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Invoice
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ECIA

X12 810 Invoice

X12 Release 4010

This Draft Standard for Trial Use contains the format and establishes the data contents of the Invoice Transaction Set (810) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide for customary and established business and industry practice relative to the billing for goods and services provided.

Delimiters
  • ~ Segment
  • * Element
  • > Component
EDI sample
  • Sample
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Overview
ISA
-
Interchange Control Header
Max use 1
Required
GS
-
Functional Group Header
Max use 1
Required
heading
ST
010
Transaction Set Header
Max use 1
Required
BIG
020
Beginning Segment for Invoice
Max use 1
Required
NTE
030
Note/Special Instruction
Max use 100
Optional
CUR
040
Currency
Max use 1
Optional
REF
050
Reference Identification
Max use 12
Optional
PER
060
Administrative Communications Contact
Max use 3
Optional
N1 Loop
ITD
130
Terms of Sale/Deferred Terms of Sale
Max use 1
Optional
DTM
140
Date/Time Reference
Max use 10
Optional
FOB
150
F.O.B. Related Instructions
Max use 1
Optional
GE
-
Functional Group Trailer
Max use 1
Required
IEA
-
Interchange Control Trailer
Max use 1
Required
ISA

Interchange Control Header

RequiredMax use 1

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

Example
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 10Max 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 10Max 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 2Max 2

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

Codes
ISA-06
I06
Interchange Sender ID
Required
String (AN)
Min 15Max 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 2Max 2

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

Codes
ISA-08
I07
Interchange Receiver ID
Required
String (AN)
Min 15Max 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 9Max 9

A control number assigned by the interchange sender

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

Functional Group Header

RequiredMax use 1

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

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

Code identifying a group of application related transaction sets

IN
Invoice Information (810,819)
GS-02
142
Application Sender's Code
Required
String (AN)
Min 2Max 15

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

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

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

Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

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 1Max 9

Assigned number originated and maintained by the sender

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

ST
010
Heading > ST

Transaction Set Header

RequiredMax use 1

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

Example
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).
810
Invoice
ST-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9

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

BIG
020
Heading > BIG

Beginning Segment for Invoice

RequiredMax use 1

To indicate the beginning of an invoice transaction set and transmit identifying numbers and dates

Example
Required
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

  • BIG01 is the invoice issue date.
BIG-02
76
Invoice Number
Required
String (AN)
Min 1Max 22

Identifying number assigned by issuer

Optional
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

  • BIG03 is the date assigned by the purchaser to purchase order.
BIG-04
324
Purchase Order Number
Required
String (AN)
Min 1Max 22

Identifying number for Purchase Order assigned by the orderer/purchaser

BIG-07
640
Transaction Type Code
Required
Identifier (ID)

Code specifying the type of transaction

  • BIG07 is used only to further define the type of invoice when needed.
CR
Credit Memo
DR
Debit Memo
PR
Product (or Service)
NTE
030
Heading > NTE

Note/Special Instruction

OptionalMax use 100

To transmit information in a free-form format, if necessary, for comment or special instruction

Example
NTE-01
363
Note Reference Code
Optional
Identifier (ID)
Min 3Max 3

Code identifying the functional area or purpose for which the note applies

NTE-02
352
Description
Required
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

Usage notes

Comment or Special Instruction

CUR
040
Heading > CUR

Currency

OptionalMax use 1

To specify the currency (dollars, pounds, francs, etc.) used in a transaction

Example
CUR-01
98
Entity Identifier Code
Required
Identifier (ID)

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

BT
Bill-to-Party
BY
Buying Party (Purchaser)
SE
Selling Party
CUR-02
100
Currency Code
Required
Identifier (ID)
Min 3Max 3

Code (Standard ISO) for country in whose currency the charges are specified

REF
050
Heading > REF

Reference Identification

OptionalMax use 12

To specify identifying information

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

Code qualifying the Reference Identification

BM
Bill of Lading Number
CI
Unique Consignment Identifier
GC
Government Contract Number
IL
Internal Order Number
LT
Lot Number
PK
Packing List Number
SI
Shipper's Identifying Number for Shipment (SID)
VN
Vendor Order Number
ZZ
Mutually Defined
REF-02
127
Reference Identification
Optional
String (AN)
Min 1Max 30

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

PER
060
Heading > PER

Administrative Communications Contact

OptionalMax use 3

To identify a person or office to whom administrative communications should be directed

