X12 820 Payment Order/Remittance Advice

X12 Release 4010

This Draft Standard for Trial Use contains the format and establishes the data contents of the Payment Order/Remittance Advice Transaction Set (820) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to make a payment, send a remittance advice, or make a payment and send a remittance advice.

This transaction set can be an order to a financial institution to make a payment to a payee. It can also be a remittance advice identifying the detail needed to perform cash application to the payee's accounts receivable system.
The remittance advice can go directly from payer to payee, through a financial institution, or through a third party agent.

Delimiters

• ~ Segment
• * Element
• > Component

ISA Interchange Control Header

Required · Max use 1

To start and identify an interchange of zero or more functional groups and interchange-related control segments

ISA-01 · I01 · Authorization Information Qualifier · Required · Identifier (ID)

Code to identify the type of information in the Authorization Information

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

ISA-02 · I02 · Authorization Information · Required · String (AN) · Min 10 Max 10

Information used for additional identification or authorization of the interchange sender or the data in the interchange; the type of information is set by the Authorization Information Qualifier (I01)

ISA-03 · I03 · Security Information Qualifier · Required · Identifier (ID)

Code to identify the type of information in the Security Information

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

ISA-04 · I04 · Security Information · Required · String (AN) · Min 10 Max 10

This is used for identifying the security information about the interchange sender or the data in the interchange; the type of information is set by the Security Information Qualifier (I03)

ISA-05 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

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 15 Max 15

Identification code published by the sender for other parties to use as the receiver ID to route data to them; the sender always codes this value in the sender ID element

ISA-07 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

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 15 Max 15

Identification code published by the receiver of the data; When sending, it is used by the sender as their sending ID, thus other parties sending to them will use this as a receiving ID to route data to them

ISA-09 · I08 · Interchange Date · Required · Date (DT) · YYMMDD format

Date of the interchange

ISA-10 · I09 · Interchange Time · Required · Time (TM) · HHMM format

Time of the interchange

ISA-11 · I10 · Interchange Control Standards Identifier · Required · Identifier (ID)

Code to identify the agency responsible for the control standard used by the message that is enclosed by the interchange header and trailer

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

ISA-12 · I11 · Interchange Control Version Number · Required · Identifier (ID)

This version number covers the interchange control segments

• 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 9 Max 9

A control number assigned by the interchange sender

ISA-14 · I13 · Acknowledgment Requested · Required · Identifier (ID) · Min 1 Max 1

Code sent by the sender to request an interchange acknowledgment (TA1)

• 0: No Acknowledgment Requested
• 1: Interchange Acknowledgment Requested

ISA-15 · I14 · Usage Indicator · Required · Identifier (ID) · Min 1 Max 1

Code to indicate whether data enclosed by this interchange envelope is test, production or information

• I: Information
• P: Production Data
• T: Test Data

ISA-16 · I15 · Component Element Separator · Required · String (AN) · Min 1 Max 1

Type is not applicable; the component element separator is a delimiter and not a data element; this field provides the delimiter used to separate component data elements within a composite data structure; this value must be different than the data element separator and the segment terminator

• >: Component Element Separator

GS Functional Group Header

Required · Max use 1

To indicate the beginning of a functional group and to provide control information

GS-01 · 479 · Functional Identifier Code · Required · Identifier (ID)

Code identifying a group of application related transaction sets

• RA: Payment Order/Remittance Advice (820)

GS-02 · 142 · Application Sender's Code · Required · String (AN) · Min 2 Max 15

Code identifying party sending transmission; codes agreed to by trading partners

GS-03 · 124 · Application Receiver's Code · Required · String (AN) · Min 2 Max 15

Code identifying party receiving transmission. Codes agreed to by trading partners

GS-04 · 373 · Date · Required · Date (DT) · CCYYMMDD format

Date expressed as CCYYMMDD

GS-05 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

GS-06 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

Assigned number originated and maintained by the sender

GS-07 · 455 · Responsible Agency Code · Required · Identifier (ID) · Min 1 Max 2

Code used in conjunction with Data Element 480 to identify the issuer of the standard

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

GS-08 · 480 · Version / Release / Industry Identifier Code · Required · String (AN)

