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

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

• IN: Invoice Information (810,819)

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).

• 810: Invoice

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.

Usage notes

Invoice Date

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

Identifying number assigned by issuer

Usage notes

Vendor’s Invoice Number

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

Date expressed as CCYYMMDD

• BIG03 is the date assigned by the purchaser to purchase order.

Usage notes

PO Date

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

Identifying number for Purchase Order assigned by the orderer/purchaser

Usage notes

CVS P.O. # being Invoiced

050 Heading > REF

REF Reference Identification

Required · Max use 12

To specify identifying information

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

Code qualifying the Reference Identification

• VR: Vendor ID Number

REF-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

Usage notes

CVS Vendor Number

N1 Party to receive commercial invoice remittance Required Max 1

Variants (all may be used)

Ship FromShip To

070 Heading > Party to receive commercial invoice remittance > 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

• RE: Party to receive commercial invoice remittance

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

Free-form name

Usage notes

Vendor’s 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)

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.

080 Heading > Party to receive commercial invoice remittance > N2

N2 Additional Name Information

Optional · Max use 2

To specify additional names or those longer than 35 characters in length

N2-01 · 93 · Name · Required · String (AN) · Min 1 Max 60

Free-form name

Usage notes

DBA Name

090 Heading > Party to receive commercial invoice remittance > 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

100 Heading > Party to receive commercial invoice remittance > N4

N4 Geographic Location

Required · 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)

110 Heading > Party to receive commercial invoice remittance > REF

REF Reference Identification

Optional · Max use 12

To specify identifying information

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

Code qualifying the Reference Identification

• 0B: State License Number
• PN: Permit Number

REF-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

Usage notes

If REF01 = ‘PN’ – FL Permit
If REF01 = ‘0B’ – FL CDS

N1 Ship From Required Max 1

Variants (all may be used)

Party to receive commercial invoice remittanceShip To

070 Heading > Ship From > 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

• SF: Ship From

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

Free-form name

Usage notes

Vendor’s 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)

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

Vendor’s DEA Number

080 Heading > Ship From > N2

N2 Additional Name Information

Optional · Max use 2

To specify additional names or those longer than 35 characters in length

N2-01 · 93 · Name · Required · String (AN) · Min 1 Max 60

Free-form name

Usage notes

DBA Name

090 Heading > Ship From > 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

100 Heading > Ship From > N4

N4 Geographic Location

Required · 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)

110 Heading > Ship From > REF

REF Reference Identification

Optional · Max use 12

To specify identifying information

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

Code qualifying the Reference Identification

• 0B: State License Number
• PN: Permit Number

REF-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

Usage notes

If REF01 = ‘PN’ – FL Permit
If REF01 = ‘0B’ – FL CDS

N1 Ship To Required Max 1

Variants (all may be used)

Party to receive commercial invoice remittanceShip From

070 Heading > Ship To > 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

Usage notes

CVS DC 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)

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

Ship To DEA Codes

080 Heading > Ship To > N2

N2 Additional Name Information

Optional · Max use 2

To specify additional names or those longer than 35 characters in length

N2-01 · 93 · Name · Required · String (AN) · Min 1 Max 60

Free-form name

Usage notes

DBA Name

090 Heading > Ship To > 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

100 Heading > Ship To > N4

N4 Geographic Location

Required · 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)

110 Heading > Ship To > REF

REF Reference Identification

Optional · Max use 12

To specify identifying information

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

Code qualifying the Reference Identification

• 0B: State License Number
• PN: Permit Number

REF-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

Usage notes

If REF01 = ‘PN’ – FL Permit
If REF01 = ‘0B’ – FL CDS

130 Heading > ITD

ITD Terms of Sale/Deferred Terms of Sale

Required · Max use >1

To specify terms of sale

ITD-01 · 336 · Terms Type Code · Optional · 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.

• 01: Basic
• 02: End of Month (EOM)
• 04: Deferred or Installment
• 07: Extended

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

Code identifying the beginning of the terms period

• 3: Invoice Date
• 4: Specified Date
• 15: Receipt of Goods

ITD-03 · 338 · Terms Discount Percent · Optional · Decimal number (R) · 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 · Optional · Date (DT) · CCYYMMDD format

Date payment is due if discount is to be earned expressed in format CCYYMMDD

ITD-05 · 351 · Terms Discount Days Due · Optional · Numeric (N0) · 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 · Optional · Date (DT) · CCYYMMDD format

Date when total invoice amount becomes due expressed in format CCYYMMDD

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

Number of days until total invoice amount is due (discount not applicable)

ITD-08 · 362 · Terms Discount Amount · Optional · Numeric (N2) · Min 1 Max 10

Total amount of terms discount

150 Heading > FOB

FOB F.O.B. Related Instructions

Required · Max use 1

To specify transportation instructions relating to shipment

FOB-01 · 146 · Shipment Method of Payment · Required · Identifier (ID)

Code identifying payment terms for transportation charges

• FOB01 indicates which party will pay the carrier.

