X12 997 Functional Acknowledgment

Functional Group Response Header

Functional Group Header

Transaction Set Header

Transaction Set Response Header

Transaction Set Response Trailer

Functional Group Response Trailer

080

Transaction Set Trailer

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)

—

FA: Functional Acknowledgment (997)

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)

—

997: Functional Acknowledgment

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

AK1

020

Heading > AK1

Functional Group Response Header

RequiredMax use 1

—

Usage notes

—

Example

AK1-01

479

Functional Identifier Code

Required

Identifier (ID)

Min 2Max 2

—

AK1-02

Group Control Number

Required

Numeric (N0)

Min 1Max 9

—

AK2 Loop

RequiredMax >1

AK2

030

Heading > AK2 Loop > AK2

Transaction Set Response Header

RequiredMax use 1

—

Usage notes

—

Example

AK2-01

143

Transaction Set Identifier Code

Required

Identifier (ID)

Min 3Max 3

—

AK2-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

AK3 Loop

OptionalMax >1

AK3

040

Heading > AK2 Loop > AK3 Loop > AK3

Data Segment Note

RequiredMax use 1

—

Usage notes

—

Example

AK3-01

721

Segment ID Code

Required

Identifier (ID)

Min 2Max 3

—

AK3-02

719

Segment Position in Transaction Set

Required

Numeric (N0)

Min 1Max 6

—

AK3-03

447

Loop Identifier Code

Required

String (AN)

Min 1Max 6

—

AK3-04

720

Segment Syntax Error Code

Required

Identifier (ID)

Min 1Max 3

—

AK4

050

Heading > AK2 Loop > AK3 Loop > AK4

Data Element Note

OptionalMax use 99

—

Usage notes

—

Example

AK4-01

C030

Position in Segment

RequiredMax use 1

Code indicating the relative position of a simple data element, or the relative position of a composite data structure combined with the relative position of the component data element within the composite data structure, in error; the count starts with 1 for the simple data element or composite data structure immediately following the segment ID

C030-01

722

Element Position in Segment

Required

Numeric (N0)

Min 1Max 2

—

AK4-02

725

Data Element Reference Number

Required

Numeric (N0)

Min 1Max 4

—

AK4-03

723

Data Element Syntax Error Code

Required

Identifier (ID)

Min 1Max 3

—

AK4-04

724

Copy of Bad Data Element

Required

String (AN)

Min 1Max 99

—

AK3 Loop end

AK5

060

Heading > AK2 Loop > AK5

Transaction Set Response Trailer

RequiredMax use 1

—

Usage notes

—

Example

AK5-01

717

Transaction Set Acknowledgment Code

Required

Identifier (ID)

—

A: Accepted
E: Accepted But Errors Were Noted
R: Rejected

AK5-02

Transaction Set Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK5-03

Transaction Set Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK5-04

Transaction Set Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK5-05

Transaction Set Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK5-06

Transaction Set Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK2 Loop end

AK9

070

Heading > AK9

Functional Group Response Trailer

RequiredMax use 1

—

Usage notes

—

Example

AK9-01

715

Functional Group Acknowledge Code

Required

Identifier (ID)

—

A: Accepted
E: Accepted, But Errors Were Noted.
R: Rejected

AK9-02

Number of Transaction Sets Included

Required

Numeric (N0)

Min 1Max 6

—

AK9-03

123

Number of Received Transaction Sets

Required

Numeric (N0)

Min 1Max 6

—

AK9-04

Number of Accepted Transaction Sets

Required

Numeric (N0)

Min 1Max 6

—

AK9-05

Functional Group Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK9-06

Functional Group Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK9-07

Functional Group Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK9-08

Functional Group Syntax Error Code

Optional

Identifier (ID)

Min 1Max 3

—

AK9-09