Example
PER-01
366
Contact Function Code
Required
Identifier (ID)

Code identifying the major duty or responsibility of the person or group named

AR
Accounts Receivable Department
IC
Information Contact
Optional
String (AN)
Min 1Max 60

Free-form name

N1 Loop
OptionalMax >1
N1
070
Heading > N1 Loop > N1

Name

RequiredMax use 1

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

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
98
Entity Identifier Code
Required
Identifier (ID)

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

BT
Bill-to-Party
BY
Buying Party (Purchaser)
II
Issuer of Invoice
RE
Party to receive commercial invoice remittance
ST
Ship To
Optional
String (AN)
Min 1Max 60

Free-form name

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

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

91
Assigned by Seller or Seller's Agent
92
Assigned by Buyer or Buyer's Agent
N1-04
67
Identification Code
Optional
String (AN)
Min 2Max 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.
N2
080
Heading > N1 Loop > N2

Additional Name Information

OptionalMax use 2

To specify additional names or those longer than 35 characters in length

Example
Required
String (AN)
Min 1Max 60

Free-form name

N3
090
Heading > N1 Loop > N3

Address Information

OptionalMax use 2

To specify the location of the named party

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

Address information

N3-02
166
Address Information
Optional
String (AN)
Min 1Max 55

Address information

N4
100
Heading > N1 Loop > N4

Geographic Location

OptionalMax use 1

To specify the geographic place of the named party

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

Free-form text for city name

  • A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.
N4-02
156
State or Province Code
Optional
Identifier (ID)
Min 2Max 2

Code (Standard State/Province) as defined by appropriate government agency

  • N402 is required only if city name (N401) is in the U.S. or Canada.
N4-03
116
Postal Code
Optional
Identifier (ID)
Min 3Max 15

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

N4-04
26
Country Code
Optional
Identifier (ID)
Min 2Max 3

Code identifying the country

REF
110
Heading > N1 Loop > REF

Reference Identification

OptionalMax use 12

To specify identifying information

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

Code qualifying the Reference Identification

BM
Bill of Lading Number
CI
Unique Consignment Identifier
GC
Government Contract Number
IL
Internal Order Number
LT
Lot Number
PK
Packing List Number
SI
Shipper's Identifying Number for Shipment (SID)
VN
Vendor Order Number
ZZ
Mutually Defined
REF-02
127
Reference Identification
Optional
String (AN)
Min 1Max 30

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

PER
120
Heading > N1 Loop > PER

Administrative Communications Contact

OptionalMax use 3

To identify a person or office to whom administrative communications should be directed

Example
PER-01
366
Contact Function Code
Required
Identifier (ID)

Code identifying the major duty or responsibility of the person or group named

AR
Accounts Receivable Department
IC
Information Contact
Optional
String (AN)
Min 1Max 60

Free-form name

N1 Loop end
ITD
130
Heading > ITD

Terms of Sale/Deferred Terms of Sale

OptionalMax use >1

To specify terms of sale

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

Code identifying type of payment terms

  • If the code in ITD01 is "04", then ITD07 or ITD09 is required and either ITD10 or ITD11 is required; if the code in ITD01 is "05", then ITD06 or ITD07 is required.
01
Basic
05
Discount Not Applicable
08
Basic Discount Offered
ITD-02
333
Terms Basis Date Code
Optional
Identifier (ID)

Code identifying the beginning of the terms period

3
Invoice Date
ITD-03
338
Terms Discount Percent
Optional
Decimal number (R)
Min 1Max 6

Terms discount percentage, expressed as a percent, available to the purchaser if an invoice is paid on or before the Terms Discount Due Date

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

Number of days in the terms discount period by which payment is due if terms discount is earned

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

Number of days until total invoice amount is due (discount not applicable)

ITD-12
352
Description
Optional
String (AN)
Min 1Max 80

A free-form description to clarify the related data elements and their content

DTM
140
Heading > DTM

Date/Time Reference

OptionalMax use 10

To specify pertinent dates and times

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

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

011
Shipped
Optional
Date (DT)
CCYYMMDD format

Date expressed as CCYYMMDD

FOB
150
Heading > FOB

F.O.B. Related Instructions

OptionalMax use 1

To specify transportation instructions relating to shipment

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

Code identifying payment terms for transportation charges

  • FOB01 indicates which party will pay the carrier.
CC
Collect
DF
Defined by Buyer and Seller
PC
Prepaid but Charged to Customer
PP
Prepaid (by Seller)
ZZ
Mutually Defined
Heading end

