X12 811 Consolidated Service Invoice/Statement

X12 Release 4010

This Draft Standard for Trial Use contains the format and establishes the data contents of the Consolidated Service Invoice/Statement Transaction Set (811) for use within the context of an Electronic Data Interchange (EDI) environment.
This transaction set provides for the billing or reporting of complex and structured service invoice/statement detail.

This standard can be used by organizations who are interested in sending or receiving either consolidated or standalone invoices for service arrangements which require processing other than that done for the typical product invoice.

The Consolidated Service Invoice/Statement can be used as a credit/debit memo to differentiate between payable invoice items and information-only memo items.
This transaction set should not be used as a standalone notification of a credit/debit adjustment.

Delimiters

• ~ Segment
• * Element
• > Component

ISA Interchange Control Header

Required · Max use 1

To start and identify an interchange of zero or more functional groups and interchange-related control segments

ISA-01 · I01 · Authorization Information Qualifier · Required · Identifier (ID)

Code to identify the type of information in the Authorization Information

• 00: No Authorization Information Present (No Meaningful Information in I02)

ISA-02 · I02 · Authorization Information · Required · String (AN) · Min 10 Max 10

Information used for additional identification or authorization of the interchange sender or the data in the interchange; the type of information is set by the Authorization Information Qualifier (I01)

ISA-03 · I03 · Security Information Qualifier · Required · Identifier (ID)

Code to identify the type of information in the Security Information

• 00: No Security Information Present (No Meaningful Information in I04)

ISA-04 · I04 · Security Information · Required · String (AN) · Min 10 Max 10

This is used for identifying the security information about the interchange sender or the data in the interchange; the type of information is set by the Security Information Qualifier (I03)

ISA-05 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

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

Identification code published by the sender for other parties to use as the receiver ID to route data to them; the sender always codes this value in the sender ID element

ISA-07 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

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

Identification code published by the receiver of the data; When sending, it is used by the sender as their sending ID, thus other parties sending to them will use this as a receiving ID to route data to them

ISA-09 · I08 · Interchange Date · Required · Date (DT) · YYMMDD format

Date of the interchange

ISA-10 · I09 · Interchange Time · Required · Time (TM) · HHMM format

Time of the interchange

ISA-11 · I10 · Interchange Control Standards Identifier · Required · Identifier (ID)

Code to identify the agency responsible for the control standard used by the message that is enclosed by the interchange header and trailer

• U: U.S. EDI Community of ASC X12, TDCC, and UCS

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

This version number covers the interchange control segments

• 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

A control number assigned by the interchange sender

ISA-14 · I13 · Acknowledgment Requested · Required · Identifier (ID) · Min 1 Max 1

Code sent by the sender to request an interchange acknowledgment (TA1)

• 0: No Acknowledgment Requested
• 1: Interchange Acknowledgment Requested

ISA-15 · I14 · Usage Indicator · Required · Identifier (ID) · Min 1 Max 1

Code to indicate whether data enclosed by this interchange envelope is test, production or information

• I: Information
• P: Production Data
• T: Test Data

ISA-16 · I15 · Component Element Separator · Required · String (AN) · Min 1 Max 1

Type is not applicable; the component element separator is a delimiter and not a data element; this field provides the delimiter used to separate component data elements within a composite data structure; this value must be different than the data element separator and the segment terminator

• >: Component Element Separator

GS Functional Group Header

Required · Max use 1

To indicate the beginning of a functional group and to provide control information

GS-01 · 479 · Functional Identifier Code · Required · Identifier (ID)

Code identifying a group of application related transaction sets

• CI: Consolidated Service Invoice/Statement (811)

GS-02 · 142 · Application Sender's Code · Required · String (AN) · Min 2 Max 15

Code identifying party sending transmission; codes agreed to by trading partners

GS-03 · 124 · Application Receiver's Code · Required · String (AN) · Min 2 Max 15

Code identifying party receiving transmission. Codes agreed to by trading partners

GS-04 · 373 · Date · Required · Date (DT) · CCYYMMDD format

Date expressed as CCYYMMDD

GS-05 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

GS-06 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

Assigned number originated and maintained by the sender

GS-07 · 455 · Responsible Agency Code · Required · Identifier (ID) · Min 1 Max 2

Code used in conjunction with Data Element 480 to identify the issuer of the standard

• T: Transportation Data Coordinating Committee (TDCC)
• X: Accredited Standards Committee X12

GS-08 · 480 · Version / Release / Industry Identifier Code · Required · String (AN)

Code indicating the version, release, subrelease, and industry identifier of the EDI standard being used, including the GS and GE segments; if code in DE455 in GS segment is X, then in DE 480 positions 1-3 are the version number; positions 4-6 are the release and subrelease, level of the version; and positions 7-12 are the industry or trade association identifiers (optionally assigned by user); if code in DE455 in GS segment is T, then other formats are allowed

• 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

To indicate the start of a transaction set and to assign a control number

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

Code uniquely identifying a Transaction Set

• The transaction set identifier (ST01) used by the translation routines of the interchange partners to select the appropriate transaction set definition (e.g., 810 selects the Invoice Transaction Set).

