ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810

JUNE 1996 VERSION 1.0 810

ASC X12 Finance Subcommittee

Consumer Service Provider (CSP)Billing and Payment Guide

Version 003 Release 061

Biller

- CSP -Consumer

Service Provider

PaymentSystem

Consumer Network

810 InvoiceTransaction Set Section

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810 CSP BILLING AND PAYMENT GUIDE

810 ùù ii VERSION 1.0 JUNE 1996

DISA © 1996Copyright by Data Interchange Standards Association, Inc.All rights reserved throughout the world.

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810

JUNE 1996 VERSION 1.0 810 ùù iii

Preface

Organization of Guide

This document should be treated as a guide or education and implementation tool. It is intended to aid inthe consistent use of Accredited Standards Committee (ASC) X12 standards within and across multipleindustries when implementing consumer electronic billing and payment through third party consumerservice providers.

The following are the documents (sections) that make up the Consumer Service Provider (CSP) Billingand Payment Guide.1. General Section2. 814 - General Request, Response or Confirmation Transaction Set Section3. 810 - Invoice Transaction Set Section4. 820 - Payment Order/Remittance Advice Transaction Set Section

Acknowledgments

This guide was prepared by members of the Finance Subcommittee organized and established by ASCX12. The X12 Finance Subcommittee developed and maintains the referenced standards as well as thisguide. Responsibility for the content of this guide resides specifically with the Consumer ServiceProvider Billing and Payment Work Group (WG4) of the Invoice and Payment Task Group (TG2) of theASC X12 Finance Subcommittee. The information contained in this document is based on the input ofX12 Finance Subcommittee member organizations, third party service providers and financialinstitutions.

Comments, questions, and suggestions for improvement from any trading partner, financial institution orthird party are strongly encouraged and may be submitted in writing to the secretariat of ASC X12, theData Interchange Standards Association, Inc. (DISA) using the contact information listed on the followingpage. They will be forwarded to the X12 Finance Subcommittee.

Obtaining Document Copies

This document is available in multiple formats.

1. Electronic DownloadAn electronic version of this document is available for download. It may be accessed through

the DISA World Wide Web Internet site listed on the following page. This document is located underthe X12 Finance Subcommittee (X12F) page, under the Documents.

2. DisketteAn electronic version of this document is available on diskette from DISA using the contact

information listed on the following page.

3. PaperA copy of this document is available on paper from DISA using the contact information listed on

the following page.

The ASC X12 standards mentioned in this document are available from DISA and may be ordered bycalling 1-888-363-2334.

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810 CSP BILLING AND PAYMENT GUIDE

810 ùù iv VERSION 1.0 JUNE 1996

DISA Contact Information

Data Interchange Standards Association, Inc.Director, Publications & Standards1800 Diagonal Road, Suite 200Alexandria, VA 22314-2852Phone: (703) 548-7005Fax: (703) 548-5738Email: publications@disa.org

Additional information on DISA, ASC X12 and the X12 Finance Subcommittee may be obtained on theDISA World Wide Web Internet site at:

http://www.disa.org

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810

JUNE 1996 VERSION 1.0 810 ùù v

810 Invoice

Table of Contents

1. Overview ..........................................................................................................................................1-11.1 Description ..................................................................................................................................1-11.2 Transaction Set Usage ................................................................................................................1-1

1.2.1 General.................................................................................................................................1-11.2.2 Structure Information ............................................................................................................1-1

1.3 Data Element Usage ...................................................................................................................1-22. Mapping Examples ...........................................................................................................................2-1

2.1 Example 1 - Retail Invoice from a Biller ......................................................................................2-12.2 Example 2 - Cable Invoice from a Biller ......................................................................................2-7

3. Cross Reference...............................................................................................................................3-14. Detail Layout ....................................................................................................................................4-1

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ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 1 - OVERVIEW

JUNE 1996 VERSION 1.0 810 ùù 1-1

810 Invoice

1. Overview

1.1 Description

The 810 is an EDI Invoice transaction set. It is used to send invoice and statement information from aBiller to a CSP on behalf of the Consumer.

1.2 Transaction Set Usage

1.2.1 General

The 810 transaction set is considered a one-to-one transaction. The Biller will create ONE 810 invoicefor each ONE Consumer Invoice/Statement sent to the Consumer by the CSP.

