X12 844 Product Transfer Account Adjustment

X12 Release 4010

This Draft Standard for Trial Use contains the format and establishes the data contents of the Product Transfer Account Adjustment Transaction Set (844) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to transmit specific data in the form of a debit, credit, or request for credit relating to pre-authorized product transfer actions.

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

• CF: Corporate Financial Adjustment Information (844 and 849)

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).

• 844: Product Transfer Account Adjustment

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 > BAA

BAA Beginning Segment for Product Transfer Account Adjustment

Required · Max use 1

To identify the beginning of a Product Transfer Account Adjustment Transaction Set and further define the type of product account adjustment transaction set and its reference number and date

If either Reference Identification Qualifier (BAA-04) or Reference Identification (BAA-05) is present, then the other is required

BAA-01 · 353 · Transaction Set Purpose Code · Required · Identifier (ID)

Code identifying purpose of transaction set

• 00: Original

BAA-02 · 640 · Transaction Type Code · Required · Identifier (ID)

Code specifying the type of transaction

• RA: Request for Credit

BAA-03 · 373 · Date · Required · Date (DT) · CCYYMMDD format

Date expressed as CCYYMMDD

• BAA03 is the account adjustment date.

Usage notes

This is the date the chargeback was generated by the computer.

BAA-04 · 128 · Reference Identification Qualifier · Optional · Identifier (ID)

Code qualifying the Reference Identification

• AM: Adjustment Memo (Charge Back)

BAA-05 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

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

Usage notes

ABC Debit Memo Numbers are 11 Digits.
The leading two digits are the Company Code ( 61 for Mainland, and 33 for Puerto Rico), followed by a 2 digit fiscal year (2011 = 11) then the seven digit document number.
Example Mainland: 61 + 11 + 1234567
Example Puerto Rico: 33 + 11 + 1234567

N1 Distributor Branch Optional Max 1

Variants (all may be used)

Supplier/Manufacturer

070 Heading > Distributor Branch > 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

• DB: Distributor Branch

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

Free-form name

N1-03 · 66 · Identification Code Qualifier · Required · Identifier (ID)

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

• 11: Drug Enforcement Administration (DEA)

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.

N1 Supplier/Manufacturer Optional Max 1

Variants (all may be used)

Distributor Branch

070 Heading > Supplier/Manufacturer > 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

• SU: Supplier/Manufacturer

N1-03 · 66 · Identification Code Qualifier · Required · Identifier (ID)

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

• 11: Drug Enforcement Administration (DEA)

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.

Detail

CON Loop Required Max 10000

010 Detail > CON Loop > CON

CON Contract Number Detail

Required · Max use 1

To specify contract or reference number and status

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

Code qualifying the Reference Identification

• VC: Vendor Contract Number

CON-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

CON-03 · 846 · Contract Status Code · Required · Identifier (ID)

Code designating the current status of the contract

• VA: Valid Open Contract

N1 Loop Optional Max 50

050 Detail > CON Loop > N1 Loop > N1

N1 Name

Required · Max use 1

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

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)

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

• ST: Ship To

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

Free-form name

N1-03 · 66 · Identification Code Qualifier · Optional · Identifier (ID)

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

• 11: Drug Enforcement Administration (DEA)
• UL: UCC/EAN Location Code
  GLN (Global Location Number)

N1-04 · 67 · Identification Code · Optional · 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.

Usage notes

DEA or GLN Number.

070 Detail > CON Loop > N1 Loop > N3

N3 Address Information

Optional · 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

080 Detail > CON Loop > N1 Loop > N4

N4 Geographic Location

Optional · Max use 1

To specify the geographic place of the named party

N4-01 · 19 · City Name · Optional · 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 · Optional · 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 · Optional · Identifier (ID) · Min 3 Max 15

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

090 Detail > CON Loop > N1 Loop > REF

REF Health Industry Number (HIN)

Optional · Max use 1

To specify identifying information

Variants (all may be used)

REFPayer Identification Number

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

Code qualifying the Reference Identification

• HI: Health Industry Number (HIN)

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

090 Detail > CON Loop > N1 Loop > REF

REF Payer Identification Number

Optional · Max use 1

To specify identifying information

Variants (all may be used)

REFHealth Industry Number (HIN)

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

Code qualifying the Reference Identification

• 2U: Payer Identification 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

SII Loop Optional Max >1

105 Detail > CON Loop > N1 Loop > SII Loop > SII

SII Sales Item Information

Required · Max use 1

To specify line item information related to a sale of an item

SII-01 · 235 · Product/Service ID Qualifier · Required · Identifier (ID)

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

• ND: National Drug Code (NDC)
• NH: National Health Related Item Code
• UP: U.P.C. Consumer Package Code (1-5-5-1)

SII-02 · 234 · Product/Service ID · Required · String (AN) · Min 1 Max 48

Identifying number for a product or service

Usage notes

NDC or UPC Number or the National Health Related Item Code

SII-03 · 380 · Quantity · Required · Decimal number (R) · Min 1 Max 15

Numeric value of quantity

• SII03 is the amount of the product identified in SII01 and SII02.