• 811: Consolidated Service Invoice/Statement

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

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

020 Heading > BIG

BIG Beginning Segment for Invoice

Required · Max use 1

To indicate the beginning of an invoice transaction set and transmit identifying numbers and dates

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

Date expressed as CCYYMMDD

• BIG01 is the invoice issue date.

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

Identifying number assigned by issuer

BIG-07 · 640 · Transaction Type Code · Required · Identifier (ID)

Code specifying the type of transaction

• BIG07 is used only to further define the type of invoice when needed.

• DI: Debit Invoice

030 Heading > NTE

NTE Note/Special Instruction

Required · Max use 100

To transmit information in a free-form format, if necessary, for comment or special instruction

NTE-02 · 352 · Description · Required · String (AN) · Min 1 Max 80

A free-form description to clarify the related data elements and their content

050 Heading > REF

REF Reference Identification Accounts Receivable

Required · Max use >1

To specify identifying information

Variants (all may be used)

REFReference Identification Billing Account

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

Code qualifying the Reference Identification

• AP: Accounts Receivable Number

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

050 Heading > REF

REF Reference Identification Billing Account

Required · Max use >1

To specify identifying information

Variants (all may be used)

REFReference Identification Accounts Receivable

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

Code qualifying the Reference Identification

• 12: Billing Account

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

070 Heading > ITD

ITD Terms of Sale/Deferred Terms of Sale

Required · Max use 5

To specify terms of sale

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

Code identifying type of payment terms

• If the code in ITD01 is "04", then ITD07 or ITD09 is required and either ITD10 or ITD11 is required; if the code in ITD01 is "05", then ITD06 or ITD07 is required.

• 18: Fixed Date, Late Payment Penalty Applies

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

Code identifying the beginning of the terms period

• 3: Invoice Date

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

Date when total invoice amount becomes due expressed in format CCYYMMDD

080 Heading > DTM

DTM Date/Time Reference Invoice End

Required · Max use 10

To specify pertinent dates and times

Variants (all may be used)

DTMDate/Time Reference Invoice Start

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

Code specifying type of date or time, or both date and time

• 187: Invoice Period End

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

Date expressed as CCYYMMDD

080 Heading > DTM

DTM Date/Time Reference Invoice Start

Required · Max use 10

To specify pertinent dates and times

Variants (all may be used)

DTMDate/Time Reference Invoice End

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

Code specifying type of date or time, or both date and time

• 186: Invoice Period Start

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

Date expressed as CCYYMMDD

N1 Loop Payee Required Max >1

Variants (all may be used)

N1 Loop Payer

100 Heading > N1 Loop Payee > N1

N1 Name

Required · Max use 1

To identify a party by type of organization, name, and code

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

Code identifying an organizational entity, a physical location, property or an individual

• PE: Payee

N1-02 · 93 · Name · Required · String (AN) · Min 1 Max 60

Free-form name

N1-03 · 66 · Identification Code Qualifier · Required · Identifier (ID) · Min 1 Max 2

Code designating the system/method of code structure used for Identification Code (67)

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

Code identifying a party or other code

• This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.

120 Heading > N1 Loop Payee > N3

N3 Address Information

Required · Max use 2

To specify the location of the named party

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

Address information

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

Address information

130 Heading > N1 Loop Payee > N4

N4 Geographic Location

Required · Max use 1

To specify the geographic place of the named party

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

Free-form text for city name

• A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.

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

Code (Standard State/Province) as defined by appropriate government agency

• N402 is required only if city name (N401) is in the U.S. or Canada.

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

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

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

Code identifying the country

140 Heading > N1 Loop Payee > REF

REF Reference Identification

Required · Max use 12

To specify identifying information

REF-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID) · Min 2 Max 3

Code qualifying the Reference Identification

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

N1 Loop Payer Required Max >1

Variants (all may be used)

N1 Loop Payee

100 Heading > N1 Loop Payer > N1

N1 Name

Required · Max use 1

To identify a party by type of organization, name, and code

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

Code identifying an organizational entity, a physical location, property or an individual

• PR: Payer

N1-02 · 93 · Name · Required · String (AN) · Min 1 Max 60

Free-form name

N1-03 · 66 · Identification Code Qualifier · Required · Identifier (ID) · Min 1 Max 2

Code designating the system/method of code structure used for Identification Code (67)

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

Code identifying a party or other code

• This segment, used alone, provides the most efficient method of providing organizational identification. To obtain this efficiency the "ID Code" (N104) must provide a key to the table maintained by the transaction processing party.

