X12 810 Utility Trash Invoice

Functional Group Header

Functional Group Trailer

Interchange Control Trailer

IEA

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)

—

IN: Invoice Information (810,819)

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

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)

—

810: Invoice

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BIG

020

Heading > BIG

Beginning Segment for Invoice

RequiredMax use 1

—

Example

BIG-01

Date

Required

Date (DT)

CCYYMMDD format

—

BIG-02

Invoice Number

Required

String (AN)

Min 1Max 22

—

BIG-03

REFLocation Number REFMutually Defined

Date

Optional

Date (DT)

CCYYMMDD format

—

BIG-04

324

Purchase Order Number

Optional

String (AN)

Min 1Max 22

—

BIG-05

328

Release Number

Optional

String (AN)

Min 1Max 30

—

BIG-06

327

Change Order Sequence Number

Optional

String (AN)

Min 1Max 8

—

BIG-07

640

Transaction Type Code

Optional

Identifier (ID)

Min 2Max 2

—

BIG-08

353

Transaction Set Purpose Code

Optional

Identifier (ID)

Min 2Max 2

—

BIG-09

306

Action Code

Optional

Identifier (ID)

Min 1Max 2

—

BIG-10

Invoice Number

Optional

String (AN)

Min 1Max 22

—

REF

050

Heading > REF

Account Number

OptionalMax use 12

—

Example

Variants (all may be used)

REF-01

Reference Identification Qualifier

Required

Identifier (ID)

—

11: Account Number

REF-02

Reference Identification

Required

String (AN)

Min 1Max 30

—

REF-03

Description

Optional

String (AN)

Min 1Max 80

—

REF-04

C040

Reference Identifier

OptionalMax use 1

To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier

If either Reference Identification Qualifier (C040-03) or Reference Identification (C040-04) is present, then the other is required

If either Reference Identification Qualifier (C040-05) or Reference Identification (C040-06) is present, then the other is required

C040-01

Reference Identification Qualifier

Required

Identifier (ID)

Min 2Max 3

—

C040-02

Reference Identification

Required

String (AN)

Min 1Max 30

—

C040-03

Reference Identification Qualifier

Optional

Identifier (ID)

Min 2Max 3

—

C040-04

Reference Identification

Optional

String (AN)

Min 1Max 30

—

C040-05

Reference Identification Qualifier

Optional

Identifier (ID)

Min 2Max 3

—

C040-06

REFAccount Number REFMutually Defined

Reference Identification

Optional

String (AN)

Min 1Max 30

—

REF

050

Heading > REF

Location Number

RequiredMax use 12

—

Example

Variants (all may be used)

REF-01

Reference Identification Qualifier

Required

Identifier (ID)

—

LU: Location Number

REF-02

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

REF-03

Description

Optional

String (AN)

Min 1Max 80

—

REF-04

C040

Reference Identifier

OptionalMax use 1

To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier

If either Reference Identification Qualifier (C040-03) or Reference Identification (C040-04) is present, then the other is required

If either Reference Identification Qualifier (C040-05) or Reference Identification (C040-06) is present, then the other is required

C040-01

Reference Identification Qualifier

Required

Identifier (ID)

Min 2Max 3

—

C040-02

Reference Identification

Required

String (AN)

Min 1Max 30

—

C040-03

Reference Identification Qualifier

Optional

Identifier (ID)

Min 2Max 3

—

C040-04

Reference Identification

Optional

String (AN)

Min 1Max 30

—

C040-05

Reference Identification Qualifier

Optional

Identifier (ID)

Min 2Max 3

—

C040-06

REFAccount Number REFLocation Number

Reference Identification

Optional

String (AN)

Min 1Max 30

—

REF

050

Heading > REF

Mutually Defined

RequiredMax use 12

—

Example

Variants (all may be used)

REF-01

Reference Identification Qualifier

Required

Identifier (ID)

—

ZZ: Mutually Defined

REF-02

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

N1 Loop

RequiredMax >1

070

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)

—

Usage notes

—

SJ: Service Provider

N1-02

Name

Required

String (AN)

