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X12 894 Delivery/Return Base Record

X12 Release 4010

—

Delimiters

~ Segment
* Element
> Component

EDI sample

—

Sample

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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)

—

DX: Direct Exchange Delivery and Return Information (894, 895)

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)

—

894: Delivery/Return Base Record

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

G82

020

Heading > G82

Delivery/Return Base Record Identifier

RequiredMax use 1

—

Example

G82-01

478

Credit/Debit Flag Code

Required

Identifier (ID)

Min 1Max 1

—

G82-02

861

Supplier's Delivery/Return Number

Required

String (AN)

Min 1Max 22

—

Usage notes

—

G82-03

860

D-U-N-S Number

Required

Identifier (ID)

Min 9Max 9

—

G82-04

862

Receiver's Location Number

Required

String (AN)

Min 1Max 6

—

Usage notes

—

G82-05

860

D-U-N-S Number

Required

Identifier (ID)

Min 9Max 9

—

G82-06

871

Supplier's Location Number

Required

String (AN)

Min 1Max 6

—

Usage notes

—

G82-07

872

Physical Delivery or Return Date

Required

Date (DT)

CCYYMMDD format

—

G82-08

873

Product Ownership Transfer Date

Optional

Date (DT)

CCYYMMDD format

—

G82-09

324

Purchase Order Number

Optional

String (AN)

Min 1Max 22

—

Usage notes

—

G82-10

323

Purchase Order Date

Optional

Date (DT)

CCYYMMDD format

—

G82-11

146

Shipment Method of Payment

Optional

Identifier (ID)

Min 2Max 2

—

Usage notes

—

G82-12

625

COD Method of Payment Code

Optional

Identifier (ID)

Min 1Max 1

—

Heading end

Detail

010

Detail > LS

Loop Header

RequiredMax use 1

—

Example

LS-01

447

Loop Identifier Code

Required

String (AN)

Min 1Max 6

—

0100 Loop

RequiredMax >1

G83

020

Detail > 0100 Loop > G83

Line Item Detail/Direct Store Delivery

RequiredMax use 1

—

Example

If either Product/Service ID Qualifier (G83-05) or Product/Service ID (G83-06) is present, then the other is required

G83-01

204

Direct Store Delivery Sequence Number

Required

Numeric (N0)

Min 1Max 4

—

Usage notes

—

G83-02

380

Quantity

Required

Decimal number (R)

Min 1Max 15

—

G83-03

355

Unit or Basis for Measurement Code

Required

Identifier (ID)

—

CA: Case
EA: Each

G83-04

766

U.P.C./EAN Consumer Package Code

Required

String (AN)

Min 12Max 12

—

G83-05

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

EN: European Article Number (EAN) (2-5-5-1)
UA: U.P.C./EAN Case Code (2-5-5)
UK: U.P.C./EAN Shipping Container Code (1-2-5-5-1)

G83-06

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

G83-07

438

U.P.C. Case Code

Optional

String (AN)

Min 12Max 12

—

G83-08

237

Item List Cost

Required

Decimal number (R)

Min 1Max 9

—

G83-09

356

Pack

Required

Numeric (N0)

Min 1Max 6

—

G83-10

878

Cash Register Item Description

Required

String (AN)

Min 1Max 20

—

G72

040

Detail > 0100 Loop > G72

Allowance or Charge

OptionalMax use 10

—

Example

If either Allowance or Charge Quantity (G72-06) or Unit or Basis for Measurement Code (G72-07) is present, then the other is required

At least one of Allowance or Charge Number (G72-03), Allowance or Charge Rate (G72-05), Allowance or Charge Total Amount (G72-08) or Percent (G72-09) is required

Only one of Allowance or Charge Rate (G72-05), Allowance or Charge Total Amount (G72-08) or Percent (G72-09) may be present

If either Percent (G72-09) or Dollar Basis For Percent (G72-10) is present, then the other is required

If Option Number (G72-11) is present, then Allowance or Charge Number (G72-03) is required

G72-01

340

Allowance or Charge Code

Required

Identifier (ID)

Min 1Max 3

—

G72-02

331

Allowance or Charge Method of Handling Code

Required

Identifier (ID)

Min 2Max 2

—

G72-03

341

Allowance or Charge Number

Optional

String (AN)

Min 1Max 16

—

G72-04

769

Exception Number

Optional

String (AN)

Min 1Max 16

—

G72-05

359

Allowance or Charge Rate

Optional

Decimal number (R)

Min 1Max 15

—

G72-06

339

Allowance or Charge Quantity

Optional

Decimal number (R)

Min 1Max 10

—

G72-07

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

Min 2Max 2

—

Usage notes

—

G72-08

360

Allowance or Charge Total Amount

Optional

Numeric (N2)

Min 1Max 15

—

G72-09

332

Percent

Optional

Decimal number (R)

Min 1Max 6

—

G72-10

828

Dollar Basis For Percent

Optional

Decimal number (R)

Min 1Max 9

—

G72-11

770

Option Number

Optional

String (AN)

Min 1Max 20

—

0100 Loop end

060

Detail > LE

Loop Trailer

RequiredMax use 1

—

Example

LE-01

447

Loop Identifier Code

Required

String (AN)

Min 1Max 6

—

Detail end

Summary

G72

010

Summary > G72

Allowance or Charge

OptionalMax use 20

—

Example

If either Allowance or Charge Quantity (G72-06) or Unit or Basis for Measurement Code (G72-07) is present, then the other is required

At least one of Allowance or Charge Number (G72-03), Allowance or Charge Rate (G72-05), Allowance or Charge Total Amount (G72-08) or Percent (G72-09) is required