120 Heading > N1 Loop Payer > N3

N3 Address Information

Required · Max use 2

To specify the location of the named party

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

Address information

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

Address information

130 Heading > N1 Loop Payer > N4

N4 Geographic Location

Required · Max use 1

To specify the geographic place of the named party

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

Free-form text for city name

• A combination of either N401 through N404, or N405 and N406 may be adequate to specify a location.

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

Code (Standard State/Province) as defined by appropriate government agency

• N402 is required only if city name (N401) is in the U.S. or Canada.

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

Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

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

Code identifying the country

Detail

HL Loop Service Provider Required Max >1

010 Detail > HL Loop Service Provider > HL

HL Hierarchical Level

Required · Max use 1

To identify dependencies among and the content of hierarchically related groups of data segments

• Valid codes for HL03 to define levels for this transaction set are given below:
  1 - Service/Billing Provider (Identifies the Company Providing the Service/Billing)
  2 - Billing Arrangement (Identifies a Specific Billing Arrangement)
  3 - Sub-billing Arrangement (Identifies a More Detailed Billing Arrangement)
  4 - Group (Identifies a Group of Charges on the Bill)
  5 - Category (Identifies the Subdivision of the Group)
  6 - Subcategory (Identifies a Further Breakdown of the Category)
  7 - Type (Identifies a Further Breakdown of the Subcategory)
  8 - Charge Detail (Identifies the Lowest Level of Charges within a Billing Arrangement)
  9 - Line Detail (Identifies the Supporting Detail Associated with the Charge or Group Level)
  They must be used in the (hierarchical) order in which they are listed; however, certain levels are optional and may be omitted. At least one occurrence each of the service/billing provider level and group level is required.

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

• HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

• HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.

• 1: Service/Billing Provider

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

• HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.

• 1: Additional Subordinate HL Data Segment in This Hierarchical Structure.

LX Loop Required Max >1

020 Detail > HL Loop Service Provider > LX Loop > LX

LX Assigned Number

Required · Max use 1

To reference a line number in a transaction set

LX-01 · 554 · Assigned Number · Required · Numeric (N0) · Min 1 Max 6

Number assigned for differentiation within a transaction set

030 Detail > HL Loop Service Provider > LX Loop > SI

SI Service Characteristic Identification

Required · Max use 8

To specify service characteristic data

SI-01 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• SI01 defines the source for each of the service characteristics qualifiers.

• TI: Telecommunications Industry

SI-02 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

Usage notes

• BN

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

Identifying number for a product or service

060 Detail > HL Loop Service Provider > LX Loop > AMT

AMT Monetary Amount

Required · Max use 5

To indicate the total monetary amount

AMT-01 · 522 · Amount Qualifier Code · Required · Identifier (ID)

Code to qualify amount

• SC: Total Service Charge

AMT-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

NM1 Loop Required Max >1

110 Detail > HL Loop Service Provider > NM1 Loop > NM1

NM1 Individual or Organizational Name

Required · Max use 1

To supply the full name of an individual or organizational entity

• When used for telecommunications billing, the service/billing provider level is defined by the NM1 loop.

NM1-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

• SJ: Service Provider

NM1-02 · 1065 · Entity Type Qualifier · Required · Identifier (ID)

Code qualifying the type of entity

• NM102 qualifies NM103.

• 2: Non-Person Entity

NM1-03 · 1035 · Name Last or Organization Name · Required · String (AN) · Min 1 Max 35

Individual last name or organizational name

NM1-08 · 66 · Identification Code Qualifier · Required · Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

• 41: Telecommunications Carrier Identification Code

NM1-09 · 67 · Identification Code · Required · String (AN) · Min 2 Max 80

Code identifying a party or other code

160 Detail > HL Loop Service Provider > NM1 Loop > PER

PER Administrative Communications Contact

Required · Max use >1

To identify a person or office to whom administrative communications should be directed

PER-01 · 366 · Contact Function Code · Required · Identifier (ID)

Code identifying the major duty or responsibility of the person or group named

• BI: Bill Inquiry Contact
• MA: Maintenance Contact
• OC: Order Contact

PER-03 · 365 · Communication Number Qualifier · Required · Identifier (ID)

Code identifying the type of communication number

• TE: Telephone

PER-04 · 364 · Communication Number · Required · String (AN) · Min 1 Max 80

Complete communications number including country or area code when applicable

170 Detail > HL Loop Service Provider > NM1 Loop > TXI

TXI Tax Information

Optional · Max use >1

To specify tax information

TXI-01 · 963 · Tax Type Code · Required · Identifier (ID)

Code specifying the type of tax

• FD: Federal Tax
• SP: State/Provincial Tax

TXI-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

• TXI02 is the monetary amount of the tax.

