X12 810 Invoice

X12 Release 4010

This Draft Standard for Trial Use contains the format and establishes the data contents of the Invoice Transaction Set (810) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide for customary and established business and industry practice relative to the billing for goods and services provided.

Delimiters

• ~ Segment
• | Element
• > Component

ISA

Interchange Control Header

RequiredMax 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 · 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 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 · 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 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 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 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 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 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 YYMMDD format · Date of the interchange

ISA-10 · I09 · Interchange Time · Required HHMM format · Time of the interchange

ISA-11 · I10 · Interchange Control Standards Identifier · Required · 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 · 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 Min 9 Max 9 · A control number assigned by the interchange sender

ISA-14 · I13 · Acknowledgment Requested · Required 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 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 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

RequiredMax use 1

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

GS-01 · 479 · Functional Identifier Code · Required · Code identifying a group of application related transaction sets · IN Invoice Information (810,819)

GS-02 · 142 · Application Sender's Code · Required Min 2 Max 15 · Code identifying party sending transmission; codes agreed to by trading partners

GS-03 · 124 · Application Receiver's Code · Required Min 2 Max 15 · Code identifying party receiving transmission. Codes agreed to by trading partners

GS-04 · 373 · Date · Required CCYYMMDD format · Date expressed as CCYYMMDD

GS-05 · 337 · Time · Required 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 Min 1 Max 9 · Assigned number originated and maintained by the sender

GS-07 · 455 · Responsible Agency Code · Required 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 · 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

ST

010

Transaction Set Header

RequiredMax use 1

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

ST-01 · 143 · Transaction Set Identifier Code · Required · 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). · 810 Invoice

ST-02 · 329 · Transaction Set Control Number · Required 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

BIG

020

Beginning Segment for Invoice

RequiredMax use 1

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

BIG-01 · 373 · Date · Required CCYYMMDD format · Date expressed as CCYYMMDD BIG01 is the invoice issue date.

BIG-02 · 76 · Invoice Number · Required Min 1 Max 22 · Identifying number assigned by issuer

BIG-03 · 373 · Date · Optional CCYYMMDD format · Date expressed as CCYYMMDD BIG03 is the date assigned by the purchaser to purchase order.

BIG-04 · 324 · Purchase Order Number · Required Min 1 Max 22 · Identifying number for Purchase Order assigned by the orderer/purchaser · Usage notes The full nine digit Purchase Order Number must be sent

BIG-07 · 640 · Transaction Type Code · Required · Code specifying the type of transaction BIG07 is used only to further define the type of invoice when needed. · Usage notes A regular trade invoice is assumed if this segment is omitted. · DO Drop Shipment Invoice

N1 Loop

RequiredMax 200

Variants (all may be used)

N1N1 LoopN1N1 Loop

N1

070

Name

RequiredMax use 1

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

N1-01 · 98 · Entity Identifier Code · Required · Code identifying an organizational entity, a physical location, property or an individual · BT Bill-to-Party

N1-03 · 66 · Identification Code Qualifier · Required · Code designating the system/method of code structure used for Identification Code (67) · 9 D-U-N-S+4, D-U-N-S Number with Four Character Suffix 11 Drug Enforcement Administration (DEA) 21 Health Industry Number (HIN)

N1-04 · 67 · Identification Code · Required 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 The ABC Division DEA Number associated with the Customer. If not available, use the DEA Number of the Division that is closest to the Customer's Ship-To zip code.

N1 Loop

RequiredMax 200

Variants (all may be used)

N1N1 LoopN1N1 Loop

N1

070

Name

RequiredMax use 1

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

N1-01 · 98 · Entity Identifier Code · Required · Code identifying an organizational entity, a physical location, property or an individual · RE Party to receive commercial invoice remittance SU Supplier/Manufacturer

N1-02 · 93 · Name · Required Min 1 Max 60 · Free-form name

N1-03 · 66 · Identification Code Qualifier · Required · Code designating the system/method of code structure used for Identification Code (67) · 1 D-U-N-S Number, Dun & Bradstreet Free Form (If Vendor does not have any of the listed, the 1 code should be used). 11 Drug Enforcement Administration (DEA) 21 Health Industry Number (HIN)

N1-04 · 67 · Identification Code · Required 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 AmerisourceBergen has a maximum of nine characters for this element.

N1 Loop

RequiredMax 200

Usage notes

This is used for a Drop Ship Order only. This is when the product is NOT shipped to an AmerisourceBergen. The 'BIG07' will be equal to 'DO'.

Use this segment to indicate the Drop Ship Name and optionally the Drop Ship Number

Variants (all may be used)

N1N1 LoopN1N1 Loop

N1

070

Name

RequiredMax use 1

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

N1-01 · 98 · Entity Identifier Code · Required · Code identifying an organizational entity, a physical location, property or an individual · ST Ship To

N1-02 · 93 · Name · Required Min 1 Max 60 · Free-form name

N1-03 · 66 · Identification Code Qualifier · Required · Code designating the system/method of code structure used for Identification Code (67) · 11 Drug Enforcement Administration (DEA) 21 Health Industry Number (HIN) 91 Assigned by Seller or Seller's Agent Customers ABC Account Number

N1-04 · 67 · Identification Code · Required 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.