• BP: Paid by Buyer
• CC: Collect
• FO: FOB Port of Call
• PC: Prepaid but Charged to Customer
• PP: Prepaid (by Seller)

Detail

IT1 Loop Required Max >1

010 Detail > 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

If either Quantity Invoiced (IT1-02), Unit or Basis for Measurement Code (IT1-03) or Unit Price (IT1-04) are present, then the others are required

If either Product/Service ID Qualifier (IT1-06) or Product/Service ID (IT1-07) is present, then the other is required

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

Number of units invoiced (supplier units)

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

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

• CA: Case
• DZ: Dozen
• EA: Each
• PC: Piece
• SP: Shelf Package

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

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

IT1-06 · 235 · Product/Service ID Qualifier · Optional · 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.

• ND: National Drug Code (NDC)

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

Identifying number for a product or service

Usage notes

NDC Code

PID Loop Optional Max >1

060 Detail > IT1 Loop > PID Loop > PID

PID Product/Item Description

Required · Max use 1

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 · Optional · String (AN) · Min 1 Max 80

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

Usage notes

Item Description

100 Detail > IT1 Loop > PO4

PO4 Item Physical Details

Optional · Max use 1

To specify the physical qualities, packaging, weights, and dimensions relating to the item

PO4-01 · 356 · Pack · Required · Numeric (N0) · Min 1 Max 6

The number of inner containers, or number of eaches if there are no inner containers, per outer container

Usage notes

CVS ordered Case Pack (Number of selling Units per Case)

If sending UOM of EA or PC, PO4 segment not required, but if PO4 is sent value must be sent as 1

Mandatory for Application for UOM CA for case or SP for shelf pack

Summary

010 Summary > TDS

TDS Total Monetary Value Summary

Required · 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).

Usage notes

Total Invoice. The amount of invoice (including charges, less allowances) before terms discount, if applicable.

TDS-04 · 610 · Amount · Optional · Numeric (N2) · Min 1 Max 15

Monetary amount

• TDS04 indicates the total amount of terms discount.

Usage notes

The total amount of terms discount.

ISS Loop Optional Max >1

060 Summary > ISS Loop > ISS

ISS Invoice Shipment Summary

Required · Max use 1

To specify summary details of total items shipped in terms of quantity, weight, and volume

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

Numeric value of units shipped in manufacturer's shipping units for a line item or transaction set

ISS-02 · 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

• CA: Case
• DZ: Dozen
• EA: Each
• PC: Piece

070 Summary > CTT

CTT Transaction Totals

Optional · 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 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 · Numeric (N0) · Min 1 Max 6

Total number of line items in the transaction set

CTT-02 · 347 · Hash Total · Required · Decimal number (R) · Min 1 Max 10

Sum of values of the specified data element. All values in the data element will be summed without regard to decimal points (explicit or implicit) or signs. Truncation will occur on the left most digits if the sum is greater than the maximum size of the hash total of the data element.

## Example:
-.0018 First occurrence of value being hashed.
.18 Second occurrence of value being hashed.
1.8 Third occurrence of value being hashed.
18.01 Fourth occurrence of value being hashed.

1855 Hash total prior to truncation.
855 Hash total after truncation to three-digit field.

080 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

ST*810*000388933~
BIG*20130529*0999999*20130521*9999999~
REF*VR*19999~
N1*SF*Vendor Name*11*AB0009999~
N2*DBA Name~
N3*Address~
N4*City*St*11111~
REF*PN*49999999A~
REF*0B*49999999B~
N1*RE*Vendor Name~
N3*Address~
N4*City*St*11111~
N1*ST*CVS RX SERVICES, INC*11*RC0415871~
N2*DBA Name~
N3*150 WHITE WAGON ROAD~
N4*CHEMUNG*NY*14825~
REF*PN*WL9999999~
REF*0B*CWSL999999~
ITD*01*3*2*20130621*23*20130621*23*57571~
FOB*CC~
IT1**414*EA*69.53**ND*99999999999~
PID*F****Item Description~
TDS*2878542***57571~
ISS*414*EA~
CTT*1*414~
SE*26*000388933~