Only one of Allowance or Charge Rate (G72-05), Allowance or Charge Total Amount (G72-08) or Percent (G72-09) may be present

If either Percent (G72-09) or Dollar Basis For Percent (G72-10) is present, then the other is required

If Option Number (G72-11) is present, then Allowance or Charge Number (G72-03) is required

G72-01

340

Allowance or Charge Code

Required

Identifier (ID)

Min 1Max 3

—

G72-02

331

Allowance or Charge Method of Handling Code

Required

Identifier (ID)

Min 2Max 2

—

G72-03

341

Allowance or Charge Number

Optional

String (AN)

Min 1Max 16

—

G72-04

769

Exception Number

Optional

String (AN)

Min 1Max 16

—

G72-05

359

Allowance or Charge Rate

Optional

Decimal number (R)

Min 1Max 15

—

G72-06

339

Allowance or Charge Quantity

Optional

Decimal number (R)

Min 1Max 10

—

G72-07

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

Min 2Max 2

—

Usage notes

—

G72-08

360

Allowance or Charge Total Amount

Optional

Numeric (N2)

Min 1Max 15

—

G72-09

332

Percent

Optional

Decimal number (R)

Min 1Max 6

—

G72-10

828

Dollar Basis For Percent

Optional

Decimal number (R)

Min 1Max 9

—

G72-11

770

Option Number

Optional

String (AN)

Min 1Max 20

—

G23

020

Summary > G23

Terms of Sale

OptionalMax use 20

—

Example

At least one of Terms Net Due Date (G23-08) or Terms Net Days (G23-09) is required

G23-01

336

Terms Type Code

Required

Identifier (ID)

Min 2Max 2

—

G23-02

333

Terms Basis Date Code

Required

Identifier (ID)

Min 1Max 2

—

G23-03

282

Terms Start Date

Optional

Date (DT)

CCYYMMDD format

—

G23-04

283

Terms Due Date Qualifier

Optional

Identifier (ID)

Min 2Max 2

—

G23-05

338

Terms Discount Percent

Optional

Decimal number (R)

Min 1Max 6

—

G23-06

370

Terms Discount Due Date

Optional

Date (DT)

CCYYMMDD format

—

G23-07

351

Terms Discount Days Due

Optional

Numeric (N0)

Min 1Max 3

—

G23-08

446

Terms Net Due Date

Optional

Date (DT)

CCYYMMDD format

—

G23-09

386

Terms Net Days

Optional

Numeric (N0)

Min 1Max 3

—

G23-10

362

Terms Discount Amount

Optional

Numeric (N2)

Min 1Max 10

—

G23-11

391

Discounted Amount Due

Optional

Numeric (N2)

Min 1Max 10

—

G23-12

390

Amount Subject to Terms Discount

Optional

Numeric (N2)

Min 1Max 10

—

G23-13

343

Installment Total Invoice Amount Due

Optional

Numeric (N2)

Min 1Max 10

—

G23-14

342

Percent of Invoice Payable

Optional

Decimal number (R)

Min 1Max 5

—

G23-15

Free Form Message

Optional

String (AN)

Min 1Max 60

—

Usage notes

—

G23-16

713

Installment Group Indicator

Optional

Numeric (N0)

Min 2Max 2

—

G84

030

Summary > G84

Delivery/Return Record of Totals

RequiredMax use 1

—

Example

G84-01

380

Quantity

Required

Decimal number (R)

Min 1Max 15

—

G84-02

361

Total Invoice Amount

Required

Numeric (N2)

Min 1Max 10

—

G84-03

865

Total Deposit Dollar Amount

Optional

Numeric (N2)

Min 1Max 6

—

G86

040

Summary > G86

Signature

RequiredMax use 1

—

Example

G86-01

867

Signature

Required

String (AN)

Min 1Max 12

—

Usage notes

—

G85

050

Summary > G85

Record Integrity Check

RequiredMax use 1

—

Example

G85-01

866

Integrity Check Value

Required

String (AN)

Min 1Max 12

—

060

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

—

EDI Samples

Sample

ISA*00* *00* *ZZ*SENDER *ZZ*RECEIVER *231120*1404*U*00401*000000001*0*T*>~
GS*DX*SENDERGS*RECEIVERGS*20231120*140435*000000001*X*004010~
ST*894*0001~
G82*D*61085526*007924756*492*123456789*0*20190220~
LS*0100~
G83*1*3.00*EA*DDDDDDDDDDDD****1.15*1*1.5z Chili Pod, Anch~
G83*2*3.00*EA*DDDDDDDDDDDD****1.15*1*1.5z Chili Pod, New~
G83*3*3.00*EA*DDDDDDDDDDDD****1.15*1*1 oz Chili Pod, Arbo~
G83*4*3.00*EA*DDDDDDDDDDDD****1.03*1*1 oz Oregano~
G83*5*6.00*EA*DDDDDDDDDDDD****0.91*1*2oz Chili Pepper, Ne~
G83*6*1.00*EA*DDDDDDDDDDDD****0.75*1*.25z Cinnamon
Sticks~
G83*7*1.00*EA*DDDDDDDDDDDD****1.85*1*1oz Cinnamon Sticks~
G83*8*1.00*EA*DDDDDDDDDDDD****0.62*1*.75z Pepper, Red Cay~
G83*9*1.00*EA*DDDDDDDDDDDD****0.44*1*.75z Anise, Whole~
LE*0100~
G84*159.00*22764~
G86*DDDD~
G85*DDDD~
SE*17*0001~
GE*1*000000001~
IEA*1*000000001~

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