Min 1Max 60

—

Usage notes

—

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

Min 1Max 2

—

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

N1-05

706

Entity Relationship Code

Optional

Identifier (ID)

Min 2Max 2

—

N1-06

Entity Identifier Code

Optional

Identifier (ID)

Min 2Max 3

—

080

Heading > N1 Loop > N2

Additional Name Information

OptionalMax use 2

—

Example

N2-01

Name

Required

String (AN)

Min 1Max 60

—

N2-02

Name

Optional

String (AN)

Min 1Max 60

—

N1 Loop end

ITD

130

Heading > ITD

Terms of Sale/Deferred Terms of Sale

RequiredMax use >1

—

Example

If Terms Deferred Due Date (ITD-09) is present, then at least one of Deferred Amount Due (ITD-10) or Percent of Invoice Payable (ITD-11) is required

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

If Terms Discount Amount (ITD-08) 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 2Max 2

—

ITD-02

333

Terms Basis Date Code

Optional

Identifier (ID)

Min 1Max 2

—

ITD-03

338

Terms Discount Percent

Optional

Decimal number (R)

Min 1Max 6

—

ITD-04

370

Terms Discount Due Date

Optional

Date (DT)

CCYYMMDD format

—

ITD-05

351

Terms Discount Days Due

Optional

Numeric (N0)

Min 1Max 3

—

ITD-06

446

Terms Net Due Date

Required

Date (DT)

CCYYMMDD format

—

ITD-07

386

Terms Net Days

Optional

Numeric (N0)

Min 1Max 3

—

ITD-08

362

Terms Discount Amount

Optional

Numeric (N2)

Min 1Max 10

—

ITD-09

388

Terms Deferred Due Date

Optional

Date (DT)

CCYYMMDD format

—

ITD-10

389

Deferred Amount Due

Optional

Numeric (N2)

Min 1Max 10

—

ITD-11

342

Percent of Invoice Payable

Optional

Decimal number (R)

Min 1Max 5

—

ITD-12

Description

Optional

String (AN)

Min 1Max 80

—

ITD-13

765

Day of Month

Optional

Numeric (N0)

Min 1Max 2

—

ITD-14

107

Payment Method Code

Optional

Identifier (ID)

Min 1Max 2

—

ITD-15

954

Percent

Optional

Decimal number (R)

Min 1Max 10

—

140

Heading > DTM

Invoice Period End

RequiredMax use 10

—

Example

Variants (all may be used)

DTMInvoice Period Start

If Time Code (DTM-04) is present, then Time (DTM-03) is required

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

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

Date/Time Qualifier

Required

Identifier (ID)

—

187: Invoice Period End

Date

Optional

Date (DT)

CCYYMMDD format

—

DTM-03

337

Time

Optional

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

DTM-04

623

Time Code

Optional

Identifier (ID)

Min 2Max 2

—

DTM-05

1250

Date Time Period Format Qualifier

Optional

Identifier (ID)

Min 2Max 3

—

DTM-06

1251

Date Time Period

Optional

String (AN)

Min 1Max 35

—

140

Heading > DTM

Invoice Period Start

RequiredMax use 10

—

Example

Variants (all may be used)

DTMInvoice Period End

If Time Code (DTM-04) is present, then Time (DTM-03) is required

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

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

Date/Time Qualifier

Required

Identifier (ID)

—

186: Invoice Period Start

Date

Optional

Date (DT)

CCYYMMDD format

—

DTM-03

337

Time

Optional

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

DTM-04

623

Time Code

Optional

Identifier (ID)

Min 2Max 2

—

DTM-05

1250

Date Time Period Format Qualifier

Optional

Identifier (ID)

Min 2Max 3

—

DTM-06

1251

Date Time Period

Optional

String (AN)

Min 1Max 35

—

Heading end

Detail

IT1 Loop

RequiredMax >1

IT1

010

Detail > IT1 Loop > IT1

Baseline Item Data (Invoice)

RequiredMax use 1

—

Example

If either Unit or Basis for Measurement Code (IT1-03) or Unit Price (IT1-04) 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

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 (IT1-14) 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

IT1-01

350

Assigned Identification

Optional

String (AN)