Detail

IT1 Loop
OptionalMax >1
IT1
010
Detail > IT1 Loop > IT1

Baseline Item Data (Invoice)

RequiredMax use 1

To specify the basic and most frequently used line item data for the invoice and related transactions

Example
If either Product/Service ID Qualifier (IT1-06) or Product/Service ID (IT1-07) is present, then the other is required
If either Product/Service ID Qualifier (IT1-08) or Product/Service ID (IT1-09) is present, then the other is required
IT1-01
350
Assigned Identification
Required
String (AN)
Min 1Max 20

Alphanumeric characters assigned for differentiation within a transaction set

  • IT101 is the purchase order line item identification.
IT1-02
358
Quantity Invoiced
Required
Decimal number (R)
Min 1Max 10

Number of units invoiced (supplier units)

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

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

EA
Each
IT1-04
212
Unit Price
Required
Decimal number (R)
Min 1Max 15

Price per unit of product, service, commodity, etc.

IT1-05
639
Basis of Unit Price Code
Optional
Identifier (ID)

Code identifying the type of unit price for an item

HP
Price per Hundred
PE
Price per Each
PN
Price per Ten
TP
Price per Thousand
IT1-06
235
Product/Service ID Qualifier
Optional
Identifier (ID)

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

  • IT106 through IT125 provide for ten different product/service IDs for each item. For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.
BP
Buyer's Part Number
VP
Vendor's (Seller's) Part Number
IT1-07
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

IT1-08
235
Product/Service ID Qualifier
Optional
Identifier (ID)

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

BP
Buyer's Part Number
VP
Vendor's (Seller's) Part Number
IT1-09
234
Product/Service ID
Optional
String (AN)
Min 1Max 48

Identifying number for a product or service

REF
120
Detail > IT1 Loop > REF

Reference Identification

OptionalMax use >1

To specify identifying information

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

Code qualifying the Reference Identification

BM
Bill of Lading Number
CI
Unique Consignment Identifier
GC
Government Contract Number
IL
Internal Order Number
LT
Lot Number
PK
Packing List Number
SI
Shipper's Identifying Number for Shipment (SID)
VN
Vendor Order Number
ZZ
Mutually Defined
REF-02
127
Reference Identification
Optional
String (AN)
Min 1Max 30

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

CAD
160
Detail > IT1 Loop > CAD

Carrier Detail

OptionalMax use >1

To specify transportation details for the transaction

Example
At least one of Standard Carrier Alpha Code (CAD-04) or Routing (CAD-05) is required
If Reference Identification Qualifier (CAD-07) is present, then Reference Identification (CAD-08) is required
CAD-01
91
Transportation Method/Type Code
Optional
Identifier (ID)

Code specifying the method or type of transportation for the shipment

A
Air
AE
Air Express
M
Motor (Common Carrier)
R
Rail
CAD-04
140
Standard Carrier Alpha Code
Optional
Identifier (ID)
Min 2Max 4

Standard Carrier Alpha Code

CAD-05
387
Routing
Optional
String (AN)
Min 1Max 35

Free-form description of the routing or requested routing for shipment, or the originating carrier's identity

Usage notes

Carrier Name

CAD-07
128
Reference Identification Qualifier
Optional
Identifier (ID)

Code qualifying the Reference Identification

AW
Air Waybill Number
BM
Bill of Lading Number
FR
Freight Bill Number
SI
Shipper's Identifying Number for Shipment (SID)
CAD-08
127
Reference Identification
Optional
String (AN)
Min 1Max 30

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

IT1 Loop end
Detail end

Summary

TDS
010
Summary > TDS

Total Monetary Value Summary

RequiredMax use 1

To specify the total invoice discounts and amounts

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

Monetary amount

  • TDS01 is the total amount of invoice (including charges, less allowances) before terms discount (if discount is applicable).
TXI
020
Summary > TXI

Tax Information

OptionalMax use 10

To specify tax information

Example
TXI-01
963
Tax Type Code
Required
Identifier (ID)

Code specifying the type of tax

LS
State and Local Sales Tax
VA
Value Added Tax
TXI-02
782
Monetary Amount
Optional
Decimal number (R)
Min 1Max 15

