delivery Surcharge
C040: Delivery
C227
C310: Discount
C540: Early Buy Allowance
C870: Expediting Fee
C880: Expediting Premium
D200: Freight Charges to Destination
D240: Freight
D500: Handling
D820: Inside Delivery
D980: Insurance
E730: New Item Allowance
F050: Other (See related description)
F180: Pallet
F210: Parish/County Sales Tax (only)
F290: Performance Award
F340: Pick/Up
F800: Promotional Allowance
F810: Promotional Discount
F910: Quantity Discount
F970: Rebate
G330: Rental Charge
G400: Repair
G470: Restocking Charge
G830: Shipping and Handling
H000: Special Allowance
H010: Special Buy
H090: Special Handling
H630: Tax - City Sales Tax (Only)
H660: Tax - Federal Excise Tax, FET
H700: Tax - Local Tax
H750: Tax - Sales Tax (State and Local)
H770: Tax - State Tax
H790: Tax - Use Tax
H850: Tax
I070: Tobacco Products Report Charge
I170: Trade Discount
I250: Transportation Charge (Minimum Rate)
I410: Unsaleable Merchandise Allowance
I530: Volume Discount

SAC-05

610

Amount

Required

Numeric (N2)

Min 1Max 15

—

SAC Loop end

IT1 Loop end

Detail end

Summary

TDS

010

Summary > TDS

Total Monetary Value Summary

RequiredMax use 1

—

Example

TDS-01

610

Amount

Required

Numeric (N2)

Min 1Max 15

—

Usage notes

—

SAC Loop

OptionalMax 25

SAC

040

Summary > SAC Loop > SAC

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1

—

Example

SAC-01

248

Allowance or Charge Indicator

Required

Identifier (ID)

—

A: Allowance
C: Charge

SAC-02

1300

Service, Promotion, Allowance, or Charge Code

Required

Identifier (ID)

—

A250: Advances
A260: Advertising Allowance
A400: Allowance Non-performance
B010: Cents Off
B240: COD Charges
B660: Contract Allowance
B720: Cooperative Advertising/Merchandising Allowance (Performance)
C000: Defective Allowance
C040: Delivery
C310: Discount
C540: Early Buy Allowance
C880: Expediting Premium
D200: Freight Charges to Destination
D240: Freight
D500: Handling
D820: Inside Delivery
D980: Insurance
E730: New Item Allowance
F180: Pallet
F210: Parish/County Sales Tax (only)
F290: Performance Award
F340: Pick/Up
F800: Promotional Allowance
F810: Promotional Discount
F910: Quantity Discount
F970: Rebate
G330: Rental Charge
G400: Repair
G470: Restocking Charge
H000: Special Allowance
H010: Special Buy
H090: Special Handling
H630: Tax - City Sales Tax (Only)
H700: Tax - Local Tax
H750: Tax - Sales Tax (State and Local)
H790: Tax - Use Tax
H850: Tax
I070: Tobacco Products Report Charge
I250: Transportation Charge (Minimum Rate)
I410: Unsaleable Merchandise Allowance
I530: Volume Discount

SAC-05

610

Amount

Required

Numeric (N2)

Min 1Max 15

—

SAC Loop end

CTT

070

Summary > CTT

Transaction Totals

RequiredMax use 1

—

Example

CTT-01

354

Number of Line Items

Required

Numeric (N0)

Min 1Max 6

—

Usage notes

—

080

Summary > SE

Transaction Set Trailer

RequiredMax use 1

—

Example

SE-01

Number of Included Segments

Required

Numeric (N0)

Min 1Max 10

—

SE-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

Summary end

Functional Group Trailer

RequiredMax use 1

—

Example

GE-01

Number of Transaction Sets Included

Required

Numeric (N0)

Min 1Max 6

—

GE-02

Group Control Number

Required

Numeric (N0)

Min 1Max 9

—

IEA

Interchange Control Trailer

RequiredMax use 1

—

Example

IEA-01

I16

Number of Included Functional Groups

Required

Numeric (N0)

Min 1Max 5

—

IEA-02

I12

Interchange Control Number

Required

Numeric (N0)

Min 9Max 9

—

EDI Samples

Sample from AmerisourceBergen

ST|810|0001~
BIG|20021028|75543325||96954|||DO~
N1|SU|VENDOR NAME|21|K22LM1234~
N1|BT||21|J81TK1600~
N1|ST|GENERAL HOSPITAL|21|4DY2VT210~
N3|600 MOON RIVER DRIVE|ATTN PHARMACY~
N4|MID AMERICA|TN|55555~
ITD|01|3|2|20021127|30|20021128|31|107~
IT1|1|1|EA|37.1||N4|00006484300~
IT1|2|4|EA|4.10||N4|00006484301~
TDS|5350~
CTT|2~
SE|13|0001~

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