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X12 810 Invoice

X12 Release 4030

—

Delimiters

~ Segment
* Element
> Component
^ Repetition

EDI samples

None included

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Overview

ISA

Interchange Control Header

Max use 1

Required

Functional Group Header

Transaction Set Header

Beginning Segment for Invoice

Reference Identification

Additional Name Information

Terms of Sale/Deferred Terms of Sale

F.O.B. Related Instructions

Product/Item Description

Total Monetary Value Summary

Service, Promotion, Allowance, or Charge Information

Invoice Shipment Summary

Transaction Set Trailer

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: ACT, Inc. 4-Digit Code of Postsecondary Institutions.
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
SA: User Identification Number as assigned by the Safety and Fitness Electronic Records (SAFER) System
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: ACT, Inc. 4-Digit Code of Postsecondary Institutions.
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
SA: User Identification Number as assigned by the Safety and Fitness Electronic Records (SAFER) System
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

I65

Repetition Separator

Required

String (AN)

Min 1Max 1

—

^: Repetition Separator

ISA-12

I11

Interchange Control Version Number

Required

Identifier (ID)

—

00403: Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1999

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)

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)

—

004030: Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1999

Heading

0100

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

String (AN)

Min 4Max 9

—

BIG

0200

Heading > BIG

Beginning Segment for Invoice

RequiredMax use 1

—

Example

BIG-01

373

Invoice Date

Required

Date (DT)

CCYYMMDD format

—

BIG-02

Invoice Number

Required

String (AN)

Min 1Max 10

—

BIG-04

324

Purchase Order Number

Required

String (AN)

Min 7Max 7

—

BIG-08

353

Transaction Set Purpose Code

Required

Identifier (ID)

—

00: Original

REF

0500

Heading > REF

Reference Identification

RequiredMax use 1

—

Example

REF-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

DP: Bealls assigned department number

REF-02

127

Reference Identification

Required

String (AN)

Min 3Max 6

—

N1 Loop

RequiredMax 4

0700

Heading > N1 Loop > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

BY: Buying Party, Bealls Store Number
RI: Remit To
SF: Ship From
ST: Ship to, Bealls DC or Store Number for a direct to store order

N1-02

Name

Optional

String (AN)

Min 3Max 3

—

N1-03

Identification Code Qualifier

Required

Identifier (ID)

—

Usage notes

—

1: D-U-N-S Number, Dun & Bradstreet
92: Assigned by Buyer or Buyer's Agent

N1-04

Identification Code

Required

String (AN)

Min 3Max 3

—

Usage notes

—

N1-06

Entity Identifier Code

Optional

Identifier (ID)

—

Usage notes

—

O4: Factor

0800

Heading > N1 Loop > N2

Additional Name Information

OptionalMax use 1

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 28

—

N2-02

Name

Optional

String (AN)

Min 1Max 30

—

0900

Heading > N1 Loop > N3

Address Information

OptionalMax use 1

—

Example

N3-01

166

Address Information

Required

Identifier (ID)

Min 1Max 30

—

N3-02

166

Address Information

Optional

Identifier (ID)

Min 1Max 30

—

1000

Heading > N1 Loop > N4

Geographic Location

OptionalMax 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

Required

Identifier (ID)

Min 2Max 3

—

N1 Loop end

ITD

1300

Heading > ITD

Terms of Sale/Deferred Terms of Sale

RequiredMax use 1

—

Example

ITD-01

336

Terms Type Code

Required

Identifier (ID)

—

14: Previously agreed upon

ITD-02

333

Terms Basis Date Code

Optional

Identifier (ID)

—

3: Invoice Date
15: Receipt of Goods

ITD-12

352

Description

Optional

String (AN)

Min 1Max 80

—

ITD-14

107

Payment Method Code

Optional

Identifier (ID)

—

C: Pay By Check
L: Letter of Credit
T: Wire Transfer

DTM

1400

Heading > DTM

Date/Time Reference

OptionalMax use 2

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

001: Cancel After
010: Requested Ship

DTM-02

373

Date

Required

Date (DT)