1.2.2 Structure Information

The following structure charts show how each transaction set table is used.

Table 1 - General Invoice InformationType of Action Type of Information SegmentIdentify Invoice Invoice Identifiers BIG

Invoice Currency CURInvoice/Account Level ReferenceNumbers

REF

Identify InvoiceParties

Biller N1 Loop, Biller/Seller (SE Qualifier)

CSP Customer, Bill To N1 Loop, CSP Customer/Bill To (8R or BT Qualifier)

CSP N1 Loop, CSP (8S Qualifier)Line Item Buyer/Service Location N1 Loop, Vendor (BY Qualifier)Line Item Property Location N1 Loop, Vendor (PP Qualifier)Line Item Meter Location N1 Loop, Buyer (MQ Qualifier)

Invoice General Invoice Terms ITDInvoice Dates DTMInvoice Messages PIDInvoice Balances BALInvoice Installment Information INC

Table 2 - Invoice Item InformationOne Line Item per Invoiced Item.Type of Action Type of Information SegmentDetail Invoice LineItem

Line ItemIdentify Item, Units, Amounts,Product/Service Type/Identifier

IT1 Invoice Base Line Item

Line Item Currency CURLine Item Tax Information TXI

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Type of Action Type of Information SegmentLine Item Period Amounts/Use Data PAMLine Item Meter Reading Information MEALine Item Free-Form Product Description PIDLine Item Reference Numbers REFLine Item Dates DTM

Detail Invoice LineItems Allowancesand Charges

Line Item Service/Promotion/Allowance/Charge Information

SAC Loop

Line Item Service/Promotion/Allowance/Charge Tax information

TXI

Detail Line ItemSeller, Buyer orService Location

Line Item Seller/Merchant (Vendor) N1 Loop, Vendor (VN Qualifier)

Table 3 - Invoice Summary InformationOne Line Items per Invoiced Item.Type of Action Type of Information SegmentSummarizeInvoice

Total Invoice Amount TDS

Non Line Item InvoiceAllowances/Charges

SAC

Number of Invoice Line Items CTT

1.3 Data Element Usage

Account/Invoice Level Reference Number

With recurring invoicing, a customer may have one account number under which invoices are renderedmonthly, such as for a credit card, utilities or telephone service. If the account number is used as aninvoice number, this may cause a problem because some CSP systems will not allow the same invoicenumber for the same Customer to be processed again. It would be considered a duplicate invoice.

The solution is to implement a standard way to make the invoice number unique. The following aresuggested solutions:(1) For Billers who DO have unique invoice numbers:

The invoice number is the Billers invoice number.Invoices are issued with this unique number.Payments are made to this unique number.

(2) For Billers who DO NOT have unique invoice numbers:The invoice number is created by using the account number plus a date suffix.The date suffix should include at least a month and year designation. The day is optional.This date suffix may be in any format the Biller chooses. Such as:

xxxxxx9401 xxxxxx1994JAN xxxxxx-1994JAN xxxxxx-9401xxxxxx94JAN xxxxxx940115 xxxxxx-940115 xxxxxx-94JAN

Invoices are issued with this unique number.Payments are made to this unique number or to an Account Number.In order for payments to be made to an Account Number, one of two reference numbers must bepassed in the invoice transaction, using the following reference number qualifier:

11 - Account NumberIf either of these reference numbers are not present, then the invoice number should be used in thepayment transaction. If the invoice number is used, the Biller must be able to remove the suffix fromthe account number prior to trying to apply the payment to the accounts receivable system.

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810 Invoice

2. Mapping Examples

2.1 Example 1 - Retail Invoice from a Biller

Example 1 - Business Scenario

ABC Company is a large retail biller. 123 Easy Pay is a Consumer Service Provider (CSP) whichprovides consumers and small businesses with bill payment services using PC software, includingelectronic invoicing and payments with large billers. 123 Easy Pay has four customers, Joe Doe, MaryQ. Smith, Sue Parks & Fred Jones.

Example 1 - Transaction Scenario

ABC Company delivers a retail invoice to Mary Q. Smith through 123 Easy Pay.