N3

090

Address Information

RequiredMax use 1

To specify the location of the named party

Usage notes

This is used only when there are Drop Ships in the invoice. The 'BIG07' will be equal to 'DO'.

N3-01 · 166 · Address Information · Required Min 1 Max 55 · Address information

N3-02 · 166 · Address Information · Optional Min 1 Max 55 · Address information

N4

100

Geographic Location

RequiredMax use 1

To specify the geographic place of the named party

Usage notes

This is used only when there are Drop Ships in the invoice. The 'BIG07' will be equal to 'DO'.

N4-01 · 19 · City Name · Required 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 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 Min 3 Max 15 · Code defining international postal zone code excluding punctuation and blanks (zip code for United States)

ITD

130

Terms of Sale/Deferred Terms of Sale

RequiredMax use >1

To specify terms of sale

ITD-01 · 336 · Terms Type Code · Required · 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. · 01 Basic 02 End of Month (EOM) 03 Fixed Date 07 Extended 08 Basic Discount Offered

ITD-02 · 333 · Terms Basis Date Code · Required · Code identifying the beginning of the terms period · 1 Ship Date 2 Delivery Date 3 Invoice Date 5 Invoice Receipt Date

ITD-03 · 338 · Terms Discount Percent · Required Min 1 Max 6 · Terms discount percentage, expressed as a percent, available to the purchaser if an invoice is paid on or before the Terms Discount Due Date

ITD-04 · 370 · Terms Discount Due Date · Required CCYYMMDD format · Date payment is due if discount is to be earned expressed in format CCYYMMDD

ITD-05 · 351 · Terms Discount Days Due · Required Min 1 Max 3 · Number of days in the terms discount period by which payment is due if terms discount is earned

ITD-06 · 446 · Terms Net Due Date · Required CCYYMMDD format · Date when total invoice amount becomes due expressed in format CCYYMMDD

ITD-07 · 386 · Terms Net Days · Required Min 1 Max 3 · Number of days until total invoice amount is due (discount not applicable)

ITD-08 · 362 · Terms Discount Amount · Required Min 1 Max 10 · Total amount of terms discount

Detail

IT1 Loop

RequiredMax 200000

IT1

010

Baseline Item Data (Invoice)

RequiredMax use 1

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

Example

If either Product/Service ID Qualifier (IT1-08) or Product/Service ID (IT1-09) is present, then the other is required

IT1-01 · 350 · Assigned Identification · Optional Min 1 Max 20 · Alphanumeric characters assigned for differentiation within a transaction set IT101 is the purchase order line item identification.

IT1-02 · 358 · Quantity Invoiced · Required Min 1 Max 10 · Number of units invoiced (supplier units) · Usage notes Please exclude items with zero quantities for AmerisourceBergen.

IT1-03 · 355 · Unit or Basis for Measurement Code · Required · Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken · BX Box CA Case DE Deal DZ Dozen EA Each GS Gross PK Package

IT1-04 · 212 · Unit Price · Required Min 1 Max 15 · Price per unit of product, service, commodity, etc. · Usage notes 5 Places to the right of the Decimal places

IT1-06 · 235 · Product/Service ID Qualifier · Required · 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. · Usage notes Qualifiers must match Product ID and conform to the format examples identified below, by unique qualifier. · IN Buyer's Item Number MF Manufacturer Manufacturer Part Number N1 National Drug Code in 4-4-2 Format N2 National Drug Code in 5-3-2 Format N3 National Drug Code in 5-4-1 Format N4 National Drug Code in 5-4-2 Format N5 National Health Related Item Code in 5-5 Format N6 National Health Related Item Code in 4-6 Format ND National Drug Code (NDC) This has 10 digits only NH National Health Related Item Code UA U.P.C./EAN Case Code (2-5-5) UI U.P.C. Consumer Package Code (1-5-5) UP U.P.C. Consumer Package Code (1-5-5-1) UX Universal Product Number VC Vendor's (Seller's) Catalog Number

IT1-07 · 234 · Product/Service ID · Required Min 1 Max 48 · Identifying number for a product or service · Usage notes The ID number(s) used to identify the product or service in the invoice should be the same ID number(s) used in the purchase order. This value must conform to the corresponding qualifier used in IT106.

IT1-08 · 235 · Product/Service ID Qualifier · Optional · Code identifying the type/source of the descriptive number used in Product/Service ID (234) · LT Lot Number

IT1-09 · 234 · Product/Service ID · Optional Min 1 Max 48 · Identifying number for a product or service

PID Loop

OptionalMax 1000

PID

060

Product/Item Description

RequiredMax use 1

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

PID-01 · 349 · Item Description Type · Required · 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 Min 1 Max 80 · A free-form description to clarify the related data elements and their content