CCYYMMDD format

—

Usage notes

—

FOB

1500

Heading > FOB

F.O.B. Related Instructions

OptionalMax use 1

—

Example

FOB-01

146

Shipment Method of Payment

Required

Identifier (ID)

—

CC: Collect
DF: Defined by Bealls and Vendor
PP: Prepaid by Vendor

FOB-02

309

Location Qualifier

Optional

Identifier (ID)

—

DE: Destination
FA: Factory

Heading end

Detail

IT1 Loop

RequiredMax 9999

IT1

0100

Detail > IT1 Loop > IT1

Baseline Item Data

RequiredMax use 1

—

Example

If either Quantity Invoiced (IT1-02), Unit or Basis for Measurement Code (IT1-03) or Unit Price (IT1-04) are present, then the others are required

If either Product/Service ID Qualifier (IT1-06) or Product/Service ID (IT1-07) is present, then the other is required

IT1-02

358

Quantity Invoiced

Required

Numeric (N0)

Min 1Max 15

—

IT1-03

355

Unit or Basis for Measurement Code

Required

Identifier (ID)

—

EA: Each

IT1-04

212

Unit Price

Optional

Decimal number (R)

Min 1Max 15

—

IT1-06

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

EN: GTIN - 13
UK: GTIN - 14
UP: GTIN - 12

IT1-07

234

Product/Service ID

Optional

String (AN)

Min 1Max 12

—

PID Loop

OptionalMax 3

PID

0600

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-02

750

Product/Process Characteristic Code

Required

Identifier (ID)

—

08: Product description, or for Bealls Import orders, packing requirement, item description, and label description
73: Vendor color description
74: Vendor size description

PID-05

352

Description

Required

String (AN)

Min 1Max 80

—

PID Loop end

IT1 Loop end

Detail end

Summary

TDS

0100

Summary > TDS

Total Monetary Value Summary

RequiredMax use 1

—

Example

TDS-01

610

Amount

Required

Numeric (N2)

Min 1Max 15

—

CAD

0300

Summary > CAD

Carrier Detail

RequiredMax use 1

—

Example

CAD-04

140

SCAC

Required

Identifier (ID)

Min 2Max 4

—

CAD-05

387

Routing

Required

String (AN)

Min 1Max 35

—

CAD-07

128

Reference Identification Qualifier

Required

Identifier (ID)

—

BM: Bill of Lading Number

CAD-08

127

Reference Identification

Required

Identifier (ID)

Min 2Max 30

—

SAC Loop

OptionalMax 1

SAC

0400

Summary > SAC Loop > SAC

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1

—

Example

SAC-01

248

Allowance or Charge Indicator

Required

Identifier (ID)

—

C: Charge

SAC-02

1300

Service, Promotion, Allowance, or Charge Code

Required

Identifier (ID)

Min 4Max 4

—

Usage notes

—

SAC-05

610

Amount

Required

Numeric (N2)

Min 1Max 15

—

SAC-12

331

Allowance or Charge Method of Handling Code

Optional

Identifier (ID)

—

02: Off Invoice

SAC-15

352

Description

Optional

String (AN)

Min 1Max 80

—

SAC Loop end

ISS Loop

RequiredMax 1

ISS

0600

Summary > ISS Loop > ISS

Invoice Shipment Summary

RequiredMax use 1

—

Example

ISS-01

382

Number of Units Shipped

Required

Numeric (N0)

Min 1Max 15

—

ISS-02

355

Unit or Basis for Measurement Code

Required

Identifier (ID)

—

EA: Each

ISS Loop end

CTT

0700

Summary > CTT

Transaction Totals

RequiredMax use 1

—

Example

CTT-01

354

Number of Line Items

Required

Identifier (ID)

Min 1Max 1

—

Usage notes

—

0800

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

String (AN)

Min 4Max 9

—

Usage notes

—

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

—

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