TXI-03 · 954 · Percent · Optional · Decimal number (R) · Min 1 Max 10

Percentage expressed as a decimal

• TXI03 is the tax percent expressed as a decimal.

TXI-04 · 955 · Tax Jurisdiction Code Qualifier · Required · Identifier (ID)

Code identifying the source of the data used in tax jurisdiction code

• VD: Vendor defined

TXI-05 · 956 · Tax Jurisdiction Code · Required · String (AN) · Min 1 Max 10

Code identifying the taxing jurisdiction

TXI-06 · 441 · Tax Exempt Code · Required · Identifier (ID)

Code identifying exemption status from sales and use tax

• 2: No (Not Tax Exempt)

TXI-07 · 662 · Relationship Code · Required · Identifier (ID)

Code indicating the relationship between entities

• TXI07 is a code indicating the relationship of the price or amount to the associated segment.

• A: Add

TXI-10 · 350 · Assigned Identification · Optional · String (AN) · Min 1 Max 20

Alphanumeric characters assigned for differentiation within a transaction set

ITA Loop Optional Max >1

180 Detail > HL Loop Service Provider > ITA Loop > ITA

ITA Allowance, Charge or Service

Required · Max use 1

To specify allowances, charges, or services

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

Code which indicates an allowance or charge for the service specified

• If ITA01 equals "A" - allowance or "C" - charge, then at least one of ITA06, ITA07, or ITA08 must be present.

• C: Charge

ITA-02 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• ITA02 identifies the source of the code value in ITA03 or ITA15.

• TI: Telecommunications Industry

ITA-04 · 331 · Allowance or Charge Method of Handling Code · Required · Identifier (ID)

Code indicating method of handling for an allowance or charge

• 04: Credit Customer Account
• 06: Charge to be Paid by Customer

ITA-05 · 341 · Allowance or Charge Number · Optional · String (AN) · Min 1 Max 16

The number assigned by a vendor referencing an allowance, promotion, deal or charge

ITA-07 · 360 · Allowance or Charge Total Amount · Required · Numeric (N2) · Min 1 Max 15

Total dollar amount for the allowance or charge

• If ITA07 is present with either ITA06 or ITA08, then ITA07 takes precedence.

ITA-09 · 332 · Percent · Optional · Decimal number (R) · Min 1 Max 6

Percent expressed as a percent

• ITA09 is the allowance or charge percent.

ITA-13 · 352 · Description · Required · String (AN) · Min 1 Max 80

A free-form description to clarify the related data elements and their content

• ITA13 is used to clarify the allowance, charge, or service.

ITA-14 · 150 · Special Charge or Allowance Code · Required · Identifier (ID)

Code identifying type of special charge or allowance

• SUR: Surcharge

ITA-16 · 662 · Relationship Code · Required · Identifier (ID)

Code indicating the relationship between entities

• ITA16 describes the relationship of ITA06, ITA07 or ITA09 to an associated segment.

• A: Add

HL Loop Group Required Max >1

010 Detail > HL Loop Service Provider > HL Loop Group > HL

HL Hierarchical Level

Required · Max use 1

To identify dependencies among and the content of hierarchically related groups of data segments

• Valid codes for HL03 to define levels for this transaction set are given below:
  1 - Service/Billing Provider (Identifies the Company Providing the Service/Billing)
  2 - Billing Arrangement (Identifies a Specific Billing Arrangement)
  3 - Sub-billing Arrangement (Identifies a More Detailed Billing Arrangement)
  4 - Group (Identifies a Group of Charges on the Bill)
  5 - Category (Identifies the Subdivision of the Group)
  6 - Subcategory (Identifies a Further Breakdown of the Category)
  7 - Type (Identifies a Further Breakdown of the Subcategory)
  8 - Charge Detail (Identifies the Lowest Level of Charges within a Billing Arrangement)
  9 - Line Detail (Identifies the Supporting Detail Associated with the Charge or Group Level)
  They must be used in the (hierarchical) order in which they are listed; however, certain levels are optional and may be omitted. At least one occurrence each of the service/billing provider level and group level is required.

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

• HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

• HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

• HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.

• 4: Group

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

• HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.

• 0: No Subordinate HL Segment in This Hierarchical Structure.
• 1: Additional Subordinate HL Data Segment in This Hierarchical Structure.

IT1 Loop Required Max >1

210 Detail > HL Loop Service Provider > HL Loop Group > IT1 Loop > IT1

IT1 Baseline Item Data (Invoice)

Required · Max use 1

To specify the basic and most frequently used line item data for the invoice and related transactions

• The group level is defined by at least one occurrence of the IT1 loop which may only appear at the group level.

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

Number of units invoiced (supplier units)

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

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

• M4: Monetary Value

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

Price per unit of product, service, commodity, etc.