SAC Loop

OptionalMax 25

SAC

180

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1

To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge

SAC-01 · 248 · Allowance or Charge Indicator · Required · Code which indicates an allowance or charge for the service specified If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required. · A Allowance C Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Required · Code identifying the service, promotion, allowance, or charge · A250 Advances A260 Advertising Allowance A400 Allowance Non-performance B010 Cents Off B240 COD Charges B660 Contract Allowance B720 Cooperative Advertising/Merchandising Allowance (Performance) C000 Defective Allowance C030 Delivery Surcharge C040 Delivery C227 C310 Discount C540 Early Buy Allowance C870 Expediting Fee C880 Expediting Premium D200 Freight Charges to Destination D240 Freight D500 Handling D820 Inside Delivery D980 Insurance E730 New Item Allowance F050 Other (See related description) F180 Pallet F210 Parish/County Sales Tax (only) F290 Performance Award F340 Pick/Up F800 Promotional Allowance F810 Promotional Discount F910 Quantity Discount F970 Rebate G330 Rental Charge G400 Repair G470 Restocking Charge G830 Shipping and Handling H000 Special Allowance H010 Special Buy H090 Special Handling H630 Tax - City Sales Tax (Only) H660 Tax - Federal Excise Tax, FET H700 Tax - Local Tax H750 Tax - Sales Tax (State and Local) H770 Tax - State Tax H790 Tax - Use Tax H850 Tax I070 Tobacco Products Report Charge I170 Trade Discount I250 Transportation Charge (Minimum Rate) I410 Unsaleable Merchandise Allowance I530 Volume Discount

SAC-05 · 610 · Amount · Required Min 1 Max 15 · Monetary amount SAC05 is the total amount for the service, promotion, allowance, or charge. If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.

Summary

TDS

010

Total Monetary Value Summary

RequiredMax use 1

To specify the total invoice discounts and amounts

TDS-01 · 610 · Amount · Required Min 1 Max 15 · Monetary amount TDS01 is the total amount of invoice (including charges, less allowances) before terms discount (if discount is applicable). · Usage notes This is the total amount of the invoice (including charges, less allowances) before terms discount (if discount is applicable). Do not send zero dollar invoices to AmerisourceBergen.

SAC Loop

OptionalMax 25

SAC

040

Service, Promotion, Allowance, or Charge Information

RequiredMax use 1

To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge

SAC-01 · 248 · Allowance or Charge Indicator · Required · Code which indicates an allowance or charge for the service specified If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required. · A Allowance C Charge

SAC-02 · 1300 · Service, Promotion, Allowance, or Charge Code · Required · Code identifying the service, promotion, allowance, or charge · A250 Advances A260 Advertising Allowance A400 Allowance Non-performance B010 Cents Off B240 COD Charges B660 Contract Allowance B720 Cooperative Advertising/Merchandising Allowance (Performance) C000 Defective Allowance C040 Delivery C310 Discount C540 Early Buy Allowance C880 Expediting Premium D200 Freight Charges to Destination D240 Freight D500 Handling D820 Inside Delivery D980 Insurance E730 New Item Allowance F180 Pallet F210 Parish/County Sales Tax (only) F290 Performance Award F340 Pick/Up F800 Promotional Allowance F810 Promotional Discount F910 Quantity Discount F970 Rebate G330 Rental Charge G400 Repair G470 Restocking Charge H000 Special Allowance H010 Special Buy H090 Special Handling H630 Tax - City Sales Tax (Only) H700 Tax - Local Tax H750 Tax - Sales Tax (State and Local) H790 Tax - Use Tax H850 Tax I070 Tobacco Products Report Charge I250 Transportation Charge (Minimum Rate) I410 Unsaleable Merchandise Allowance I530 Volume Discount

SAC-05 · 610 · Amount · Required Min 1 Max 15 · Monetary amount SAC05 is the total amount for the service, promotion, allowance, or charge. If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.

CTT

070

Transaction Totals

RequiredMax 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 IT1 segments.
  If used, hash total (CTT02) is the sum of the value of quantities invoiced (IT102) for each IT1 segment.

CTT-01 · 354 · Number of Line Items · Required Min 1 Max 6 · Total number of line items in the transaction set · Usage notes This is the total number of IT1 segments.

SE

080

Transaction Set Trailer

RequiredMax 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 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 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

RequiredMax use 1

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

GE-01 · 97 · Number of Transaction Sets Included · Required 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 Min 1 Max 9 · Assigned number originated and maintained by the sender

IEA

Interchange Control Trailer

RequiredMax 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 Min 1 Max 5 · A count of the number of functional groups included in an interchange

IEA-02 · I12 · Interchange Control Number · Required Min 9 Max 9 · A control number assigned by the interchange sender

EDI Samples

Sample from AmerisourceBergen

ST|810|0001~
BIG|20021028|75543325||96954|||DO~
N1|SU|VENDOR NAME|21|K22LM1234~
N1|BT||21|J81TK1600~
N1|ST|GENERAL HOSPITAL|21|4DY2VT210~
N3|600 MOON RIVER DRIVE|ATTN PHARMACY~
N4|MID AMERICA|TN|55555~
ITD|01|3|2|20021127|30|20021128|31|107~
IT1|1|1|EA|37.1||N4|00006484300~
IT1|2|4|EA|4.10||N4|00006484301~
TDS|5350~
CTT|2~
SE|13|0001~