X12 810 Debit Invoice

X12 Release 4030

Delimiters

• ~ Segment
• * Element
• > Component
• ^ Repetition

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: ACT, Inc. 4-Digit Code of Postsecondary Institutions.
• 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
• SA: User Identification Number as assigned by the Safety and Fitness Electronic Records (SAFER) System
• 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: ACT, Inc. 4-Digit Code of Postsecondary Institutions.
• 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
• SA: User Identification Number as assigned by the Safety and Fitness Electronic Records (SAFER) System
• 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 · I65 · Repetition Separator · Required · String (AN) · Min 1 Max 1

• ^: Repetition Separator

ISA-12 · I11 · Interchange Control Version Number · Required · Identifier (ID)

• 00403: Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1999

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)

• IN: Invoice Information (810)

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)

• 004030: Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1999

Heading

0100 Heading > ST

ST Transaction Set Header

Required · Max use 1

ST-01 · 143 · Transaction Set Identifier Code · Required · Identifier (ID)

• 810: Invoice

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

0200 Heading > BIG

BIG Beginning Segment for Invoice

Required · Max use 1

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

BIG-02 · 76 · Invoice Number · Required · String (AN) · Min 1 Max 22

BIG-03 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

BIG-04 · 324 · Purchase Order Number · Required · String (AN) · Min 1 Max 22

0400 Heading > CUR

CUR Currency

Optional · Max use 1

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

• SE: Selling Party

CUR-02 · 100 · Currency Code · Required · Identifier (ID) · Min 3 Max 3

0500 Heading > REF

REF Reference Identification

Required · Max use 1

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

• VR: Vendor ID Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

N1 Remit To and Ship From Required Max 1

Variants (all may be used)

Ship To

0700 Heading > Remit To and Ship From > 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)

• RI: Remit To
• 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
• 9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
• 92: Assigned by Buyer or Buyer's Agent

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

0900 Heading > Remit To and Ship From > N3

N3 Address Information

Optional · Max use 2

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

N3-02 · 166 · Address Information · Optional · String (AN) · Min 1 Max 55

1000 Heading > Remit To and Ship From > N4

N4 Geographic Location

Optional · Max use 1

N4-01 · 19 · City Name · Required · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Required · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Required · Identifier (ID) · Min 3 Max 15

N4-04 · 26 · Country Code · Optional · Identifier (ID) · Min 2 Max 3

N1 Ship To Required Max 1

Variants (all may be used)

Remit To and Ship From

0700 Heading > Ship To > 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)

• ST: Ship To

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
• 9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
• 92: Assigned by Buyer or Buyer's Agent

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

0900 Heading > Ship To > N3

N3 Address Information

Optional · Max use 2

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

N3-02 · 166 · Address Information · Optional · String (AN) · Min 1 Max 55

1000 Heading > Ship To > N4

N4 Geographic Location

Optional · Max use 1

N4-01 · 19 · City Name · Required · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Required · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Required · Identifier (ID) · Min 3 Max 15

N4-04 · 26 · Country Code · Optional · Identifier (ID) · Min 2 Max 3

1300 Heading > ITD

ITD Terms of Sale/Deferred Terms of Sale

Required · Max use 1

ITD-01 · 336 · Terms Type Code · Optional · Identifier (ID)

• 05: Discount Not Applicable
• 08: Basic Discount Offered
• PP: Prepayment

ITD-02 · 333 · Terms Basis Date Code · Optional · Identifier (ID)

• 3: Invoice Date
• 15: Receipt of Goods

ITD-03 · 338 · Terms Discount Percent · Optional · Decimal number (R) · Min 1 Max 6

ITD-04 · 370 · Terms Discount Due Date · Optional · Date (DT) · CCYYMMDD format

ITD-05 · 351 · Terms Discount Days Due · Optional · Numeric (N0) · Min 1 Max 3

ITD-06 · 446 · Terms Net Due Date · Optional · Date (DT) · CCYYMMDD format

ITD-07 · 386 · Terms Net Days · Optional · Numeric (N0) · Min 1 Max 3

ITD-12 · 352 · Description · Required · String (AN) · Min 1 Max 80

1400 Heading > DTM

DTM Delivered

Required · Max use 1

Variants (all may be used)

DTMShipped

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

• 035: Delivered

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

1400 Heading > DTM

DTM Shipped

Required · Max use 1

Variants (all may be used)

DTMDelivered

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

• 011: Shipped

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

Detail

IT1 Loop Required Max 200000

0100 Detail > IT1 Loop > IT1

IT1 Baseline Item Data (Invoice)

Required · Max use 1

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

IT1-01 · 350 · Assigned Identification · Optional · String (AN) · Min 1 Max 20

IT1-02 · 358 · Quantity Invoiced · Required · Decimal number (R) · Min 1 Max 10

IT1-03 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case
• EA: Each
• KG: Kilogram
• LB: Pound