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

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

• IT106 through IT125 provide for ten different product/service IDs for each item. For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

• SV: Service Rendered

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

Identifying number for a product or service

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

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

• ZZ: Mutually Defined

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

Identifying number for a product or service

220 Detail > HL Loop Service Provider > HL Loop Group > IT1 Loop > SI

SI Service Characteristic Identification

Required · Max use 2

To specify service characteristic data

SI-01 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• SI01 defines the source for each of the service characteristics qualifiers.

• TI: Telecommunications Industry

SI-02 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

230 Detail > HL Loop Service Provider > HL Loop Group > IT1 Loop > PID

PID Product/Item Description

Optional · Max use 200

To describe a product or process in coded or free-form format

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

Code indicating the format of a description

• If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If PID01 equals "X", then both PID04 and PID05 are used.

• F: Free-form

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

A free-form description to clarify the related data elements and their content

270 Detail > HL Loop Service Provider > HL Loop Group > IT1 Loop > DTM

DTM Date/Time Reference

Optional · Max use 10

To specify pertinent dates and times

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

Code specifying type of date or time, or both date and time

• 150: Service Period Start

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

Date expressed as CCYYMMDD

HL Loop Charge Detail Optional Max >1

Variants (all may be used)

HL Loop Line Detail

010 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > HL

HL Hierarchical Level

Required · Max use 1

To identify dependencies among and the content of hierarchically related groups of data segments

• Valid codes for HL03 to define levels for this transaction set are given below:
  1 - Service/Billing Provider (Identifies the Company Providing the Service/Billing)
  2 - Billing Arrangement (Identifies a Specific Billing Arrangement)
  3 - Sub-billing Arrangement (Identifies a More Detailed Billing Arrangement)
  4 - Group (Identifies a Group of Charges on the Bill)
  5 - Category (Identifies the Subdivision of the Group)
  6 - Subcategory (Identifies a Further Breakdown of the Category)
  7 - Type (Identifies a Further Breakdown of the Subcategory)
  8 - Charge Detail (Identifies the Lowest Level of Charges within a Billing Arrangement)
  9 - Line Detail (Identifies the Supporting Detail Associated with the Charge or Group Level)
  They must be used in the (hierarchical) order in which they are listed; however, certain levels are optional and may be omitted. At least one occurrence each of the service/billing provider level and group level is required.

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

• HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

• HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

• HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.

• 8: Charge Detail

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

• HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.

• 0: No Subordinate HL Segment in This Hierarchical Structure.
• 1: Additional Subordinate HL Data Segment in This Hierarchical Structure.

SLN Loop Required Max >1

390 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > SLN Loop > SLN

SLN Subline Item Detail

Required · Max use 1

To specify product subline detail item data

• The SLN loop may only appear at the charge detail level.

If either Product/Service ID Qualifier (SLN-09) or Product/Service ID (SLN-10) is present, then the other is required

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

Alphanumeric characters assigned for differentiation within a transaction set

• SLN01 is the identifying number for the subline item.
• SLN01 is related to (but not necessarily equivalent to) the baseline item number. Example: 1.1 or 1A might be used as a subline number to relate to baseline number 1.

SLN-03 · 662 · Relationship Code · Required · Identifier (ID)

Code indicating the relationship between entities

• SLN03 is the configuration code indicating the relationship of the subline item to the baseline item.

• I: Included

SLN-04 · 380 · Quantity · Required · Decimal number (R) · Min 1 Max 15

Numeric value of quantity

SLN-05 · C001 · Composite Unit of Measure · Required Max use 1 · To identify a composite unit of measure (See Figures Appendix for examples of use)

C001-01 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

• M4: Monetary Value

SLN-06 · 212 · Unit Price · Required · Decimal number (R) · Min 1 Max 15

Price per unit of product, service, commodity, etc.

SLN-08 · 662 · Relationship Code · Required · Identifier (ID)

Code indicating the relationship between entities

• SLN08 is a code indicating the relationship of the price or amount to the associated segment.

• I: Included
• O: Information Only

SLN-09 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

• SLN09 through SLN28 provide for ten different product/service IDs for each item. For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

SLN-10 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

Identifying number for a product or service

400 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > SLN Loop > SI

SI Service Characteristic Identification

Required · Max use 2

To specify service characteristic data

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

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

SI-01 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• SI01 defines the source for each of the service characteristics qualifiers.

• IA: International Agency for Research on Cancer (IARC)
• TI: Telecommunications Industry

SI-02 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

SI-04 · 1000 · Service Characteristics Qualifier · Optional · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

SI-06 · 1000 · Service Characteristics Qualifier · Optional · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

410 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > SLN Loop > PID

PID Product/Item Description

Required · Max use 200

To describe a product or process in coded or free-form format

At least one of Product Description Code (PID-04) or Description (PID-05) is required

If Product Description Code (PID-04) is present, then Agency Qualifier Code (PID-03) is required

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

Code indicating the format of a description

• If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If PID01 equals "X", then both PID04 and PID05 are used.