Min 1Max 20

—

IT1-02

358

Quantity Invoiced

Optional

Decimal number (R)

Min 1Max 10

—

Usage notes

—

IT1-03

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

CH: Container
EA: Each
NL: Load
TN: Net Ton (2,000 LB).
V1: Flat
YD: Yard

IT1-04

212

Unit Price

Optional

Decimal number (R)

Min 1Max 15

—

Usage notes

—

IT1-05

639

Basis of Unit Price Code

Optional

Identifier (ID)

Min 2Max 2

—

IT1-06

Product/Service ID Qualifier

Required

Identifier (ID)

—

CR: Contract Number
—

IT1-07

Product/Service ID

Required

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-08

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-09

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-10

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-11

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-12

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-13

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-14

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-15

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-16

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-17

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-18

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-19

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-20

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-21

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-22

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-23

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1-24

Product/Service ID Qualifier

Optional

Identifier (ID)

—

CR: Contract Number
—

IT1-25

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

150

Detail > IT1 Loop > DTM

Service Period End

OptionalMax use 10

—

Example

Variants (all may be used)

DTMService Period Start

Date/Time Qualifier

Required

Identifier (ID)

—

151: Service Period End

Date

Optional

Date (DT)

CCYYMMDD format

—

Usage notes

—

150

Detail > IT1 Loop > DTM

Service Period Start

OptionalMax use 10

—

Example

Variants (all may be used)

DTMService Period End

Date/Time Qualifier

Required

Identifier (ID)

—

150: Service Period Start

Date

Optional

Date (DT)

CCYYMMDD format

—

Usage notes

—

SAC Loop

RequiredMax >1

SAC

180

Detail > IT1 Loop > SAC Loop > SAC

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1

—

Example

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

If either Allowance/Charge Percent Qualifier (SAC-06) or Percent (SAC-07) is present, then the other is required

If either Unit or Basis for Measurement Code (SAC-09) or Quantity (SAC-10) is present, then the other is required

If Quantity (SAC-11) is present, then Quantity (SAC-10) is required

If Option Number (SAC-14) is present, then Reference Identification (SAC-13) is required

SAC-01

248

Allowance or Charge Indicator

Required

Identifier (ID)

Min 1Max 1

—

SAC-02

1300

Service, Promotion, Allowance, or Charge Code

Optional

Identifier (ID)

Min 4Max 4

—

SAC-03

559

Agency Qualifier Code

Optional

Identifier (ID)

—

ZZ: Mutually Defined

SAC-04

1301

Agency Service, Promotion, Allowance, or Charge Code

Required

String (AN)

—

REG: Regular Charges
TEMP: Temporary Charges

SAC-05

Amount

Required

Numeric (N2)

Min 1Max 15

—

SAC-06

378

Allowance/Charge Percent Qualifier

Optional

Identifier (ID)

Min 1Max 1

—

SAC-07

332

Percent

Optional

Decimal number (R)

Min 1Max 6

—

SAC-08

118

Rate

Optional

Decimal number (R)

Min 1Max 9

—

SAC-09

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

Min 2Max 2

—

SAC-10

380

Quantity

Optional

Decimal number (R)

Min 1Max 15

—

SAC-11

380

Quantity

Optional

Decimal number (R)

Min 1Max 15

—

SAC-12

331

Allowance or Charge Method of Handling Code

Optional

Identifier (ID)

Min 2Max 2

—

SAC-13

Reference Identification

Optional

String (AN)

Min 1Max 30

—

SAC-14

770

Option Number

Optional

String (AN)

Min 1Max 20

—

SAC-15

Description

Required

String (AN)

Min 1Max 80

—

Usage notes

—

SAC-16

819

Language Code

Optional

Identifier (ID)

Min 2Max 3

—

SAC Loop end

IT1 Loop end

Detail end

Summary

TDS

010

Summary > TDS

Total Monetary Value Summary

RequiredMax use 1

—

Example

TDS-01

Amount

Required

Numeric (N2)

Min 1Max 15

—

TDS-02

Amount

Optional

Numeric (N2)

Min 1Max 15

—

TDS-03

Amount

Optional

Numeric (N2)

Min 1Max 15

—

TDS-04