X12 997 Functional Acknowledgment (Rithum)

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)

• FA: Functional Acknowledgment (997)

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)

• 997: Functional Acknowledgment

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

020 Heading > AK1

AK1 Functional Group Response Header

Required · Max use 1

AK1-01 · 479 · Functional Identifier Code · Required · Identifier (ID) · Min 2 Max 2

AK1-02 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

AK2 Loop Optional Max >1

030 Heading > AK2 Loop > AK2

AK2 Transaction Set Response Header

Required · Max use 1

AK2-01 · 143 · Transaction Set Identifier Code · Required · Identifier (ID) · Min 3 Max 3

AK2-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

AK3 Loop Optional Max >1

040 Heading > AK2 Loop > AK3 Loop > AK3

AK3 Data Segment Note

Required · Max use 1

AK3-01 · 721 · Segment ID Code · Required · Identifier (ID) · Min 2 Max 3

AK3-02 · 719 · Segment Position in Transaction Set · Required · Numeric (N0) · Min 1 Max 6

AK3-03 · 447 · Loop Identifier Code · Optional · String (AN) · Min 1 Max 6

AK3-04 · 720 · Segment Syntax Error Code · Optional · Identifier (ID)

• 1: Unrecognized segment ID
• 2: Unexpected segment
• 3: Mandatory segment missing
• 4: Loop Occurs Over Maximum Times
• 5: Segment Exceeds Maximum Use
• 6: Segment Not in Defined Transaction Set
• 7: Segment Not in Proper Sequence
• 8: Segment Has Data Element Errors

050 Heading > AK2 Loop > AK3 Loop > AK4

AK4 Data Element Note

Optional · Max use 99

AK4-01 · C030 · Position in Segment · Required Max use 1 · Code indicating the relative position of a simple data element, or the relative position of a composite data structure combined with the relative position of the component data element within the composite data structure, in error; the count starts with 1 for the simple data element or composite data structure immediately following the segment ID

C030-01 · 722 · Element Position in Segment · Required · Numeric (N0) · Min 1 Max 2

C030-02 · 1528 · Component Data Element Position in Composite · Optional · Numeric (N0) · Min 1 Max 2

AK4-02 · 725 · Data Element Reference Number · Optional · Numeric (N0) · Min 1 Max 4

AK4-03 · 723 · Data Element Syntax Error Code · Required · Identifier (ID)

• 1: Mandatory data element missing
• 2: Conditional required data element missing.
• 3: Too many data elements.
• 4: Data element too short.
• 5: Data element too long.
• 6: Invalid character in data element.
• 7: Invalid code value.
• 8: Invalid Date
• 9: Invalid Time
• 10: Exclusion Condition Violated

AK4-04 · 724 · Copy of Bad Data Element · Required · String (AN) · Min 1 Max 99

060 Heading > AK2 Loop > AK5

AK5 Transaction Set Response Trailer

Required · Max use 1

AK5-01 · 717 · Transaction Set Acknowledgment Code · Required · Identifier (ID)

• A: Accepted
• E: Accepted But Errors Were Noted
• M: Rejected, Message Authentication Code (MAC) Failed
• R: Rejected
• W: Rejected, Assurance Failed Validity Tests
• X: Rejected, Content After Decryption Could Not Be Analyzed

AK5-02 · 718 · Transaction Set Syntax Error Code · Optional · Identifier (ID)

• 1: Transaction Set Not Supported
• 2: Transaction Set Trailer Missing
• 3: Transaction Set Control Number in Header and Trailer Do Not Match
• 4: Number of Included Segments Does Not Match Actual Count
• 5: One or More Segments in Error
• 6: Missing or Invalid Transaction Set Identifier
• 7: Missing or Invalid Transaction Set Control Number
• 8: Authentication Key Name Unknown
• 9: Encryption Key Name Unknown
• 10: Requested Service (Authentication or Encrypted) Not Available
• 11: Unknown Security Recipient
• 12: Incorrect Message Length (Encryption Only)
• 13: Message Authentication Code Failed
• 15: Unknown Security Originator
• 16: Syntax Error in Decrypted Text
• 17: Security Not Supported
• 19: S1E Security End Segment Missing for S1S Security Start Segment
• 20: S1S Security Start Segment Missing for S1E Security End Segment
• 21: S2E Security End Segment Missing for S2S Security Start Segment
• 22: S2S Security Start Segment Missing for S2E Security End Segment
• 23: Transaction Set Control Number Not Unique within the Functional Group
• 24: S3E Security End Segment Missing for S3S Security Start Segment
• 25: S3S Security Start Segment Missing for S3E Security End Segment
• 26: S4E Security End Segment Missing for S4S Security Start Segment
• 27: S4S Security Start Segment Missing for S4E Security End Segment

AK5-03 · 718 · Transaction Set Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

AK5-04 · 718 · Transaction Set Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

AK5-05 · 718 · Transaction Set Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

AK5-06 · 718 · Transaction Set Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

070 Heading > AK9

AK9 Functional Group Response Trailer

Required · Max use 1

AK9-01 · 715 · Functional Group Acknowledge Code · Required · Identifier (ID)

• A: Accepted
• E: Accepted, But Errors Were Noted.
• M: Rejected, Message Authentication Code (MAC) Failed
• P: Partially Accepted, At Least One Transaction Set Was Rejected
• R: Rejected
• W: Rejected, Assurance Failed Validity Tests
• X: Rejected, Content After Decryption Could Not Be Analyzed

AK9-02 · 97 · Number of Transaction Sets Included · Required · Numeric (N0) · Min 1 Max 6

AK9-03 · 123 · Number of Received Transaction Sets · Required · Numeric (N0) · Min 1 Max 6

AK9-04 · 2 · Number of Accepted Transaction Sets · Required · Numeric (N0) · Min 1 Max 6

AK9-05 · 716 · Functional Group Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

AK9-06 · 716 · Functional Group Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

AK9-07 · 716 · Functional Group Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

AK9-08 · 716 · Functional Group Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

AK9-09 · 716 · Functional Group Syntax Error Code · Optional · Identifier (ID) · Min 1 Max 3

080 Heading > 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