• F: Free-form

PID-03 · 559 · Agency Qualifier Code · Optional · Identifier (ID) · Min 2 Max 2

Code identifying the agency assigning the code values

• Use PID03 to indicate the organization that publishes the code list being referred to.

PID-04 · 751 · Product Description Code · Optional · String (AN) · Min 1 Max 12

A code from an industry code list which provides specific data about a product characteristic

• PID04 should be used for industry-specific product description codes.

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

A free-form description to clarify the related data elements and their content

480 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > SLN Loop > DTM

DTM Date/Time Reference

Optional · Max use 10

To specify pertinent dates and times

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

Code specifying type of date or time, or both date and time

• 150: Service Period Start
• 151: Service Period End

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

Date expressed as CCYYMMDD

490 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > SLN Loop > AMT

AMT Monetary Amount

Optional · Max use 15

To indicate the total monetary amount

AMT-01 · 522 · Amount Qualifier Code · Required · Identifier (ID)

Code to qualify amount

• AP: Amount Prior to Fractionalization
• AX: Previous Price

AMT-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

HL Loop Line Detail Optional Max >1

010 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > HL Loop Line Detail > HL

HL Hierarchical Level

Required · Max use 1

To identify dependencies among and the content of hierarchically related groups of data segments

• Valid codes for HL03 to define levels for this transaction set are given below:
  1 - Service/Billing Provider (Identifies the Company Providing the Service/Billing)
  2 - Billing Arrangement (Identifies a Specific Billing Arrangement)
  3 - Sub-billing Arrangement (Identifies a More Detailed Billing Arrangement)
  4 - Group (Identifies a Group of Charges on the Bill)
  5 - Category (Identifies the Subdivision of the Group)
  6 - Subcategory (Identifies a Further Breakdown of the Category)
  7 - Type (Identifies a Further Breakdown of the Subcategory)
  8 - Charge Detail (Identifies the Lowest Level of Charges within a Billing Arrangement)
  9 - Line Detail (Identifies the Supporting Detail Associated with the Charge or Group Level)
  They must be used in the (hierarchical) order in which they are listed; however, certain levels are optional and may be omitted. At least one occurrence each of the service/billing provider level and group level is required.

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

• HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

• HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

• HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.

• 9: Line Detail

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

• HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.

• 0: No Subordinate HL Segment in This Hierarchical Structure.

USD Loop Required Max >1

620 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > HL Loop Line Detail > USD Loop > USD

USD Usage-Sensitive Detail

Required · Max use 1

To specify usage-sensitive details which qualify for discounts or are subject to special rates

• The USD loop may only appear at the line detail level.

USD-01 · 662 · Relationship Code · Required · Identifier (ID)

Code indicating the relationship between entities

• USD01 is a code indicating the relationship of the price or amount to the associated segment.

• O: Information Only

USD-08 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

USD-09 · 610 · Amount · Required · Numeric (N2) · Min 1 Max 15

Monetary amount

• USD09 is the total amount of terms discount.

USD-10 · C001 · Composite Unit of Measure · Required Max use 1 · To identify a composite unit of measure (See Figures Appendix for examples of use)

C001-01 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID)

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

• M4: Monetary Value

USD-11 · 740 · Range Minimum · Required · Decimal number (R) · Min 1 Max 15

The value specifying the minimum of the measurement range

• If USD11 is present and USD12 is not present, then the range is open ended.

USD-12 · 741 · Range Maximum · Required · Decimal number (R) · Min 1 Max 15

The value specifying the maximum of the measurement range

• If USD12 is present and USD11 is not present, then the minimum is zero.

625 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Charge Detail > HL Loop Line Detail > USD Loop > SI

SI Service Characteristic Identification

Required · Max use 2

To specify service characteristic data

SI-01 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• SI01 defines the source for each of the service characteristics qualifiers.

• TI: Telecommunications Industry

SI-02 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

SI-04 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

HL Loop Line Detail Optional Max >1

Variants (all may be used)

HL Loop Charge Detail

010 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Line Detail > HL

HL Hierarchical Level

Required · Max use 1

To identify dependencies among and the content of hierarchically related groups of data segments

• Valid codes for HL03 to define levels for this transaction set are given below:
  1 - Service/Billing Provider (Identifies the Company Providing the Service/Billing)
  2 - Billing Arrangement (Identifies a Specific Billing Arrangement)
  3 - Sub-billing Arrangement (Identifies a More Detailed Billing Arrangement)
  4 - Group (Identifies a Group of Charges on the Bill)
  5 - Category (Identifies the Subdivision of the Group)
  6 - Subcategory (Identifies a Further Breakdown of the Category)
  7 - Type (Identifies a Further Breakdown of the Subcategory)
  8 - Charge Detail (Identifies the Lowest Level of Charges within a Billing Arrangement)
  9 - Line Detail (Identifies the Supporting Detail Associated with the Charge or Group Level)
  They must be used in the (hierarchical) order in which they are listed; however, certain levels are optional and may be omitted. At least one occurrence each of the service/billing provider level and group level is required.