Monetary amount

  • TXI02 is the monetary amount of the tax.
CAD
030
Summary > CAD

Carrier Detail

OptionalMax use 1

To specify transportation details for the transaction

Example
At least one of Standard Carrier Alpha Code (CAD-04) or Routing (CAD-05) is required
If Reference Identification Qualifier (CAD-07) is present, then Reference Identification (CAD-08) is required
CAD-01
91
Transportation Method/Type Code
Optional
Identifier (ID)

Code specifying the method or type of transportation for the shipment

A
Air
AE
Air Express
M
Motor (Common Carrier)
R
Rail
CAD-04
140
Standard Carrier Alpha Code
Optional
Identifier (ID)
Min 2Max 4

Standard Carrier Alpha Code

CAD-05
387
Routing
Optional
String (AN)
Min 1Max 35

Free-form description of the routing or requested routing for shipment, or the originating carrier's identity

Usage notes

Carrier Name

CAD-07
128
Reference Identification Qualifier
Optional
Identifier (ID)

Code qualifying the Reference Identification

AW
Air Waybill Number
BM
Bill of Lading Number
FR
Freight Bill Number
SI
Shipper's Identifying Number for Shipment (SID)
CAD-08
127
Reference Identification
Optional
String (AN)
Min 1Max 30

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

ISS Loop
OptionalMax >1
ISS
060
Summary > ISS Loop > ISS

Invoice Shipment Summary

RequiredMax use 1

To specify summary details of total items shipped in terms of quantity, weight, and volume

Example
If either Number of Units Shipped (ISS-01) or Unit or Basis for Measurement Code (ISS-02) is present, then the other is required
ISS-01
382
Number of Units Shipped
Optional
Decimal number (R)
Min 1Max 10

Numeric value of units shipped in manufacturer's shipping units for a line item or transaction set

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

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

BX
Box
CT
Carton
EA
Each
ISS Loop end
CTT
070
Summary > CTT

Transaction Totals

RequiredMax use 1

To transmit a hash total for a specific element in the transaction set

  • Number of line items (CTT01) is the accumulation of the number of IT1 segments.
    If used, hash total (CTT02) is the sum of the value of quantities invoiced (IT102) for each IT1 segment.
Example
CTT-01
354
Number of Line Items
Required
Numeric (N0)
Min 1Max 6

Total number of line items in the transaction set

Usage notes

Number of IT1 Segments

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

Sum of values of the specified data element. All values in the data element will be summed without regard to decimal points (explicit or implicit) or signs. Truncation will occur on the left most digits if the sum is greater than the maximum size of the hash total of the data element.

## Example:
-.0018 First occurrence of value being hashed.
.18 Second occurrence of value being hashed.
1.8 Third occurrence of value being hashed.
18.01 Fourth occurrence of value being hashed.

1855 Hash total prior to truncation.
855 Hash total after truncation to three-digit field.

Usage notes

Sum of IT102’s

SE
080
Summary > SE

Transaction Set Trailer

RequiredMax 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)

Example
SE-01
96
Number of Included Segments
Required
Numeric (N0)
Min 1Max 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 4Max 9

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

Summary end

Functional Group Trailer

RequiredMax use 1

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

Example
GE-01
97
Number of Transaction Sets Included
Required
Numeric (N0)
Min 1Max 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 1Max 9

Assigned number originated and maintained by the sender

Interchange Control Trailer

RequiredMax use 1

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

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

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

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

A control number assigned by the interchange sender

EDI Samples

Sample

ISA~00~ ~00~ ~ZZ~SENDER ~ZZ~RECEIVER ~231102~0324~U~00401~000000001~0~T~>
GS~IN~SENDERGS~RECEIVERGS~20231102~032432~000000001~X~004010
ST~810~0001
BIG~20101110~AB56676~20100212~PONUMBER~~~PR
REF~PK~001375
N1~RE~REMIT TO NAME
N3~PO BOX 1234
N4~CHICAGO~IL~60694 529
N1~BT~BILL TO NAME
N3~ATTN ACCOUNTS PAYABLE~PO BOX 9053
N4~MELVILLE~NY~11747
N1~ST~SHIP TO NAME
N3~PRIMARY DIST CENTER~55 MAIN ST
N4~DALLAS~TX~753731225
ITD~05~3~~~15~~30~~~~~N3
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