Biller CSP

Cons umer

ABC Company Joe, Mary, Sue, Fred123 Easy Pay

810

Example 1 - Transaction Participant Information

Biller Name: ABC Company ID: 999999999CSP Name: 123 Easy Pay ID: 123000000Consumers Name: Mary Q. Smith ID: 123-SMITH

Example 1 - Transaction Payment Information

See sample invoice on next page

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Example 1 - Retail Store Invoice

ABC COMPANYA DIVISION OF THE BBB DEPARTMENT STORES COMPANY 13

Account Number New Balance Payment Now Due Please Mail By Enter Amount Due2 74-001-999-2 74.62 20.00 01/22/95

2 3 4 5

CAR-RT PRESORT ** C058 MAIL PAYMENT TO:6 MICHAEL D SMITH 12 ABC COMPANY7 MARY Q SMITH 14 PO BOX 60998 7 MAPLE CT 15-17 ST LOUIS MO 63101-60999-11 ST CHARLES MO 63303-3156

1297400199922000074620000000000002000 1

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Please detach here and return the upper portion with your check or money order

THANK YOU FOR SHOPPING AT ABC COMPANYDATE REF. NO. STORE/DEPT DESCRIPTION AMOUNTDEC 02 A 043-1798 B 06 581 C WOMENS SPORTSWEAR D 21.36 E

DEC 15 F 007-5649 G 06 453 H LIZ SPORTSWEAR I 28.84 J

DEC 19 K 039-4444 L 07 547 M INFANT WEAR N 15.36 O

DEC 20 P 044-3622 Q 06 148 R INFANT LAYETTE S 9.06 T

DEC 24 U 021-0074 V 98 999 W PAYMENT RECEIVED-THANK YOU X 195.66 CR Y

THANK YOU FOR CHOOSING ABC COMPANY FOR YOUR HOLIDAY 30SHOPPING. WE APPRECIATE YOUR BUSINESS AND LOOKFORWARD TO SERVING YOU IN 1995.

A-025211 A 29

ABC COMPANY ACCOUNT SUMMARY BILLING INQUIRIES - CALL (800) 528-0780 31

To avoid incurring additional finance charges you may remit your new balance in full within 25 days of the billing date shown below 32PREVIOUS BALANCE + PURCHASES + FINANCE CHARGE - PAYMENTS - CREDITS = NEW BALANCE

195.66 74.62 .00 195.66 .00 74.62 19 20 22 23 3

ANNUAL PERCENTAGERATE

MONTHLY PERIODICRATE

AVERAGE DAILYBALANCE

PAST DUE AMOUNT PAYMENT NOW DUE

20.04 1.670 .00 20.00 28 4

Refer to your account number when making inquiries. This bill contains transactions through the billing dateACCOUNT NUMBER CREDIT LINE BILLING DATE PLEASE MAIL BY

74-001-999-2 FLEX 5000 12/28/94 01/22/95 2 18 27 1 5

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Example 1 - Transaction Set Mapping

Table1Segment Contents Ref. Element DescriptionsST*810*0001 n/l Transaction Set ID: 810

Control Number: 0001BIG*941228*7400199921294*****DI n/l

21&2

Invoice Date: 941228Invoice Number: 7400199921294Transaction Type: DI, Debit Invoice

REF*12*740019992 n/l1

Reference Number Qualifier: 12, Billing AccountReference Number: 740019992

REF*9X*FLEX* n/l18

Reference Number Qualifier: 9X, Account CategoryReference Number: FLEX

REF*DD*A0252211A n/l29

Reference Number Qualifier: DD, Document ID CodeReference Number: A0252211A

N1*SE*ABC COMPANY*1*999999999 n/l 12

Entity Identifier Code: SE, Selling Party followsName: ABC COMPANY (4)Identification Code Qualifier: 1, DUNS number followsIdentification Code: 999999999

N2*A DIVISION OF BBB DEPTSTORES CO n/l

13 Additional Name: A DIVISION OF BBB DEPT STORESCO

N3*PO BOX 6099 n/l 14 Address: PO BOX 6099N4*ST LOUIS*MO*631016099 n/l 15

1617

City: ST LOUISState: MOPostal Code: 631016099

PER*IC*BILLINGINQUIRIES*TE*8005280780 n/l

31

Contact Function Code: IC, Information ContactName: BILLING INQUIRIESCommunication Number Qualifier: TE, TelephoneCommunication Number: 8005280780

