Walgreens
/
Payment Order/Remittance Advice via SAP or ERS Notification
  • Specification
  • EDI Inspector
Stedi maintains this guide based on public documentation from Walgreens. Contact Walgreens for official EDI specifications. To report any errors in this guide, please contact us.
Go to Stedi Network
Walgreens logo

X12 820 Payment Order/Remittance Advice via SAP or ERS Notification

X12 Release 4010
Delimiters
  • ~ Segment
  • * Element
  • > Component
EDI samples
  • None included
View the latest version of this implementation guide as an interactive webpage
https://www.stedi.com/app/guides/view/walgreens/payment-orderremittance-advice-via-sap-or-ers-notification/01H40WY3BCMCEZEZ40MWT0GYF4
Powered by
Build EDI implementation guides at stedi.com
Overview
ISA
-
Interchange Control Header
Max use 1
Required
GS
-
Functional Group Header
Max use 1
Required
heading
ST
010
Transaction Set Header
Max use 1
Required
BPR
020
Beginning Segment for Payment Order/Remittance Advice
Max use 1
Required
NTE
030
Note/Special Instruction
Max use 1
Optional
CUR
040
Currency
Max use 1
Optional
REF
050
Reference Identification
Max use 1
Optional
DTM
060
Date/Time Reference
Max use 2
Required
N1 Loop payee
detail
ENT Loop
ENT
010
Entity
Max use 1
Required
ADX Loop
GE
-
Functional Group Trailer
Max use 1
Required
IEA
-
Interchange Control Trailer
Max use 1
Required
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
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
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
Required
Date (DT)
CCYYMMDD format
Required
Time (TM)
HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format
GS-06
28
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

ST
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
BPR-01
305
Transaction Handling Code
Required
Identifier (ID)
H
Notification Only
BPR-02
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
BPR-03
478
Credit/Debit Flag Code
Required
Identifier (ID)
C
Credit
D
Debit
BPR-04
591
Payment Method Code
Required
Identifier (ID)
NON
Non-Payment Data
BPR-10
509
Originating Company Identifier
Required
String (AN)
Min 10Max 13
Usage notes
NTE
030
Heading > NTE

Note/Special Instruction

OptionalMax use >1
Example
NTE-01
363
Note Reference Code
Optional
Identifier (ID)
TDS
NTE-02
352
Description
Required
String (AN)
Min 1Max 80
CUR
040
Heading > CUR

Currency

OptionalMax use 1
Example
CUR-01
98
Entity Identifier Code
Required
Identifier (ID)
ZZ
Mutually Defined
CUR-02
100
Currency Code
Required
Identifier (ID)
Min 3Max 3
Usage notes
CUR-03
280
Exchange Rate
Optional
Decimal number (R)
Min 4Max 10
Usage notes
REF
050
Heading > REF

Reference Identification

OptionalMax use >1
Example
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
CR
Customer Reference Number
I5
Invoice Identification
VN
Vendor Order Number
VR
Vendor ID Number
REF-02
127
Reference Identification
Required
String (AN)
Min 1Max 30
DTM
060
Heading > DTM

Date/Time Reference

RequiredMax use 2
Example
DTM-01
374
Date/Time Qualifier
Required
Identifier (ID)
003
Invoice
239
Baseline
809
Posted
Required
Date (DT)
CCYYMMDD format
N1 Loop payee
RequiredMax 1
Variants (all may be used)
N1 Loop payer
N1
070
Heading > N1 Loop payee > N1

Name

RequiredMax use 1
Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)
PE
Payee
Required
String (AN)
Min 1Max 60
N4
100
Heading > N1 Loop payee > N4

Geographic Location

RequiredMax use 1
Example
N4-01
19
City Name
Required
String (AN)
Min 2Max 30
N4-02
156
State or Province Code
Required
Identifier (ID)
Min 2Max 2
N4-03
116
Postal Code
Required
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Required
Identifier (ID)
Min 2Max 3
N1 Loop payee end
N1 Loop payer
RequiredMax 1
Variants (all may be used)
N1 Loop payee
N1
070
Heading > N1 Loop payer > N1

Name

RequiredMax use 1
Example
N1-01
98
Entity Identifier Code
Required
Identifier (ID)
PR
Payer
Required
String (AN)
Min 1Max 60
N1-03
66
Identification Code Qualifier
Required
Identifier (ID)
92
Assigned by Buyer or Buyer's Agent
N1-04
67
Identification Code
Required
String (AN)
Min 2Max 80
Usage notes
N4
100
Heading > N1 Loop payer > N4

Geographic Location

RequiredMax use 1
Example
N4-01
19
City Name
Required
String (AN)
Min 2Max 30
N4-02
156
State or Province Code
Required
Identifier (ID)
Min 2Max 2
N4-03
116
Postal Code
Required
Identifier (ID)
Min 3Max 15
N4-04
26
Country Code
Required
Identifier (ID)
Min 2Max 3
N1 Loop 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
Required
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
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
ADX-02
426
Adjustment Reason Code
Required
Identifier (ID)
ZZ
Mutually Defined
ADX-03
128
Reference Identification Qualifier
Optional
Identifier (ID)
ZZ
Mutually Defined
ADX-04
127
Reference Identification
Optional
String (AN)
Min 1Max 30
ADX Loop end
RMR Loop
RequiredMax >1
RMR
150
Detail > ENT Loop > RMR Loop > RMR

