X12 812 Credit/Debit Adjustment

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)

• CD: Credit/Debit Adjustment (812)

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)

• 812: Credit/Debit Adjustment

ST-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

020 Heading > BCD

BCD Beginning Credit/Debit Adjustment

Required · Max use 1

At least one of Invoice Number (BCD-07), Purchase Order Number (BCD-10) or Reference Identification (BCD-14) is required

If either Reference Identification Qualifier (BCD-13) or Reference Identification (BCD-14) is present, then the other is required

BCD-01 · 373 · Date · Required · Date (DT) · CCYYMMDD format

BCD-02 · 475 · Credit/Debit Adjustment Number · Required · String (AN) · Min 1 Max 22

BCD-03 · 305 · Transaction Handling Code · Required · Identifier (ID)

• A: Off Invoice (Deduction from Original Invoice)
• O: Deduct from Next Remittance

BCD-04 · 610 · Amount · Required · Numeric (N2) · Min 1 Max 15

BCD-05 · 478 · Credit/Debit Flag Code · Required · Identifier (ID)

• C: Credit
• D: Debit

BCD-06 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

BCD-07 · 76 · Invoice Number · Optional · String (AN) · Min 1 Max 22

BCD-10 · 324 · Purchase Order Number · Optional · String (AN) · Min 1 Max 22

BCD-13 · 128 · Reference Identification Qualifier · Optional · Identifier (ID)

• BT: Batch Number
• RZ: Returned Goods Authorization Number
• ST: Store Number

BCD-14 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

040 Heading > N9

N9 Reference Identification

Required · Max use >1

At least one of Reference Identification (N9-02) or Free-form Description (N9-03) is required

N9-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• CN: Carrier's Reference Number (PRO/Invoice)
• L1: Letters or Notes
• RZ: Returned Goods Authorization Number
• ST: Store Number

N9-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

N9-03 · 369 · Free-form Description · Optional · String (AN) · Min 1 Max 45

070 Heading > DTM

DTM Date/Time Reference

Optional · Max use >1

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

• 011: Shipped

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

090 Heading > SHD

SHD Shipment Detail

Optional · Max use >1

If Number of Units Shipped (SHD-01) is present, then Unit or Basis for Measurement Code (SHD-03) is required

SHD-01 · 382 · Number of Units Shipped · Optional · Decimal number (R) · Min 1 Max 10

SHD-03 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case

097 Heading > SAC

SAC Service, Promotion, Allowance, or Charge Information

Optional · Max use 3

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)

• D240: Freight
• D500: Handling
• D750: Inbound Freight Charges

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

N1 Loop Required Max 200

100 Heading > N1 Loop > N1

N1 Name

Required · Max use 1

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

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

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

• CA: Carrier
• PR: Payer
• SE: Selling Party
• SF: Ship From

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
• 92: Assigned by Buyer or Buyer's Agent

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

Detail

CDD Loop Optional Max >1

160 Detail > CDD Loop > CDD

CDD Credit/Debit Adjustment Detail

Required · Max use 1

At least one of Amount (CDD-04) or Credit/Debit Quantity (CDD-07) is required

If either Credit/Debit Quantity (CDD-07) or Unit or Basis for Measurement Code (CDD-08) is present, then the other is required

If Credit/Debit Quantity (CDD-07) is present, then Unit Price (CDD-11) is required

If either Price Identifier Code (CDD-10) or Unit Price (CDD-11) is present, then the other is required

If either Price Identifier Code (CDD-12) or Unit Price (CDD-13) is present, then the other is required

CDD-01 · 426 · Adjustment Reason Code · Required · Identifier (ID)

• 01: Pricing Error
• 19: Duplicate Billing
• 49: Processing Charge
• 55: Tax Deducted
• 59: Item not received
• 72: Authorized Return
• 74: Cancel or Adjust Prior Credit/Debit Adjustment
• 81: Credit as Agreed
• A3: New Store Allowance
• GB: Coupon Related
• L4: Administrative Fees
• M1: Advertising - Unidentified
• RG: Difference on Returns

CDD-02 · 478 · Credit/Debit Flag Code · Required · Identifier (ID)

• C: Credit
• D: Debit

CDD-03 · 350 · Assigned Identification · Optional · String (AN) · Min 1 Max 20

CDD-04 · 610 · Amount · Optional · Numeric (N2) · Min 1 Max 15

CDD-05 · 1073 · Yes/No Condition or Response Code · Optional · Identifier (ID)

• Y: Yes

CDD-07 · 477 · Credit/Debit Quantity · Optional · Decimal number (R) · Min 1 Max 10

CDD-08 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• CA: Case
• EA: Each

CDD-09 · 427 · Unit Price Difference · Optional · Decimal number (R) · Min 1 Max 15

CDD-10 · 236 · Price Identifier Code · Optional · Identifier (ID)

• UCP: Unit cost price

CDD-11 · 212 · Unit Price · Optional · Decimal number (R) · Min 1 Max 15

CDD-12 · 236 · Price Identifier Code · Optional · Identifier (ID)

• OPP: Original Purchase Order Price

CDD-13 · 212 · Unit Price · Optional · Decimal number (R) · Min 1 Max 15

170 Detail > CDD Loop > LIN

LIN Item Identification

Optional · Max use 1

If either Product/Service ID Qualifier (LIN-04) or Product/Service ID (LIN-05) is present, then the other is required

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

LIN-02 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• EN: European Article Number (EAN) (2-5-5-1)
• IN: Buyer's Item Number
• UP: U.P.C. Consumer Package Code (1-5-5-1)

LIN-03 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

LIN-04 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• EN: European Article Number (EAN) (2-5-5-1)
• IN: Buyer's Item Number
• UP: U.P.C. Consumer Package Code (1-5-5-1)

LIN-05 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

270 Detail > 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