HL-01 · 628 · Hierarchical ID Number · Required · String (AN) · Min 1 Max 12

A unique number assigned by the sender to identify a particular data segment in a hierarchical structure

• HL01 shall contain a unique alphanumeric number for each occurrence of the HL segment in the transaction set. For example, HL01 could be used to indicate the number of occurrences of the HL segment, in which case the value of HL01 would be "1" for the initial HL segment and would be incremented by one in each subsequent HL segment within the transaction.

HL-02 · 734 · Hierarchical Parent ID Number · Required · String (AN) · Min 1 Max 12

Identification number of the next higher hierarchical data segment that the data segment being described is subordinate to

• HL02 identifies the hierarchical ID number of the HL segment to which the current HL segment is subordinate.

HL-03 · 735 · Hierarchical Level Code · Required · Identifier (ID)

Code defining the characteristic of a level in a hierarchical structure

• HL03 indicates the context of the series of segments following the current HL segment up to the next occurrence of an HL segment in the transaction. For example, HL03 is used to indicate that subsequent segments in the HL loop form a logical grouping of data referring to shipment, order, or item-level information.

• 9: Line Detail

HL-04 · 736 · Hierarchical Child Code · Optional · Identifier (ID)

Code indicating if there are hierarchical child data segments subordinate to the level being described

• HL04 indicates whether or not there are subordinate (or child) HL segments related to the current HL segment.

• 0: No Subordinate HL Segment in This Hierarchical Structure.

LX Loop Required Max >1

020 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Line Detail > LX Loop > LX

LX Assigned Number

Required · Max use 1

To reference a line number in a transaction set

LX-01 · 554 · Assigned Number · Required · Numeric (N0) · Min 1 Max 6

Number assigned for differentiation within a transaction set

030 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Line Detail > LX Loop > SI

SI Service Characteristic Identification

Required · Max use 8

To specify service characteristic data

SI-01 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• SI01 defines the source for each of the service characteristics qualifiers.

• TI: Telecommunications Industry

SI-02 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

060 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Line Detail > LX Loop > AMT

AMT Monetary Amount

Required · Max use 5

To indicate the total monetary amount

AMT-01 · 522 · Amount Qualifier Code · Required · Identifier (ID)

Code to qualify amount

• SC: Total Service Charge

AMT-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

NM1 Loop Optional Max >1

110 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Line Detail > NM1 Loop > NM1

NM1 Individual or Organizational Name

Required · Max use 1

To supply the full name of an individual or organizational entity

• When used for telecommunications billing, the service/billing provider level is defined by the NM1 loop.

NM1-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

Code identifying an organizational entity, a physical location, property or an individual

• SJ: Service Provider

NM1-02 · 1065 · Entity Type Qualifier · Required · Identifier (ID)

Code qualifying the type of entity

• NM102 qualifies NM103.

• 2: Non-Person Entity

NM1-03 · 1035 · Name Last or Organization Name · Required · String (AN) · Min 1 Max 35

Individual last name or organizational name

NM1-08 · 66 · Identification Code Qualifier · Required · Identifier (ID)

Code designating the system/method of code structure used for Identification Code (67)

• 41: Telecommunications Carrier Identification Code
• 42: Telecommunications Pseudo Carrier Identification Code

NM1-09 · 67 · Identification Code · Required · String (AN) · Min 2 Max 80

Code identifying a party or other code

TCD Loop Optional Max >1

590 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Line Detail > TCD Loop > TCD

TCD Itemized Call Detail

Required · Max use 1

To specify detail information for itemized calls

• The TCD loop may only appear at the line detail level.

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

Date expressed as CCYYMMDD

• TCD02 is the date of the call.

TCD-03 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99)

• TCD03 is the connect time of the call.

TCD-04 · 309 · Location Qualifier · Required · Identifier (ID)

Code identifying type of location

• TCD04, TCD05, and TCD06 are the 'to' location of the call.

• CI: City

TCD-05 · 310 · Location Identifier · Required · String (AN) · Min 1 Max 30

Code which identifies a specific location

TCD-06 · 156 · State or Province Code · Required · Identifier (ID) · Min 2 Max 2

Code (Standard State/Province) as defined by appropriate government agency

TCD-07 · 309 · Location Qualifier · Required · Identifier (ID)

Code identifying type of location

• TCD07, TCD08, and TCD09 are the 'from' location of the call.