Remittance Advice Accounts Receivable Open Item Reference

RequiredMax use 1
Example
RMR-01
128
Reference Identification Qualifier
Required
Identifier (ID)
7C
Purchase Order Number of Order Received since Last Reporting Date
RMR-02
127
Reference Identification
Required
String (AN)
Min 1Max 30
RMR-03
482
Payment Action Code
Optional
Identifier (ID)
ER
Evaluated Receipts Settlement
RMR-04
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
Usage notes
RMR-05
782
Monetary Amount
Optional
Decimal number (R)
Min 1Max 15
Usage notes
RMR-06
782
Monetary Amount
Optional
Decimal number (R)
Min 1Max 15
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)
035
Delivered
050
Received
Required
Date (DT)
CCYYMMDD format
IT1 Loop
OptionalMax >1
IT1
190
Detail > ENT Loop > RMR Loop > IT1 Loop > IT1

Baseline Item Data (Invoice)

RequiredMax use 1
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
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)
PE
Price per Each
IT1-06
235
Product/Service ID Qualifier
Optional
Identifier (ID)
EN
European Article Number (EAN) (2-5-5-1)
ND
National Drug Code (NDC)
UI
U.P.C. Consumer Package Code (1-5-5)
UK
U.P.C./EAN Shipping Container Code (1-2-5-5-1)
UP
U.P.C. Consumer Package Code (1-5-5-1)
IT1-07
234
Product/Service ID
Optional
String (AN)
Min 1Max 48
REF Loop
OptionalMax >1
REF
200
Detail > ENT Loop > RMR Loop > IT1 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
128
Reference Identification Qualifier
Required
Identifier (ID)
06
System Number
BAF
Receipt Number
K6
Purchase Description
RZ
Returned Goods Authorization Number
REF-02
127
Reference Identification
Optional
String (AN)
Min 1Max 30
REF-03
352
Description
Optional
String (AN)
Min 1Max 80
REF Loop end
IT1 Loop end
ADX Loop
OptionalMax >1
ADX
210
Detail > ENT Loop > RMR 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
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
ADX-02
426
Adjustment Reason Code
Required
Identifier (ID)
ZZ
Mutually Defined
ADX-03
128
Reference Identification Qualifier
Optional
Identifier (ID)
ZZ
Mutually Defined
ADX-04
127
Reference Identification
Optional
String (AN)
Min 1Max 30
ADX Loop end
RMR Loop end
ENT Loop end
N9 Loop
RequiredMax 1
N9
360
Detail > N9 Loop > N9

Reference Identification

RequiredMax use 1
Usage notes
Example
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)
ZZ
Mutually Defined
N9-02
127
Reference Identification
Optional
String (AN)
Min 1Max 30
N9-03
369
Free-form Description
Optional
String (AN)
Min 1Max 45
AMT Loop
OptionalMax >1
AMT
370
Detail > N9 Loop > AMT Loop > AMT

Monetary Amount

RequiredMax use 1
Example
AMT-01
522
Amount Qualifier Code
Required
Identifier (ID)
1
Line Item Total
2
Batch Total
GV
Gross Value
T
Tax
AMT-02
782
Monetary Amount
Required
Decimal number (R)
Min 1Max 15
AMT-03
478
Credit/Debit Flag Code
Optional
Identifier (ID)
Min 1Max 1
REF
380
Detail > N9 Loop > AMT Loop > REF

Reference Identification

OptionalMax use >1
Example
At least one of Reference Identification (REF-02) or Description (REF-03) is required
REF-01
128
Reference Identification Qualifier
Required
Identifier (ID)
ZZ
Mutually Defined
REF-02
127
Reference Identification
Optional
String (AN)
Min 1Max 30
REF-03
352
Description
Optional
String (AN)
Min 1Max 80
AMT Loop end
N9 Loop end
Detail end

Summary

SE
010
Summary > SE

Transaction Set Trailer

RequiredMax use 1
Example
SE-01
96
Number of Included Segments
Required
Numeric (N0)
Min 1Max 10
SE-02
329
Transaction Set Control Number
Required
Numeric (N)
Min 4Max 9
Summary end

Functional Group Trailer

RequiredMax use 1
Example
GE-01
97
Number of Transaction Sets Included
Required
Numeric (N0)
Min 1Max 6
GE-02
28
Group Control Number
Required
Numeric (N0)
Min 1Max 9

Interchange Control Trailer

RequiredMax use 1
Example
IEA-01
I16
Number of Included Functional Groups
Required
Numeric (N0)
Min 1Max 5
IEA-02
I12
Interchange Control Number
Required
Numeric (N0)
Min 9Max 9

Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on this page are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.