X12 810 Invoice (GSA OMS)

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 · Required · String (AN) · Min 1 Max 22

BIG-05 · 328 · Release Number · Required · String (AN) · Min 1 Max 30

BIG-07 · 640 · Transaction Type Code · Optional · Identifier (ID)

• DI: Debit Invoice

BIG-08 · 353 · Transaction Set Purpose Code · Optional · Identifier (ID) · Min 2 Max 2

N1 Loop Required Max >1

070 Heading > N1 Loop > N1

N1 Name

Required · Max use 1

If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required

At least one of Name (N1-02) or Identification Code Qualifier (N1-03) is required

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

• PE: Payee
• VN: Vendor

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

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

• 1: D-U-N-S Number, Dun & Bradstreet
• 9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
• 12: Telephone Number (Phone)
• 94: Code assigned by the organization that is the ultimate destination of the transaction set

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

080 Heading > N1 Loop > N2

N2 Additional Name Information

Optional · Max use 2

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

N2-02 · 93 · Name · Optional · String (AN) · Min 1 Max 60

090 Heading > N1 Loop > N3

N3 Address Information

Optional · Max use 2

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

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

100 Heading > N1 Loop > N4

N4 Geographic Location

Optional · 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

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

130 Heading > ITD

ITD Terms of Sale/Deferred Terms of Sale

Optional · Max use >1

If Terms Discount Percent (ITD-03) is present, then at least one of Terms Discount Due Date (ITD-04), Terms Discount Days Due (ITD-05) or Day of Month (ITD-13) is required

ITD-01 · 336 · Terms Type Code · Optional · Identifier (ID) · Min 2 Max 2

ITD-02 · 333 · Terms Basis Date Code · Optional · Identifier (ID) · Min 1 Max 2

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 · Optional · Numeric (N0) · Min 1 Max 3

ITD-13 · 765 · Day of Month · Optional · Numeric (N0) · Min 1 Max 2

140 Heading > DTM

DTM Date/Time Reference

Optional · Max use 1

If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required

At least one of Date (DTM-02), Time (DTM-03) or Date Time Period Format Qualifier (DTM-05) is required

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

• 011: Shipped

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

DTM-03 · 337 · Time · Optional · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

DTM-05 · 1250 · Date Time Period Format Qualifier · Optional · Identifier (ID) · Min 2 Max 3

DTM-06 · 1251 · Date Time Period · Optional · String (AN) · Min 1 Max 35

Detail

IT1 Loop Optional Max 200000

010 Detail > IT1 Loop > IT1

IT1 Baseline Item Data (Invoice)

Required · Max use 1

If either Product/Service ID Qualifier (IT1-10) or Product/Service ID (IT1-11) is present, then the other is required

If either Product/Service ID Qualifier (IT1-12) or Product/Service ID (IT1-13) is present, then the other is required

If either Product/Service ID Qualifier (IT1-14) or Product/Service ID (IT1-15) is present, then the other is required

If either Product/Service ID Qualifier (IT1-16) or Product/Service ID (IT1-17) is present, then the other is required

If either Product/Service ID Qualifier (IT1-18) or Product/Service ID (IT1-19) is present, then the other is required

If either Product/Service ID Qualifier (IT1-20) or Product/Service ID (IT1-21) is present, then the other is required

If either Product/Service ID Qualifier (IT1-22) or Product/Service ID (IT1-23) is present, then the other is required

If either Product/Service ID Qualifier (IT1-24) or Product/Service ID (IT1-25) is present, then the other is required

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

IT1-01 · 350 · Assigned Identification · Required · String (AN) · Min 1 Max 20

IT1-02 · 358 · Quantity Invoiced · Required · Decimal number (R) · Min 1 Max 10

IT1-03 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID) · Min 2 Max 2

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

IT1-05 · 639 · Basis of Unit Price Code · Optional · Identifier (ID) · Min 2 Max 2

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

• FS: National Stock Number
• MG: Manufacturer's Part Number
• PD: Part Number Description
• VP: Vendor's (Seller's) Part Number

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

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

• PL: Purchaser's Order Line Number

IT1-09 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

IT1-10 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-11 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-12 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-13 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-14 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-15 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-16 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-17 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-18 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-19 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-20 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-21 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-22 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-23 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-24 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

IT1-25 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

Summary

010 Summary > TDS

TDS Total Monetary Value Summary

Required · Max use 1

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

SAC Loop Optional Max >1

040 Summary > SAC Loop > SAC

SAC Service, Promotion, Allowance, or Charge Information

Required · Max use 1

If either Agency Qualifier Code (SAC-03) or Agency Service, Promotion, Allowance, or Charge Code (SAC-04) is present, then the other is required

At least one of Service, Promotion, Allowance, or Charge Code (SAC-02) or Agency Qualifier Code (SAC-03) is required

SAC-01 · 248 · Allowance or Charge Indicator · Required · Identifier (ID)

• A: Allowance
• C: Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Optional · Identifier (ID)

• B680: Contract Service Charge
• D240: Freight

SAC-03 · 559 · Agency Qualifier Code · Optional · Identifier (ID) · Min 2 Max 2

SAC-04 · 1301 · Agency Service, Promotion, Allowance, or Charge Code · Optional · String (AN) · Min 1 Max 10

SAC-05 · 610 · Amount · Optional · Numeric (N2) · Min 1 Max 15

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 · Optional · 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

EDI_810.txt

ISA*00*          *00*          *12*5168121123     *ZZ*GSAOMS         *151110*1027*U*00401*447169220*0*T*>~ 
GS*IN*5168121123*GSAOMS*20151110*1027*447169249*X*004010~ 
ST*810*447169275~ 
BIG*20151110*INVNUM01*20151110*BPA NUMBER*PO NUMBER**DI*00~ 
N1*VN*TEST VENDOR*12*5168121123~ 
IT1*1*100*PK*7.43**FS*3230015749123*PL*FB203753142ZYZ~ 
TDS*74300~ 
CTT*1~ 
SE*7*447169275~ 
GE*1*447169249~ 
IEA*1*447169220~