• CI: City

TCD-08 · 310 · Location Identifier · Required · String (AN) · Min 1 Max 30

Code which identifies a specific location

TCD-09 · 156 · State or Province Code · Required · Identifier (ID) · Min 2 Max 2

Code (Standard State/Province) as defined by appropriate government agency

TCD-11 · 739 · Measurement Value · Required · Decimal number (R) · Min 1 Max 15

The value of the measurement

TCD-13 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

• TCD13 is a net amount after the discount has been applied to the amount in TCD12.

TCD-16 · 662 · Relationship Code · Required · Identifier (ID)

Code indicating the relationship between entities

• TCD16 is a code indicating the relationship of the price or amount to the associated segment.

• I: Included

600 Detail > HL Loop Service Provider > HL Loop Group > HL Loop Line Detail > TCD Loop > SI

SI Service Characteristic Identification

Required · Max use 2

To specify service characteristic data

SI-01 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• SI01 defines the source for each of the service characteristics qualifiers.

• TI: Telecommunications Industry

SI-02 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

SI-04 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

SI-06 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

SI-08 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

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

Identifying number for a product or service

SI-14 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

SI-15 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

Identifying number for a product or service

SI-16 · 1000 · Service Characteristics Qualifier · Required · String (AN) · Min 2 Max 2

Code from an industry code list qualifying the type of service characteristics

SI-17 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

Identifying number for a product or service

Summary

010 Summary > TDS

TDS Total Monetary Value Summary

Optional · Max use 1

To specify the total invoice discounts and amounts

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

Monetary amount

• TDS01 is the total amount of invoice (including charges, less allowances) before terms discount (if discount is applicable).

ITA Loop Optional Max >1

020 Summary > ITA Loop > ITA

ITA Allowance, Charge or Service

Required · Max use 1

To specify allowances, charges, or services

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

Code which indicates an allowance or charge for the service specified

• If ITA01 equals "A" - allowance or "C" - charge, then at least one of ITA06, ITA07, or ITA08 must be present.

• C: Charge

ITA-02 · 559 · Agency Qualifier Code · Required · Identifier (ID)

Code identifying the agency assigning the code values

• ITA02 identifies the source of the code value in ITA03 or ITA15.

• TI: Telecommunications Industry

ITA-04 · 331 · Allowance or Charge Method of Handling Code · Required · Identifier (ID)

Code indicating method of handling for an allowance or charge

• 06: Charge to be Paid by Customer

ITA-07 · 360 · Allowance or Charge Total Amount · Required · Numeric (N2) · Min 1 Max 15

Total dollar amount for the allowance or charge

• If ITA07 is present with either ITA06 or ITA08, then ITA07 takes precedence.

ITA-14 · 150 · Special Charge or Allowance Code · Required · Identifier (ID)

Code identifying type of special charge or allowance

• LPC: Late payment charge

ITA-16 · 662 · Relationship Code · Required · Identifier (ID)

Code indicating the relationship between entities

• ITA16 describes the relationship of ITA06, ITA07 or ITA09 to an associated segment.

• A: Add

BAL Loop Required Max >1

040 Summary > BAL Loop > BAL

BAL Balance Detail

Required · Max use 1

To identify the specific monetary balances associated with a particular account

BAL-01 · 951 · Balance Type Code · Required · Identifier (ID)

Code indicating the type of balance

• A: Adjustment
• M: Current Month
• N: Month
• P: Previous Month

BAL-02 · 522 · Amount Qualifier Code · Required · Identifier (ID)

Code to qualify amount

• NA: Net Adjustment
• PB: Billed Amount
• TP: Total payment amount
• TT: Total Transaction Amount

BAL-03 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

115 Summary > CTT

CTT Transaction Totals

Required · Max use 1

To transmit a hash total for a specific element in the transaction set

• The number of line items (CTT01) is the accumulation of the number of IT1 segments.

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

Total number of line items in the transaction set

120 Summary > SE

SE Transaction Set Trailer

Required · Max use 1

To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

SE-01 · 96 · Number of Included Segments · Required · Numeric (N0) · Min 1 Max 10

Total number of segments included in a transaction set including ST and SE segments

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

Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set

GE Functional Group Trailer

Required · Max use 1

To indicate the end of a functional group and to provide control information

GE-01 · 97 · Number of Transaction Sets Included · Required · Numeric (N0) · Min 1 Max 6

Total number of transaction sets included in the functional group or interchange (transmission) group terminated by the trailer containing this data element

GE-02 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

Assigned number originated and maintained by the sender

IEA Interchange Control Trailer

Required · Max use 1

To define the end of an interchange of zero or more functional groups and interchange-related control segments

IEA-01 · I16 · Number of Included Functional Groups · Required · Numeric (N0) · Min 1 Max 5

A count of the number of functional groups included in an interchange

IEA-02 · I12 · Interchange Control Number · Required · Numeric (N0) · Min 9 Max 9

A control number assigned by the interchange sender