N1*BT*123 MICHAEL D SMITHn/l 6

Entity Identifier Code: BT, Bill To followsName: MICHAEL D SMITH

N2*MARY Q SMITH n/l 7 Additional Name: MARY Q. SMITHN3*7 MAPLE CT n/l 8 Address: 7 MAPLE CTN4*ST CHARLES*MO*633033156n/l

91011

City: ST CHARLESState: MOPostal Code: 633033156

N1*8S*123 EASY PAY*1*123000000 n/l

Entity Identifier Code: 8S, Consumer Service Provider,CSP followsName: 123 EASY PAYIdentification Code Qualifier: 1, DUNS Number followsIdentification Code: 123000000

N3*1234 MAIN STREET n/l Address: 1234 MAIN STREETN4*COLUMBUS*OH*430173221n/l

City: COLUMBUSState: OHPostal Code: 430173221

PER*IC*CUSTOMERINFORMATION* TE*6147911234n/l

Contact Function Code: IC, Information ContactName: CUSTOMER INFORMATIONCommunication Number Qualifier: TE, TelephoneCommunication Number: 6147911234

ITD*18*****950125 n/l

32

Terms Type Code: 18, Fixed Date, Late Payment PenaltyAppliesTerms Net Due Date: 950125

DTM*946*950122 n/l5

Date/Time Qualifier: 946, Mail by dateDate: 950122

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Segment Contents Ref. Element DescriptionsPID*F****THANK YOU FORCHOOSING ABC COMPANY FORYOUR HOLIDAY SHOPPING. n/l

30aItem Description Type: F, Free FormDescription: THANK YOU FOR CHOOSING ABCCOMPANY FOR YOUR HOLIDAY SHOPPING.

PID*F****WE APPRECIATE YOURBUSINESS AND LOOKFORWARD TO SERVING YOU IN1995. n/l

30b Item Description Type: F, Free FormDescription: WE APPRECIATE YOUR BUSINESS ANDLOOK FORWARD TO SERVING YOU IN 1995.

BAL*P*BD*19566 n/l

19

Balance Type Code: P, Previous MonthAmount Qualifier Code: BD, Balance DueMonetary Amount: $195.66

BAL*M*GY*7462 n/l

20

Balance Type Code: M, Current MonthAmount Qualifier Code: GY, Total Debits/PurchasesMonetary Amount: $74.62.00

BAL*M*GX*0 n/l

23

Balance Type Code: M, Current MonthAmount Qualifier Code: GX, Total Credits/ReturnsMonetary Amount: $0.00

BAL*M*TP*19566 n/l

22

Balance Type Code: M, Current MonthAmount Qualifier Code: TP, Total PaymentsMonetary Amount: $195.66

BAL*M*BD*7462 n/l

3

Balance Type Code: M, Current MonthAmount Qualifier Code: BD, Balance DueMonetary Amount: $74.62

BAL*M*PJ*0 n/l

28

Balance Type Code: M, Current MonthAmount Qualifier Code: PJ, Past Due AmountMonetary Amount: $0.00

BAL*M*KS*2000 n/l

4

Balance Type Code: M, Current MonthAmount Qualifier Code: KS, Minimum FeeMonetary Amount: $20.00

BAL*M*GO*500000 n/l

27

Balance Type Code: M, Current MonthAmount Qualifier Code: GO, Credit Line AmountMonetary Amount: $5000.00

Table2Segment Contents Ref. Element DescriptionsIT1*1 n/l Assigned Identification: 1PID*F****WOMENSSPORTSWEAR n/l D

Item Description Type: F, Free FormDescription: WOMENS SPORTSWEAR

REF*IX*043-1798 n/lB

Reference Number Qualifier: IX, Item NumberReference Number: 043-1798

REF*ST*06 n/lCa

Reference Number Qualifier: ST, Store NumberReference Number: 06

REF*DP*581 n/lCb

Reference Number Qualifier: DP, Department NumberReference Number: 581

DTM*321*941202 n/lA

Date/Time Qualifier: 321, PurchasedDate: 941202

SAC*C*D340***21.36 n/l

E

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $21.36

IT1*2 n/l Assigned Identification: 2PID*F****LIZ SPORTSWEAR n/l

IItem Description Type: F, Free FormDescription: LIZ SPORTSWEAR

REF*IX*007-5649 n/l Reference Number Qualifier: IX, Item Number

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Segment Contents Ref. Element DescriptionsG Reference Number: 007-5649

