X12 810 Invoice

X12 Release 4010

Delimiters

• ~ Segment
• * Element
• > Component

ISA Interchange Control Header

Required · Max use 1

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 10 Max 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 10 Max 10

ISA-05 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 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 15 Max 15

ISA-07 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 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 15 Max 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 9 Max 9

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

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

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

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

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

• >: Component Element Separator

GS Functional Group Header

Required · Max use 1

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 2 Max 15

GS-03 · 124 · Application Receiver's Code · Required · String (AN) · Min 2 Max 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 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

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

ST Transaction Set Header

Required · Max use 1

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

• 810: Invoice

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

020 Heading > BIG

BIG Beginning Segment for Invoice

Required · Max use 1

BIG-01 · 373 · Date · Required · Date (DT) · CCYYMMDD format

BIG-02 · 76 · Invoice Number · Required · String (AN) · Min 1 Max 22

BIG-03 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

BIG-04 · 324 · Purchase Order Number · Optional · String (AN) · Min 1 Max 22

050 Heading > REF

REF Reference Identification

Required · Max use 12

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

• VR: Vendor ID Number

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

N1 Party to receive commercial invoice remittance Required Max 1

Variants (all may be used)

Ship FromShip To

070 Heading > Party to receive commercial invoice remittance > N1

N1 Name

Required · Max use 1

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)

• RE: Party to receive commercial invoice remittance

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

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

• 11: Drug Enforcement Administration (DEA)

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

080 Heading > Party to receive commercial invoice remittance > N2

N2 Additional Name Information

Optional · Max use 2

N2-01 · 93 · Name · Required · String (AN) · Min 1 Max 60

090 Heading > Party to receive commercial invoice remittance > N3

N3 Address Information

Required · Max use 2

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

100 Heading > Party to receive commercial invoice remittance > N4

N4 Geographic Location

Required · Max use 1

N4-01 · 19 · City Name · Optional · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Optional · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Optional · Identifier (ID) · Min 3 Max 15

110 Heading > Party to receive commercial invoice remittance > REF

REF Reference Identification

Optional · Max use 12

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

• 0B: State License Number
• PN: Permit Number

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

N1 Ship From Required Max 1

Variants (all may be used)

Party to receive commercial invoice remittanceShip To

070 Heading > Ship From > N1

N1 Name

Required · Max use 1

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)

• SF: Ship From

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

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

• 11: Drug Enforcement Administration (DEA)

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

080 Heading > Ship From > N2

N2 Additional Name Information

Optional · Max use 2

N2-01 · 93 · Name · Required · String (AN) · Min 1 Max 60

090 Heading > Ship From > N3

N3 Address Information

Required · Max use 2

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

100 Heading > Ship From > N4

N4 Geographic Location

Required · Max use 1

N4-01 · 19 · City Name · Optional · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Optional · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Optional · Identifier (ID) · Min 3 Max 15

110 Heading > Ship From > REF

REF Reference Identification

Optional · Max use 12

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

• 0B: State License Number
• PN: Permit Number

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

N1 Ship To Required Max 1

Variants (all may be used)

Party to receive commercial invoice remittanceShip From

070 Heading > Ship To > N1

N1 Name

Required · Max use 1

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)

• ST: Ship To

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

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

• 11: Drug Enforcement Administration (DEA)

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

080 Heading > Ship To > N2

N2 Additional Name Information

Optional · Max use 2

N2-01 · 93 · Name · Required · String (AN) · Min 1 Max 60

090 Heading > Ship To > N3

N3 Address Information

Required · Max use 2

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

100 Heading > Ship To > N4

N4 Geographic Location

Required · Max use 1

N4-01 · 19 · City Name · Optional · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Optional · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Optional · Identifier (ID) · Min 3 Max 15

110 Heading > Ship To > REF

REF Reference Identification

Optional · Max use 12

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

• 0B: State License Number
• PN: Permit Number

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

130 Heading > ITD

ITD Terms of Sale/Deferred Terms of Sale

Required · Max use >1

ITD-01 · 336 · Terms Type Code · Optional · Identifier (ID)

• 01: Basic
• 02: End of Month (EOM)
• 04: Deferred or Installment
• 07: Extended

