Stedi maintains this guide based on public documentation from H-E-B. Contact H-E-B for official EDI specifications. To report any errors in this guide, please contact us.

X12 855 OFX Purchase Order Acknowledgment

X12 Release 4010

—

Delimiters

~ Segment
* Element
> Component

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: 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 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: 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 15Max 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 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)

—

PR: Purchase Order Acknowledgement (855)

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)

—

004010: Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997

Heading

010

Heading > ST

Transaction Set Header

RequiredMax use 1

—

Example

ST-01

143

Transaction Set Identifier Code

Required

Identifier (ID)

—

855: Purchase Order Acknowledgment

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BAK

020

Heading > BAK

Beginning Segment for Purchase Order Acknowledgment

RequiredMax use 1

—

Example

BAK-01

353

Transaction Set Purpose Code

Required

Identifier (ID)

—

01: Cancellation
04: Change
05: Replace
06: Confirmation

BAK-02

587

Acknowledgment Type

Required

Identifier (ID)

—

AC: Acknowledge - With Detail and Change
AK: Acknowledge - No Detail or Change

BAK-03

324

Purchase Order Number

Required

String (AN)

Min 1Max 22

—

BAK-04

373

Date

Required

Date (DT)

CCYYMMDD format

—

REF

050

Heading > REF

D-U-N-S Number Dun & Bradstreet

OptionalMax use >1

—

Example

Variants (all may be used)

REFPickup Reference Number

REF-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

DUN: D-U-N-S Number Dun & Bradstreet

REF-02

127

Reference Identification

Optional

String (AN)

Min 1Max 30

—

REF

050

Heading > REF

Pickup Reference Number

OptionalMax use >1

—

Example

Variants (all may be used)

REFD-U-N-S Number Dun & Bradstreet

REF-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

P8: Pickup Reference Number

REF-02

127

Reference Identification

Optional

String (AN)

Min 1Max 30

—

SAC Loop

OptionalMax >1

SAC

120

Heading > SAC Loop > SAC

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1

—

Example

SAC-01

248

Allowance or Charge Indicator

Required

Identifier (ID)

Min 1Max 1

—

SAC-02

1300

Service, Promotion, Allowance, or Charge Code

Required

Identifier (ID)

—

A400: Allowance Non-performance
A721: Brokerage
B280: Combination Performance and Non-performance
C310: Discount
C320: Display Allowance
D250: Freshness/Leaker Allowance
D260: Fuel Charge
E470: Lump Sum
E730: New Item Allowance
F190: Palletizing
F280: Performance Allowance
F670: Price and Marketing Allowance
F800: Promotional Allowance
F810: Promotional Discount
G960: Slotting Allowance
H010: Special Buy
H060: Special Equipment Charge
H090: Special Handling
H320: State Motor Fuel
H390: Stop-off Charge
H400: Stopcharge
H550: Surcharge
H560: Swell
H910: Temperature Protection
I170: Trade Discount
I390: Unloading
I410: Unsaleable Merchandise Allowance

SAC-05

610

Amount

Optional

Numeric (N2)

Min 1Max 15

—

SAC-07

332

Percent

Optional

Decimal number (R)

Min 1Max 6

—

SAC-08

118

Rate

Optional

Decimal number (R)

Min 1Max 9

—

SAC-10

380

Quantity

Optional

Decimal number (R)

Min 1Max 15

—

SAC-12

331

Allowance or Charge Method of Handling Code

Optional

Identifier (ID)

—

02: Off Invoice
06: Charge to be Paid by Customer

SAC-15

352

Description

Optional

String (AN)

Min 1Max 80

—

SAC Loop end

DTM

150

Heading > DTM

Date/Time Reference

OptionalMax use 10

—

Usage notes

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

017: Estimated Delivery
067: Current Schedule Delivery
068: Current Schedule Ship
118: Requested Pick-up

DTM-02

373

Date

Optional

Date (DT)

CCYYMMDD format

—

N1 Loop

OptionalMax >1

300

Heading > N1 Loop > N1

Name

RequiredMax use 1

—

Example

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)

—

FA: Facility

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

—

FA: Facility Identification

N1-04

Identification Code

Optional

String (AN)

Min 8Max 8

—

Usage notes

—

N1 Loop end

Heading end

Detail

PO1 Loop

RequiredMax >1

PO1

010

Detail > PO1 Loop > PO1

Baseline Item Data

RequiredMax use 1

—

Example

If Unit or Basis for Measurement Code (PO1-03) is present, then Quantity Ordered (PO1-02) is required

If Basis of Unit Price Code (PO1-05) is present, then Unit Price (PO1-04) is required

If either Product/Service ID Qualifier (PO1-06) or Product/Service ID (PO1-07) is present, then the other is required

PO1-02

330

Quantity Ordered

Optional

Decimal number (R)

Min 1Max 15

—

PO1-03

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

CA: Case

PO1-04

212

Unit Price

Optional

Decimal number (R)

Min 1Max 15

—

PO1-05

639

Basis of Unit Price Code

Optional

Identifier (ID)

—

CP: Current Price (Subject to Change)

PO1-06

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

SK: Stock Keeping Unit (SKU)
—
UA: U.P.C./EAN Case Code (2-5-5)
UK: U.P.C./EAN Shipping Container Code (1-2-5-5-1)
—

PO1-07

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

PO1 Loop end

Detail end

Summary

CTT Loop

OptionalMax >1

CTT

010

Summary > CTT Loop > CTT

Transaction Totals

RequiredMax use 1

—

Example

CTT-01

354

Number of Line Items

Required

Numeric (N0)

Min 1Max 6

—

AMT

020

Summary > CTT Loop > AMT

Monetary Amount

OptionalMax use 1

—

Example

AMT-01

522

Amount Qualifier Code

Required

Identifier (ID)

—

5: Total Invoice Amount

AMT-02

782

Monetary Amount

Required

Decimal number (R)

Min 1Max 15

—

CTT Loop end

030

Summary > 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

—

Summary 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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