Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
Quantity
Decimal number (R)
Mandatory
1
15
1
Numeric value of quantity
02
Identification Code Qualifier
Identifier (ID)
Mandatory
1
2
1
Code specifying the system/method of code structure used for Identification
Code (67)
03
Identification Code
String (AN)
Mandatory
2
80
1
Code identifying a party or other code
04
Invoice Number
String (AN)
Optional
1
22
1
Identifying number assigned by issuer
05
Move Type Code
Identifier (ID)
Optional
1
1
1
Code identifying type of move performed by the carrier