ITD-02 · 333 · Terms Basis Date Code · Optional · Identifier (ID)

• 3: Invoice Date
• 4: Specified Date
• 15: Receipt of Goods

ITD-03 · 338 · Terms Discount Percent · Optional · Decimal number (R) · Min 1 Max 6

ITD-04 · 370 · Terms Discount Due Date · Optional · Date (DT) · CCYYMMDD format

ITD-05 · 351 · Terms Discount Days Due · Optional · Numeric (N0) · Min 1 Max 3

ITD-06 · 446 · Terms Net Due Date · Optional · Date (DT) · CCYYMMDD format

ITD-07 · 386 · Terms Net Days · Required · Numeric (N0) · Min 1 Max 3

ITD-08 · 362 · Terms Discount Amount · Optional · Numeric (N2) · Min 1 Max 10

150 Heading > FOB

FOB F.O.B. Related Instructions

Required · Max use 1

FOB-01 · 146 · Shipment Method of Payment · Required · Identifier (ID)

• BP: Paid by Buyer
• CC: Collect
• FO: FOB Port of Call
• PC: Prepaid but Charged to Customer
• PP: Prepaid (by Seller)

Detail

IT1 Loop Required Max >1

010 Detail > IT1 Loop > IT1

IT1 Baseline Item Data (Invoice)

Required · Max use 1

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 · Optional · Decimal number (R) · Min 1 Max 10

IT1-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case
• DZ: Dozen
• EA: Each
• PC: Piece
• SP: Shelf Package

IT1-04 · 212 · Unit Price · Optional · Decimal number (R) · Min 1 Max 15

IT1-06 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• ND: National Drug Code (NDC)

IT1-07 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

PID Loop Optional Max >1

060 Detail > IT1 Loop > PID Loop > PID

PID Product/Item Description

Required · Max use 1

PID-01 · 349 · Item Description Type · Required · Identifier (ID)

• F: Free-form

PID-05 · 352 · Description · Optional · String (AN) · Min 1 Max 80

100 Detail > IT1 Loop > PO4

PO4 Item Physical Details

Optional · Max use 1

PO4-01 · 356 · Pack · Required · Numeric (N0) · Min 1 Max 6

Summary

010 Summary > TDS

TDS Total Monetary Value Summary

Required · Max use 1

TDS-01 · 610 · Amount · Required · Numeric (N2) · Min 1 Max 15

TDS-04 · 610 · Amount · Optional · Numeric (N2) · Min 1 Max 15

ISS Loop Optional Max >1

060 Summary > ISS Loop > ISS

ISS Invoice Shipment Summary

Required · Max use 1

ISS-01 · 382 · Number of Units Shipped · Required · Decimal number (R) · Min 1 Max 10

ISS-02 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case
• DZ: Dozen
• EA: Each
• PC: Piece

070 Summary > CTT

CTT Transaction Totals

Optional · Max use 1

CTT-01 · 354 · Number of Line Items · Required · Numeric (N0) · Min 1 Max 6

CTT-02 · 347 · Hash Total · Required · Decimal number (R) · Min 1 Max 10

080 Summary > SE

SE Transaction Set Trailer

Required · Max use 1

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

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

GE Functional Group Trailer

Required · Max use 1

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

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

IEA Interchange Control Trailer

Required · Max use 1

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

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

EDI Samples

sample

ST*810*000388933~
BIG*20130529*0999999*20130521*9999999~
REF*VR*19999~
N1*SF*Vendor Name*11*AB0009999~
N2*DBA Name~
N3*Address~
N4*City*St*11111~
REF*PN*49999999A~
REF*0B*49999999B~
N1*RE*Vendor Name~
N3*Address~
N4*City*St*11111~
N1*ST*CVS RX SERVICES, INC*11*RC0415871~
N2*DBA Name~
N3*150 WHITE WAGON ROAD~
N4*CHEMUNG*NY*14825~
REF*PN*WL9999999~
REF*0B*CWSL999999~
ITD*01*3*2*20130621*23*20130621*23*57571~
FOB*CC~
IT1**414*EA*69.53**ND*99999999999~
PID*F****Item Description~
TDS*2878542***57571~
ISS*414*EA~
CTT*1*414~
SE*26*000388933~