REF*ST*06 n/lHa

Reference Number Qualifier: ST, Store NumberReference Number: 06

REF*DP*453 n/lHb

Reference Number Qualifier: DP, Department NumberReference Number: 453

DTM*321*941215 n/lF

Date/Time Qualifier: 321, PurchasedDate: 941215

SAC*C*D340***28.84 n/l

J

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $28.84

IT1*3 n/l Assigned Identification: 3PID*F****INFANT WEAR n/l

NItem Description Type: F, Free FormDescription: INFANT WEAR

REF*IX*039-4444 n/lL

Reference Number Qualifier: IX, Item NumberReference Number: 039-4444

REF*ST*07 n/lMa

Reference Number Qualifier: ST, Store NumberReference Number: 07

REF*DP*547 n/lMb

Reference Number Qualifier: DP, Department NumberReference Number: 547

DTM*321*941219 n/lK

Date/Time Qualifier: 321, PurchasedDate: 941219

SAC*C*D340***15.36 n/l

O

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $15.36

IT1*4 n/l Assigned Identification: 4PID*F****INFANT LAYETTE n/l

SItem Description Type: F, Free FormDescription: INFANT LAYETTE

REF*IX*044-3622 n/lQ

Reference Number Qualifier: IX, Item NumberReference Number: 044-3622

REF*ST*06 n/lRa

Reference Number Qualifier: ST, Store NumberReference Number: 06

REF*DP*148 n/lRb

Reference Number Qualifier: DP, Department NumberReference Number: 148

DTM*321*941220 n/lP

Date/Time Qualifier: 321, PurchasedDate: 941220

SAC*C*D340***9.06 n/l

T

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $9.06

IT1*5 n/l Assigned Identification: 5PID*F****PAYMENT RECEIVED-THANK YOU n/l X

Item Description Type: F, Free FormDescription: PAYMENT RECEIVED-THANK YOU

REF*IX*021-0074 n/lV

Reference Number Qualifier: IX, Item NumberReference Number: 021-0074

REF*ST*98 n/lWa

Reference Number Qualifier: ST, Store NumberReference Number: 98

REF*DP*999 n/lWb

Reference Number Qualifier: DP, Department NumberReference Number: 999

DTM*050*941224 n/lU

Date/Time Qualifier: 050, Received DateDate: 941224

SAC*A*I710***-195.66 n/l Z Allowance or Charge Indicator: A, Allowance

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Segment Contents Ref. Element Descriptions

Y

Service, Promotion, Allowance or Charge Indicator: I710,PaymentAmount: $195.66

Table 3Segment Contents Ref. Element DescriptionsTDS*7462 n/l 20 Total Invoice Amount: $74.62CTT*5 n/l Number of Line Items: 5SE*0001*68 n/l Control Number: 0001

Number of Segments: 68

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2.2 Example 2 - Cable Invoice from a Biller

Example 2 - Business Scenario

ABC Company is a large cable biller. 123 Easy Pay is a Consumer Service Provider (CSP) whichprovides consumers and small businesses with bill payment services using PC software, includingelectronic invoicing and payments with large billers. 123 Easy Pay has four customers, Joe Doe, MaryQ. Smith, Sue Parks & Fred Jones.

Example 2 - Transaction Scenario

ABC Company delivers a retail invoice to Mary Q. Smith through 123 Easy Pay.

Biller CSP

Cons umer

ABC Company Joe, Mary, Sue, Fred123 Easy Pay

810

Example 2 - Transaction Participant Information

Biller Name: ABC Company ID: 999999999CSP Name: 123 Easy Pay ID: 123000000Consumers Name: Mary Q. Smith ID: 123-SMITH

Example 2 - Transaction Payment Information

See Sample invoice on next page

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Example 2 - Cable Invoice

ABC CABLEVISION 11 DUE DATE AMOUNT DUEOF MISSOURI 01/10/95 47.574160 OLD MILL PARKWAY 12 4 31ST PETERS MO 63376 13-15

Please IndicateAmount enclosed

PLEASE RETURN THIS TOP PORTION ONLY, WITH REMITTANCE TO:16 ABC NORTH CENTRAL INC

45 6263 CP 1 B 29 A 84980 *CR 58 17 PO BOX 27-07116 MARY Q. SMITH 18-19 KANSAS CITY MO7 7 MAPLE CT 20 64180-07118-9 SAINT CHARLES MO10 63303-3156

189999 507423 01 4 3 004757

---------------------------------------------------------------------------------------------ABC CABLEVISION

OFST. PETERS, MO.