Usage notes

A positive value represents the quantity sold. In previous versions, quantity sold was indicated by a code 32 in the QTY01.
A negative value represents returns. In previous versions, returns were indicated by a code 76 in the QTY01.

SII-04 · 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

• EA: Each

SII-05 · 212 · Unit Price · Required · Decimal number (R) · Min 1 Max 15

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

• SII05 is the wholesale acquisition price.

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

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

• SII06 is the contract price.

SII-07 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

Monetary amount

• SII07 is the extended rebate amount.

Usage notes

Extended Chargeback
(SII05 - SII06) x SII03 = SII07

107 Detail > CON Loop > N1 Loop > SII Loop > N9

N9 Reference Identification

Optional · Max use 1

To transmit identifying information as specified by the Reference Identification Qualifier

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

Code qualifying the Reference Identification

• DI: Distributor Invoice Number

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

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

N9-04 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

Date expressed as CCYYMMDD

N9-06 · 623 · Time Code · Optional · Identifier (ID)

Code identifying the time. In accordance with International Standards Organization standard 8601, time can be specified by a + or - and an indication in hours in relation to Universal Time Coordinate (UTC) time; since + is a restricted character, + and - are substituted by P and M in the codes that follow

• N906 reflects the time zone which the time reflects.

• L1: Unique Line Item Identifier

N9-07 · C040 · Reference Identifier · Optional Max use 1 · To identify one or more reference numbers or identification numbers as specified by the Reference Qualifier · If either Reference Identification Qualifier (C040 - 03) or Reference Identification (C040 - 04) is present, then the other is required

C040-01 · 128 · Reference Identification Qualifier · Required · Identifier (ID) · Min 2 Max 3

Code qualifying the Reference Identification

C040-02 · 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

C040-03 · 128 · Reference Identification Qualifier · Optional · Identifier (ID)

Code qualifying the Reference Identification

• 8X: Transaction Category or Type

C040-04 · 127 · Reference Identification · Optional · String (AN)

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

• 00: for original
• 18: for credit/rebill with original
• 41: for credit/rebill with no original

Summary

010 Summary > CTT

CTT Transaction Totals

Required · Max use 1

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

• Number of line items (CTT01) is the accumulation of the number of CON segments.
  If used, hash total (CTT02) is the sum of adjustment quantities (QTY02) for each QTY segment.

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

Total number of line items in the transaction set

Usage notes

Total number of CON segments

020 Summary > AMT

AMT Monetary Amount

Optional · Max use 5

To indicate the total monetary amount

AMT-01 · 522 · Amount Qualifier Code · Required · Identifier (ID) · Min 1 Max 3

Code to qualify amount

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

Monetary amount

Usage notes

Total Chargeback Amount
Sum of SII07

030 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

EDI Samples

Sample from AmerisourceBergen

ST|844|100001757~
BAA|00|RA|20210220|AM|6192955447~
N1|DB|ABC DC SACRAMENTO|11|RA0310603~
N1|SU||11|043569607~
CON|VC|V797D70168|VA~
N1|ST|CSDC TRAVIS-TRAVIS AFB CA ROOM 136|11|RC0351849~
N3|106 BODIN CIRCLE, BUILDING 791~
N4|TRAVIS AFB|CA|94535~
SII|ND|54738054803|1|EA|6.53|5.94|.59~
N9|DI|0987543262||20210216|||L1>4187818169000020~
CON|VC|V797D70168|VA~
N1|ST|MISAWA AB MARK FOR MEDICAL MATERIEL|11|PM0059661~
N3|UNIT 5024, BLDG. 99~
N4|APO|AP|96319~
SII|ND|54738054803|11|EA|6.53|5.94|6.49~
N9|DI|0987637270||20210217|||L1>4188602230000160~
CON|VC|V797D70168|VA~
N1|ST|US NAVAL HOSP OKINAWA - HT0720 ATTN SUPPLY OFFICER N68470|11|PM0059661~
N3|PSC 482 BLDG 966 TARAWA RD CAMP FOS~
N4|FPO|AP|96362~
SII|ND|54738054803|4|EA|6.53|5.94|2.36~
N9|DI|0987637769||20210217|||L1>4188603101000380~
CTT|3~
AMT|CC|9.44~
SE|25|100001757~