X12 820 Retail Payment Order/Remittance Advice

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)

—

RA: Payment Order/Remittance Advice (820)

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
004010VICS

Heading

010

Heading > ST

Transaction Set Header

RequiredMax use 1

—

Example

ST-01

143

Transaction Set Identifier Code

Required

Identifier (ID)

—

820: Payment Order/Remittance Advice

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BPR

020

Heading > BPR

Beginning Segment for Payment Order/Remittance Advice

RequiredMax use 1

—

Example

If either (DFI) ID Number Qualifier (BPR-06) or (DFI) Identification Number (BPR-07) is present, then the other is required

If either (DFI) ID Number Qualifier (BPR-12) or (DFI) Identification Number (BPR-13) is present, then the other is required

BPR-01

305

Transaction Handling Code

Required

Identifier (ID)

—

C: Payment Accompanies Remittance Advice
D: Make Payment Only
I: Remittance Information Only
P: Prenotification of Future Transfers

BPR-02

Monetary Amount

Required

Decimal number (R)

Min 1Max 15

—

BPR-03

478

Credit/Debit Flag Code

Required

Identifier (ID)

—

C: Credit

BPR-04

591

Payment Method Code

Required

Identifier (ID)

—

ACH: Automated Clearing House (ACH)
CHK: Check

BPR-05

812

Payment Format Code

Optional

Identifier (ID)

—

CTX: Corporate Trade Exchange (CTX) (ACH)
PBC: Commercial/Corporate Check
PPD: Prearranged Payment and Deposit (PPD+) (ACH)

BPR-06

506

(DFI) ID Number Qualifier

Optional

Identifier (ID)

—

01: ABA Transit Routing Number Including Check Digits (9 digits)

BPR-07

507

(DFI) Identification Number

Optional

String (AN)

Min 3Max 12

—

BPR-09

508

Account Number

Optional

String (AN)

Min 1Max 35

—

BPR-10

509

Originating Company Identifier

Optional

String (AN)

—

3787408996: Kohl’s DUNS number

BPR-12

506

(DFI) ID Number Qualifier

Optional

Identifier (ID)

—

01: ABA Transit Routing Number Including Check Digits (9 digits)

BPR-13

507

(DFI) Identification Number

Optional

String (AN)

Min 3Max 12

—

BPR-15

508

Account Number

Optional

String (AN)

Min 1Max 35

—

BPR-16

Date

Optional

Date (DT)

CCYYMMDD format

—

Usage notes

—

TRN

035

Heading > TRN

Trace

OptionalMax use 1

—

Example

TRN-01

481

Trace Type Code

Required

Identifier (ID)

—

1: Current Transaction Trace Numbers

TRN-02

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

REF

050

Heading > REF

Reference Identification

OptionalMax use >1

—

Example

REF-01

Reference Identification Qualifier

Required

Identifier (ID)

—

BT: Batch Number

REF-02

Reference Identification

Optional

String (AN)

Min 1Max 30

—

Usage notes

—

DTM

060

Heading > DTM

Date/Time Reference

OptionalMax use >1

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

097: Transaction Creation

DTM-02

Date

Optional

Date (DT)

CCYYMMDD format

—

Usage notes

—

N1 Payee

RequiredMax 1

Variants (all may be used)

Payer

070

Heading > Payee > N1

Name

RequiredMax use 1

—

Example

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

Entity Identifier Code

Required

Identifier (ID)

—

PE: Payee

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

Usage notes

—

N1 Payee end

N1 Payer

RequiredMax 1

Variants (all may be used)

Payee

070

Heading > Payer > N1

Name

RequiredMax use 1

—

Example

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

Entity Identifier Code

Required

Identifier (ID)

—

PR: Payer

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Optional

Identifier (ID)

—

1: D-U-N-S Number, Dun & Bradstreet

N1-04

Identification Code

Optional

String (AN)

Min 2Max 80

—

Usage notes

—

N1 Payer end

Heading end

Detail

ENT Loop

RequiredMax >1

ENT

010

Detail > ENT Loop > ENT

Entity

RequiredMax use 1

—

Example

ENT-01

554

Assigned Number

Optional

Numeric (N0)

Min 1Max 6

—

ADX Loop

OptionalMax >1

ADX

080

Detail > ENT Loop > ADX Loop > ADX

Adjustment

RequiredMax use 1

—

Example

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

ADX-01

Monetary Amount

Required

Decimal number (R)

Min 1Max 15

—

ADX-02

426

Adjustment Reason Code

Required

Identifier (ID)

