X12 855 Non-Merchandise Purchase Order Acknowledgment

Functional Group Header

Product/Item Description

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)

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)

—

PR: Purchase Order Acknowledgement (855)

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)

—

855: Purchase Order Acknowledgment

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BAK

020

Heading > BAK

Beginning Segment for Purchase Order Acknowledgment

RequiredMax use 1

—

Example

BAK-01

353

Transaction Set Purpose Code

Required

Identifier (ID)

—

00: Original

BAK-02

587

Acknowledgment Type

Required

Identifier (ID)

—

AD: Acknowledge - With Detail, No Change
—

BAK-03

324

Purchase Order Number

Required

String (AN)

Min 1Max 22

—

Usage notes

—

BAK-04

373

Date

Required

Date (DT)

CCYYMMDD format

—

BAK-06

326

Request Reference Number

Required

String (AN)

Min 1Max 45

—

Usage notes

—

CUR

040

Heading > CUR

Currency

OptionalMax use 1

—

Example

CUR-01

Entity Identifier Code

Required

Identifier (ID)

Min 2Max 3

—

CUR-02

100

Currency Code

Required

Identifier (ID)

—

Usage notes

—

USD: US Dollar

DTM

150

Heading > DTM

Date/Time Reference

OptionalMax use 10

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

002: Delivery Requested
—
010: Requested Ship
067: Current Schedule Delivery
—
275: Approved
—
881: Request
—

DTM-02

373

Date

Optional

Date (DT)

CCYYMMDD format

—

TD4

260

Heading > TD4

Carrier Details (Special Handling, or Hazardous Materials, or Both)

OptionalMax use 5

—

Usage notes

—

Example

TD4-01

152

Special Handling Code

Optional

Identifier (ID)

—

RO: Rush Order

TD4-05

1073

Yes/No Condition or Response Code

Optional

Identifier (ID)

—

N: No
Y: Yes

N1 Buying Party (Purchaser)

OptionalMax 1

Variants (all may be used)

Ship To Vendor

300

Heading > Buying Party (Purchaser) > N1

Name

RequiredMax use 1

—

Example

At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required

If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

BY: Buying Party (Purchaser)
—

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

—

9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
91: Assigned by Seller or Seller's Agent
92: Assigned by Buyer or Buyer's Agent
—
UL: UCC/EAN Location Code

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

Usage notes

—

310

Heading > Buying Party (Purchaser) > N2

Additional Name Information

OptionalMax use 2

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 60

—

N2-02

Name

Optional

String (AN)

Min 1Max 60

—

320

Heading > Buying Party (Purchaser) > N3

Address Information

OptionalMax use 2

—

Example

N3-01

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

Buying Party (Purchaser)Vendor

Address Information

Optional

String (AN)

Min 1Max 55

—

330

Heading > Buying Party (Purchaser) > N4

Geographic Location

OptionalMax use 1

—

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

—

N4-04

Country Code

Optional

Identifier (ID)

Min 2Max 3

—

Usage notes

—

N1 Buying Party (Purchaser) end

N1 Ship To

OptionalMax 1

Variants (all may be used)

300

Heading > Ship To > N1

Name

RequiredMax use 1

—

Example

At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required

If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

ST: Ship To
—

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

—

9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
91: Assigned by Seller or Seller's Agent
92: Assigned by Buyer or Buyer's Agent
—
UL: UCC/EAN Location Code

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

Usage notes

—

310

Heading > Ship To > N2

Additional Name Information

OptionalMax use 2

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 60

—

N2-02

Name

Optional

String (AN)

Min 1Max 60

—

320

Heading > Ship To > N3

Address Information

OptionalMax use 2

—

Example

N3-01

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

Buying Party (Purchaser)Ship To

Address Information

Optional

String (AN)

Min 1Max 55

—

330

Heading > Ship To > N4

Geographic Location

OptionalMax use 1

—

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

—

N4-04

Country Code

Optional

Identifier (ID)

Min 2Max 3

—

Usage notes

—

N1 Ship To end

N1 Vendor

OptionalMax 1

Variants (all may be used)

300

Heading > Vendor > N1

Name

RequiredMax use 1

—

Example

At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required

If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

VN: Vendor
—

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

—

9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
91: Assigned by Seller or Seller's Agent
92: Assigned by Buyer or Buyer's Agent
—
UL: UCC/EAN Location Code

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

Usage notes

—

310

Heading > Vendor > N2

Additional Name Information

OptionalMax use 2

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 60

—

N2-02

Name

Optional

String (AN)

Min 1Max 60

—

320

Heading > Vendor > N3

Address Information

OptionalMax use 2

—

Example

N3-01

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02