IT1-04 · 212 · Unit Price · Required · Decimal number (R) · Min 1 Max 15

IT1-06 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

• EN: EAN/UCC - 13
• IN: Buyer's Item Number
• UA: U.P.C./EAN Case Code (2-5-5)
• UK: EAN/UCC - 14
• UP: UCC - 12

IT1-07 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

IT1-08 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• EN: EAN/UCC - 13
• IN: Buyer's Item Number
• UA: U.P.C./EAN Case Code (2-5-5)
• UK: EAN/UCC - 14
• UP: UCC - 12
• VN: Vendor's (Seller's) Item Number

IT1-09 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

IT1-10 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID)

• IN: Buyer's Item Number
• UA: U.P.C./EAN Case Code (2-5-5)
• UK: EAN/UCC - 14
• UP: UCC - 12
• VN: Vendor's (Seller's) Item Number

IT1-11 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

0300 Detail > IT1 Loop > IT3

IT3 Additional Item Data

Optional · Max use 1

IT3-01 · 382 · Number of Units Shipped · Required · Decimal number (R) · Min 1 Max 10

IT3-02 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case

PID Loop Required Max 3

0600 Detail > IT1 Loop > PID Loop > PID

PID Product/Item Description

Required · Max use 1

PID-01 · 349 · Item Description Type · Required · Identifier (ID)

• F: Free-form

PID-02 · 750 · Product/Process Characteristic Code · Required · Identifier (ID)

• 08: Product
• 73: Vendor color description
• 74: Vendor size description

PID-05 · 352 · Description · Required · String (AN) · Min 1 Max 80

SAC Loop Optional Max >1

1800 Detail > IT1 Loop > SAC Loop > SAC

SAC Service, Promotion, Allowance, or Charge Information

Required · Max use 1

SAC-01 · 248 · Allowance or Charge Indicator · Required · Identifier (ID)

• A: Allowance
• C: Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Required · Identifier (ID)

• C110: Deposit
• D240: Freight
• E740: New Store Allowance
• F800: Promotional Allowance
• F810: Promotional Discount
• H560: Swell
• H630: Tax - City Sales Tax (Only)
• H730: Tax - Local Sales Tax
• H850: Tax
• I170: Trade Discount
• I410: Unsaleable Merchandise Allowance

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

SAC-15 · 352 · Description · Required · String (AN) · Min 1 Max 80

Summary

0100 Summary > TDS

TDS Total Monetary Value Summary

Required · Max use 1

TDS-01 · 610 · Amount · Required · Numeric (N2) · Min 1 Max 15

TDS-02 · 610 · Amount · Optional · Numeric (N2) · Min 1 Max 15

0300 Summary > CAD

CAD Carrier Detail

Required · Max use 1

At least one of Standard Carrier Alpha Code (CAD-04) or Routing (CAD-05) is required

CAD-01 · 91 · Transportation Method/Type Code · Optional · Identifier (ID)

• A: Air
• AE: Air Express
• C: Consolidation
• CE: Customer Pickup / Customer's Expense
• D: Parcel Post
• E: Expedited Truck
• H: Customer Pickup
• K: Backhaul
• L: Contract Carrier
• M: Motor (Common Carrier)
• MP: Motor (Package Carrier)
• R: Rail
• S: Ocean
• T: Best Way (Shippers Option)
• U: Private Parcel Service

CAD-02 · 206 · Equipment Initial · Optional · String (AN) · Min 1 Max 4

CAD-03 · 207 · Equipment Number · Optional · String (AN) · Min 1 Max 10

CAD-04 · 140 · Standard Carrier Alpha Code · Optional · Identifier (ID) · Min 2 Max 4

CAD-05 · 387 · Routing · Optional · String (AN) · Min 1 Max 35

CAD-07 · 128 · Reference Identification Qualifier · Required · Identifier (ID)

• BM: Bill of Lading Number
• CN: Carrier's Reference Number (PRO/Invoice)

CAD-08 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 50

SAC Loop Optional Max 25

0400 Summary > SAC Loop > SAC

SAC Service, Promotion, Allowance, or Charge Information

Required · Max use 1

SAC-01 · 248 · Allowance or Charge Indicator · Required · Identifier (ID)

• A: Allowance
• C: Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Required · Identifier (ID)

• C040: Delivery
• D240: Freight

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

SAC-12 · 331 · Allowance or Charge Method of Handling Code · Optional · Identifier (ID)

• 02: Off Invoice

SAC-15 · 352 · Description · Required · String (AN) · Min 1 Max 80

ISS Loop Optional Max 1

0600 Summary > ISS Loop > ISS

ISS Invoice Shipment Summary

Required · Max use 1

If either Weight (ISS-03) or Unit or Basis for Measurement Code (ISS-04) is present, then the other is required

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

ISS-02 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

• CA: Case

ISS-03 · 81 · Weight · Optional · Decimal number (R) · Min 1 Max 10

ISS-04 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID)

• LB: Pound

0700 Summary > CTT

CTT Transaction Totals

Required · Max use 1

CTT-01 · 354 · Number of Line Items · Required · Numeric (N0) · Min 1 Max 6

0800 Summary > 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