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X12 812 Credit/Debit Adjustment

X12 Release 4030

—

Delimiters

~ Segment
* Element
> Component
^ Repetition

EDI samples

None included

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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)

—

CD: Credit/Debit Adjustment (812)

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)

—

812: Credit/Debit Adjustment

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BCD

0200

Heading > BCD

Beginning Credit/Debit Adjustment

RequiredMax use 1

—

Example

BCD-01

373

Date

Required

Date (DT)

CCYYMMDD format

—

BCD-02

475

Credit/Debit Adjustment Number

Required

String (AN)

Min 1Max 22

—

Usage notes

—

BCD-03

305

Transaction Handling Code

Required

Identifier (ID)

—

A: Off Invoice (Deduction from Original Invoice)

BCD-04

610

Amount

Required

Numeric (N2)

Min 1Max 15

—

BCD-05

478

Credit/Debit Flag Code

Required

Identifier (ID)

Min 1Max 1

—

BCD-06

373

Date

Optional

Date (DT)

CCYYMMDD format

—

BCD-07

Invoice Number

Optional

String (AN)

Min 1Max 22

—

BCD-10

324

Purchase Order Number

Optional

String (AN)

Min 1Max 22

—

BCD-11

353

Transaction Set Purpose Code

Optional

Identifier (ID)

—

00: Original

0400

Heading > N9

Letters or Notes

OptionalMax use >1

—

Usage notes

—

Example

Variants (all may be used)

N9Vendor ID Number

N9-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

L1: Letters or Notes

N9-03

369

Free-form Description

Optional

String (AN)

Min 1Max 45

—

Usage notes

—

0400

Heading > N9

Vendor ID Number

OptionalMax use >1

—

Example

Variants (all may be used)

N9Letters or Notes

N9-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

VR: Vendor ID Number

N9-03

369

Free-form Description

Optional

String (AN)

Min 1Max 45

—

Usage notes

—

DTM

0700

Heading > DTM

Date/Time Reference

OptionalMax use >1

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

021: Charge Back

DTM-02

373

Date

Optional

Date (DT)

CCYYMMDD format

—

N1 Buying Party (Purchaser)

RequiredMax >1

Variants (all may be used)

Vendor

1000

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

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

N1 Buying Party (Purchaser) end

N1 Vendor

RequiredMax >1

Variants (all may be used)

Buying Party (Purchaser)

1000

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)

—

ZZ: Mutually Defined

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

1200

Heading > Vendor > N3

Address Information

OptionalMax use 2

—

Example

N3-01

166

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

166

Address Information

Optional

String (AN)

Min 1Max 55

—

1300

Heading > Vendor > 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

—

N1 Vendor end

Heading end

Detail

CDD Loop

OptionalMax >1

CDD

1600

Detail > CDD Loop > CDD

Credit/Debit Adjustment Detail

RequiredMax use 1

—

Example

At least one of Amount (CDD-04) or Credit/Debit Quantity (CDD-07) is required

If either Credit/Debit Quantity (CDD-07) or Unit or Basis for Measurement Code (CDD-08) is present, then the other is required

If Credit/Debit Quantity (CDD-07) is present, then Unit Price (CDD-11) is required

If either Price Identifier Code (CDD-10) or Unit Price (CDD-11) is present, then the other is required

CDD-01

426

Adjustment Reason Code

Required

Identifier (ID)

—

CS: Adjustment

CDD-02

478

Credit/Debit Flag Code

Required

Identifier (ID)

Min 1Max 1

—

CDD-04

610

Amount

Optional

Numeric (N2)

Min 1Max 15

—

CDD-07

477

Credit/Debit Quantity

Optional

Decimal number (R)

Min 1Max 10

—

CDD-08

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

CA: Case
EA: Each

CDD-09

427

Unit Price Difference

Optional

Decimal number (R)

Min 1Max 15

—

CDD-10

236

Price Identifier Code

Optional

Identifier (ID)

—

UCP: Unit cost price

CDD-11

212

Unit Price

Optional

Decimal number (R)

Min 1Max 15

—

LIN

1700

Detail > CDD Loop > LIN

Item Identification

OptionalMax use 1

—

Example

If either Product/Service ID Qualifier (LIN-04) or Product/Service ID (LIN-05) is present, then the other is required

LIN-02

235

Product/Service ID Qualifier

Required

Identifier (ID)

—

SK: Stock Keeping Unit (SKU)

LIN-03

234

Product/Service ID

Required

String (AN)

Min 1Max 48

—

LIN-04

235

Product/Service ID Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

LIN-05

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

2000

Detail > CDD Loop > N9

Reference Identification

OptionalMax use >1

—

Example

N9-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

ZZ: Mutually Defined

N9-03

369

Free-form Description

Optional

String (AN)

Min 1Max 45

—

Usage notes

—

N11 Loop

OptionalMax >1

N11

2100

Detail > CDD Loop > N11 Loop > N11

Store Number

RequiredMax use 1

—

Example

N11-01

614

Store Number

Required

String (AN)

Min 1Max 10

—

N11 Loop end

CDD Loop end

2700

Detail > 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

Numeric (N)

Min 4Max 9

—

Detail 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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