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. · Usage notes Invoice Date

BIG-02 · 76 · Invoice Number · Required Min 1 Max 22 · Identifying number assigned by issuer · Usage notes Vendor’s Invoice Number

BIG-03 · 373 · Date · Optional 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 Min 1 Max 22 · Identifying number for Purchase Order assigned by the orderer/purchaser · Usage notes CVS P.O. # being Invoiced

REF

050

Reference Identification

RequiredMax use 12

To specify identifying information

REF-01 · 128 · Reference Identification Qualifier · Required · Code qualifying the Reference Identification · VR Vendor ID Number

REF-02 · 127 · Reference Identification · Optional 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

RequiredMax >1

Variants (all may be used)

N1Ship FromN1Ship To

N1

070

Name

RequiredMax use 1

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

Example

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 · Code identifying an organizational entity, a physical location, property or an individual · RE Party to receive commercial invoice remittance

N1-02 · 93 · Name · Optional Min 1 Max 60 · Free-form name · Usage notes Vendor’s Name

N1-03 · 66 · Identification Code Qualifier · Optional · Code designating the system/method of code structure used for Identification Code (67) · 11 Drug Enforcement Administration (DEA)

N1-04 · 67 · Identification Code · Optional 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.

N2

080

Additional Name Information

OptionalMax use 2

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

N2-01 · 93 · Name · Required Min 1 Max 60 · Free-form name · Usage notes DBA Name

N3

090

Address Information

RequiredMax use 2

To specify the location of the named party

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

N4

100

Geographic Location

RequiredMax use 1

To specify the geographic place of the named party

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

REF

110

Reference Identification

OptionalMax use 12

To specify identifying information

REF-01 · 128 · Reference Identification Qualifier · Required · Code qualifying the Reference Identification · 0B State License Number PN Permit Number

REF-02 · 127 · Reference Identification · Optional 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

RequiredMax >1

Variants (all may be used)

N1Party to receive commercial invoice remittanceN1Ship To

N1

070

Name

RequiredMax use 1

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

Example

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 · Code identifying an organizational entity, a physical location, property or an individual · SF Ship From

N1-02 · 93 · Name · Optional Min 1 Max 60 · Free-form name · Usage notes Vendor’s Name

N1-03 · 66 · Identification Code Qualifier · Optional · Code designating the system/method of code structure used for Identification Code (67) · 11 Drug Enforcement Administration (DEA)

N1-04 · 67 · Identification Code · Optional 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

N2

080

Additional Name Information

OptionalMax use 2

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

N2-01 · 93 · Name · Required Min 1 Max 60 · Free-form name · Usage notes DBA Name

N3

090

Address Information

RequiredMax use 2

To specify the location of the named party

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

N4

100

Geographic Location

RequiredMax use 1

To specify the geographic place of the named party

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

REF

110

Reference Identification

OptionalMax use 12

To specify identifying information

REF-01 · 128 · Reference Identification Qualifier · Required · Code qualifying the Reference Identification · 0B State License Number PN Permit Number

REF-02 · 127 · Reference Identification · Optional 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

RequiredMax >1

Variants (all may be used)

N1Party to receive commercial invoice remittanceN1Ship From

N1

070

Name

RequiredMax use 1

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

Example

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 · Code identifying an organizational entity, a physical location, property or an individual · ST Ship To

N1-02 · 93 · Name · Optional Min 1 Max 60 · Free-form name · Usage notes CVS DC Name

N1-03 · 66 · Identification Code Qualifier · Optional · Code designating the system/method of code structure used for Identification Code (67) · 11 Drug Enforcement Administration (DEA)

N1-04 · 67 · Identification Code · Optional 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

N2

080

Additional Name Information

OptionalMax use 2

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

N2-01 · 93 · Name · Required Min 1 Max 60 · Free-form name · Usage notes DBA Name

N3

090

Address Information

RequiredMax use 2

To specify the location of the named party

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

N4

100

Geographic Location

RequiredMax use 1

To specify the geographic place of the named party

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

REF

110

Reference Identification

OptionalMax use 12

To specify identifying information

REF-01 · 128 · Reference Identification Qualifier · Required · Code qualifying the Reference Identification · 0B State License Number PN Permit Number

REF-02 · 127 · Reference Identification · Optional 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

ITD

130

Terms of Sale/Deferred Terms of Sale

RequiredMax use >1

To specify terms of sale

ITD-01 · 336 · Terms Type Code · Optional · 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 · 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 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 CCYYMMDD format · Date payment is due if discount is to be earned expressed in format CCYYMMDD

ITD-05 · 351 · Terms Discount Days Due · Optional 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 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 · Optional Min 1 Max 10 · Total amount of terms discount

FOB

150

F.O.B. Related Instructions

RequiredMax use 1

To specify transportation instructions relating to shipment

FOB-01 · 146 · Shipment Method of Payment · Required · 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

RequiredMax >1

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 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 Min 1 Max 10 · Number of units invoiced (supplier units)

IT1-03 · 355 · Unit or Basis for Measurement Code · Optional · 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 Min 1 Max 15 · Price per unit of product, service, commodity, etc.

IT1-06 · 235 · Product/Service ID Qualifier · Optional · 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 Min 1 Max 48 · Identifying number for a product or service · Usage notes NDC Code

PID Loop

OptionalMax >1

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 · Optional Min 1 Max 80 · A free-form description to clarify the related data elements and their content · Usage notes Item Description

PO4

100

Item Physical Details

OptionalMax use 1

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

PO4-01 · 356 · Pack · Required 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

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

TDS-04 · 610 · Amount · Optional Min 1 Max 15 · Monetary amount TDS04 indicates the total amount of terms discount. · Usage notes The total amount of terms discount.

ISS Loop

OptionalMax >1

ISS

060

Invoice Shipment Summary

RequiredMax 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 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 · 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

CTT

070

Transaction Totals

OptionalMax 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

CTT-02 · 347 · Hash Total · Required 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.

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

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~