—

01: Pricing Error
—
11: Returns - Damage
—
15: Returns - Recall
—
29: Fee Incorrect
—
46: Transportation Charge Incorrect
—
49: Processing Charge
—
59: Item not received
—
71: Advertising Allowance
—
74: Cancel or Adjust Prior Credit/Debit Adjustment
—
92: Entire Shipment Not Ordered
—
93: Field Destroy
—
A3: New Store Allowance
—
A8: Promotional Allowance
—
B6: Repay Discount
—
BE: Fixture Allowance
—
D3: Unauthorized Deduction
—
MA: Marketing Allowance
—

ADX-03

Reference Identification Qualifier

Optional

Identifier (ID)

—

AM: Adjustment Memo (Charge Back)

ADX-04

Reference Identification

Optional

String (AN)

Min 1Max 30

—

Usage notes

—

REF Loop

RequiredMax >1

REF

110

Detail > ENT Loop > ADX Loop > REF Loop > REF

Reference Identification

RequiredMax use 1

—

Example

At least one of Reference Identification (REF-02) or Description (REF-03) is required

REF-01

Reference Identification Qualifier

Required

Identifier (ID)

—

AM: Adjustment Memo (Charge Back)
DP: Department Number
PO: Purchase Order Number
ST: Store Number

REF-02

Reference Identification

Optional

String (AN)

Min 1Max 30

—

REF-03

352

Description

Optional

String (AN)

Min 1Max 80

—

Usage notes

—

DTM

120

Detail > ENT Loop > ADX Loop > REF Loop > DTM

Date/Time Reference

OptionalMax use 1

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

097: Transaction Creation

DTM-02

Date

Optional

Date (DT)

CCYYMMDD format

—

Usage notes

—

REF Loop end

IT1 Loop

RequiredMax >1

IT1

130

Detail > ENT Loop > ADX Loop > IT1 Loop > IT1

Baseline Item Data (Invoice)

RequiredMax use 1

—

Usage notes

—

Example

If either Quantity Invoiced (IT1-02), Unit or Basis for Measurement Code (IT1-03) or Unit Price (IT1-04) are present, then the others are required

If either Product/Service ID Qualifier (IT1-06) or Product/Service ID (IT1-07) is present, then the other is required

IT1-01

350

Assigned Identification

Optional

String (AN)

Min 1Max 20

—

Usage notes

—

IT1-02

358

Quantity Invoiced

Optional

Decimal number (R)

Min 1Max 10

—

IT1-03

355

Unit or Basis for Measurement Code

Optional

Identifier (ID)

—

EA: Each

IT1-04

212

Unit Price

Optional

Decimal number (R)

Min 1Max 15

—

IT1-05

639

Basis of Unit Price Code

Optional

Identifier (ID)

—

QT: Quoted

IT1-06

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

DV: Location Code
VA: Vendor's Style Number

IT1-07

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

IT1 Loop end

ADX Loop end

RMR Loop

OptionalMax >1

RMR

150

Detail > ENT Loop > RMR Loop > RMR

Remittance Advice Accounts Receivable Open Item Reference

RequiredMax use 1

—

Example

If either Reference Identification Qualifier (RMR-01) or Reference Identification (RMR-02) is present, then the other is required

RMR-01

Reference Identification Qualifier

Optional

Identifier (ID)

—

IV: Seller's Invoice Number

RMR-02

Reference Identification

Optional

String (AN)

Min 1Max 30

—

RMR-04

Monetary Amount

Optional

Decimal number (R)

Min 1Max 15

—

Usage notes

—

RMR-05

Monetary Amount

Optional

Decimal number (R)

Min 1Max 15

—

Usage notes

—

RMR-06

Monetary Amount

Optional

Decimal number (R)

Min 1Max 15

—

Usage notes

—

REF

170

Detail > ENT Loop > RMR Loop > REF

Reference Identification

OptionalMax use >1

—

Example

At least one of Reference Identification (REF-02) or Description (REF-03) is required

REF-01

Reference Identification Qualifier

Required

Identifier (ID)

—

DP: Department Number
IK: Invoice Number
PO: Purchase Order Number
ST: Store Number

REF-02

Reference Identification

Optional

String (AN)

Min 1Max 30

—

REF-03

352

Description

Optional

String (AN)

Min 1Max 80

—

Usage notes

—

DTM

180

Detail > ENT Loop > RMR Loop > DTM

Date/Time Reference

OptionalMax use 1

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

097: Transaction Creation

DTM-02