Code indicating the version, release, subrelease, and industry identifier of the EDI standard being used, including the GS and GE segments; if code in DE455 in GS segment is X, then in DE 480 positions 1-3 are the version number; positions 4-6 are the release and subrelease, level of the version; and positions 7-12 are the industry or trade association identifiers (optionally assigned by user); if code in DE455 in GS segment is T, then other formats are allowed

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

Heading

010 Heading > ST

ST Transaction Set Header

Required · Max use 1

To indicate the start of a transaction set and to assign a control number

ST-01 · 143 · Transaction Set Identifier Code · Required · Identifier (ID)

Code uniquely identifying a Transaction Set

• The transaction set identifier (ST01) used by the translation routines of the interchange partners to select the appropriate transaction set definition (e.g., 810 selects the Invoice Transaction Set).

• 820: Payment Order/Remittance Advice

ST-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

020 Heading > BPR

BPR Beginning Segment for Payment Order/Remittance Advice

Required · Max use 1

To indicate the beginning of a Payment Order/Remittance Advice Transaction Set and total payment amount, or to enable related transfer of funds and/or information from payer to payee to occur

BPR-01 · 305 · Transaction Handling Code · Required · Identifier (ID)

Code designating the action to be taken by all parties

• I: Remittance Information Only

BPR-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

• BPR02 specifies the payment amount.

BPR-03 · 478 · Credit/Debit Flag Code · Required · Identifier (ID)

Code indicating whether amount is a credit or debit

• D: Debit

BPR-04 · 591 · Payment Method Code · Required · Identifier (ID)

Code identifying the method for the movement of payment instructions

• CHK: Check
  Check Sent

• DYD: Pre-Arranged Payment or Deposit (PPD) Debit to a Demand Deposit Account
  Manual EFT

035 Heading > TRN

TRN Trace

Optional · Max use 1

To uniquely identify a transaction to an application

• The TRN segment is used to uniquely identify a payment order/remittance advice.

TRN-01 · 481 · Trace Type Code · Required · Identifier (ID)

Code identifying which transaction is being referenced

• 1: Current Transaction Trace Numbers

TRN-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

• TRN02 provides unique identification for the transaction.

Usage notes

Check Number

050 Heading > REF

REF Reference Identification

Optional · Max use >1

To specify identifying information

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

Code qualifying the Reference Identification

• ZZ: Mutually Defined

REF-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Usage notes

CVS Pay Vendor #

060 Heading > DTM

DTM Date/Time Reference

Optional · Max use >1

To specify pertinent dates and times

DTM-01 · 374 · Date/Time Qualifier · Required · Identifier (ID)

Code specifying type of date or time, or both date and time

• 020: Check

DTM-02 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

Date expressed as CCYYMMDD

N1 Payee Optional Max 1

Variants (all may be used)

Payer

070 Heading > Payee > N1

N1 Name

Required · Max use 1

To identify a party by type of organization, name, and code

• The N1 loop allows for name/address information for the payer and payee which would be utilized to address remittance(s) for delivery.

N1-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

• PE: Payee

N1-02 · 93 · Name · Optional · String (AN) · Min 1 Max 60

Free-form name

Usage notes

Vendor Name

N1 Payer Optional Max 1

Variants (all may be used)

Payee

070 Heading > Payer > N1

N1 Name

Required · Max use 1

To identify a party by type of organization, name, and code

• The N1 loop allows for name/address information for the payer and payee which would be utilized to address remittance(s) for delivery.

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 · 98 · Entity Identifier Code · Required · Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

• PR: Payer

N1-02 · 93 · Name · Optional · String (AN) · Min 1 Max 60

Free-form name

Usage notes

CVS/PHARMACY

N1-03 · 66 · Identification Code Qualifier · Optional · Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

• 1: D-U-N-S Number, Dun & Bradstreet

N1-04 · 67 · Identification Code · Optional · String (AN) · Min 2 Max 80

Code identifying a party or other code

• This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.

Usage notes

001786664

Detail

ENT Loop Optional Max >1

010 Detail > ENT Loop > ENT

ENT Entity

Required · Max use 1

To designate the entities which are parties to a transaction and specify a reference meaningful to those entities

• The ENT loop is for vendor or consumer third party consolidated payments.
• ENT09 may contain the payee's accounts receivable customer number.

ENT-01 · 554 · Assigned Number · Optional · Numeric (N0) · Min 1 Max 6

Number assigned for differentiation within a transaction set

Usage notes

Assigned # Will Always be 1

RMR Loop Optional Max >1

150 Detail > ENT Loop > RMR Loop > RMR

RMR Remittance Advice Accounts Receivable Open Item Reference

Required · Max use 1

To specify the accounts receivable open item(s) to be included in the cash application and to convey the appropriate detail

• Loop RMR is for open items being referenced or for payment on account.

If either Reference Identification Qualifier (RMR-01) or Reference Identification (RMR-02) is present, then the other is required

RMR-01 · 128 · Reference Identification Qualifier · Optional · Identifier (ID)

Code qualifying the Reference Identification

• Parties using this segment should agree on the content of RMR01 and RMR02 prior to initiating communication.

• IV: Seller's Invoice Number

RMR-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Usage notes

Invoice Number

RMR-04 · 782 · Monetary Amount · Optional · Decimal number (R) · Min 1 Max 15

Monetary amount

• RMR04 is the amount paid.

RMR-05 · 782 · Monetary Amount · Optional · Decimal number (R) · Min 1 Max 15

Monetary amount

• RMR05 is the amount of invoice (including charges, less allowance) before terms discount (if discount is applicable) or debit amount or credit amount of referenced items.
• RMR05 may be needed by some payees to distinguish between duplicate reference numbers.

RMR-06 · 782 · Monetary Amount · Optional · Decimal number (R) · Min 1 Max 15

Monetary amount

• RMR06 is the amount of discount taken.

170 Detail > ENT Loop > RMR Loop > REF

REF CVS Acct.#

Optional · Max use 1

To specify identifying information

Variants (all may be used)

REFCVS PO Vendor #REFLocation Number

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

Code qualifying the Reference Identification

• ZZ: Mutually Defined

REF-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Usage notes

CVS Acct.#

170 Detail > ENT Loop > RMR Loop > REF

REF CVS PO Vendor #

Optional · Max use 1

To specify identifying information

Variants (all may be used)

REFCVS Acct.#REFLocation Number

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

Code qualifying the Reference Identification

• VR: Vendor ID Number

REF-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Usage notes

CVS PO Vendor #

170 Detail > ENT Loop > RMR Loop > REF

REF Location Number

Optional · Max use 1

To specify identifying information

Variants (all may be used)

REFCVS Acct.#REFCVS PO Vendor #

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

Code qualifying the Reference Identification

• LU: Location Number

REF-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

Usage notes

Cost Center

180 Detail > ENT Loop > RMR Loop > DTM

DTM Date/Time Reference

Optional · Max use >1

To specify pertinent dates and times

DTM-01 · 374 · Date/Time Qualifier · Required · Identifier (ID)

Code specifying type of date or time, or both date and time

• 003: Invoice

DTM-02 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

Date expressed as CCYYMMDD

Summary

010 Summary > SE

SE Transaction Set Trailer

Required · Max use 1

To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

SE-01 · 96 · Number of Included Segments · Required · Numeric (N0) · Min 1 Max 10

Total number of segments included in a transaction set including ST and SE segments

SE-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

GE Functional Group Trailer

Required · Max use 1

To indicate the end of a functional group and to provide control information

GE-01 · 97 · Number of Transaction Sets Included · Required · Numeric (N0) · Min 1 Max 6

Total number of transaction sets included in the functional group or interchange (transmission) group terminated by the trailer containing this data element

GE-02 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

Assigned number originated and maintained by the sender

IEA Interchange Control Trailer

Required · Max use 1

To define the end of an interchange of zero or more functional groups and interchange-related control segments

IEA-01 · I16 · Number of Included Functional Groups · Required · Numeric (N0) · Min 1 Max 5

A count of the number of functional groups included in an interchange

IEA-02 · I12 · Interchange Control Number · Required · Numeric (N0) · Min 9 Max 9

A control number assigned by the interchange sender