ACCOUNT NUMBER BILLEDFROM

BILLED TO DUE DATE INCLUDESPAYMENTS

RECEIVED BY189999-507423-01-4 01/01/95 01/31/95 01/10/95 12/20/94

21 1 2 3 4 5

THE HOURLY SERVICE CHARGE IS $33.54. 41FOR- 7 MAPLE CT 40

THE TRUE REGULATED FCC BILLING RATE 4211/30 BEGINNING BALANCE 47.60 43 IS $9.22 FOR BASIC AND $10.20 FOR

EXPANDED BASIC. THIS RATE SHOULD HAVE12/12 A PAYMENT B 47.60- C BEEN EFFECTIVE OCTOBER 1, 1994. IF A12/20 D RATE CODE ADJ E .03- F REFUND IS APPLICABLE, IT WILL APPEAR01/01-01/31 G BASIC SERVICE H 9.22 I AS A CREDIT ADJUSTMENT ON YOUR01/01-01/31 J EXPANDED BASIC K 10.20 L JANUARY STATEMENT.01/01-01/31 M STARTER PACKAGE N 12.60 O01/01-01/31 P HBO-STZ-ENC-GUIDE Q 11.90 R

YOUR PACKAGE INCLUDES HBO STARZ, ENCORE AND THE GUIDE

01/01-01/31 T ADDRESSABLE/CONV U 2.04 V01/01-01/31 W SALES TAX X .22 Y01/01-01/31 Z FRANCHISE TAX Aa 1.39 Ab01/01-01/31 Ac REGULATORY FEE Ad .03 Ae

12/31 BALANCE MONTH END 47.57 44

JAN 01 THRU JAN 31, 1995

---------------------------------------------------------------------------------------------

FRANCHISE AUTHORITY 32 FEDERAL COMMUNICATIONS COMMISSION24 CITY ADMINISTRATOR 33 CABLE SERVICES BUREAU25 CITY OF ST. CHARLES 34 CONSUMER PROTECTION DIVISION26 200 NORTH SECOND ST 35 1919 M STREET N.W.27-29 ST. CHARLES, MO 63301 36-38 WASHINGTON, D.C. 2055430 314-949-3288 39 202-416-0856

FCC COMMUNITY UNIT #M00157

FOR PROMPT RESPONSE TO YOUR SERVICE AND BILLING PROBLEMS, PLEASE CALL THECABLE OFFICE AT 441-7737 OR 279-1222. 22 23

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Table1Segment Contents Ref. Element DescriptionsST*810*0002 n/l Transaction Set ID: 810

Control Number: 0002BIG*941220*189999-507423-01-41295*****DI n/l

51&5

Invoice Date: 941220Invoice Number: 189999-507423-01-4 1295Transaction Type: DI, Debit Invoice

REF*12*189999-507423-01-4 n/l1

Reference Number Qualifier: 12, Billing AccountReference Number: 189999-507423-01-4

REF*DD*6263 CP 1 B 29 A 84980CR58 n/l 45

Reference Number Qualifier: DD, Document ID CodeReference Number: 6263 CP 1 B 29 A 84980 CR 58

N1*SE*ABC CABLEVISION OFMISSOURI*1*999999999 n/l 12

Entity Identifier Code: SE, Selling Party followsName: ABC CABLEVISION OF MISSOURIIdentification Code Qualifier: 1, DUNS number followsIdentification Code: 999999999

N3*4160 OLD MILL PARKWAY n/l 12 Address: 4160 OLD MILL PARKWAYN4*ST PETERS*MO*633376 n/l 13

1415

City: ST PETERSState: MOPostal Code: 633376

N1*PE*ABC NORTH CENTRALINC n/l 16

Entity Identifier Code: PE, Payee Follows followsName: ABC NORTH CENTRAL INC

N3*PO BOX 27-0711 n/l 17 Address: PO BOX 27-0711N4*KANSAS CITY*MO*641800711n/l

181920

City: KANSAS CITYState: MOPostal Code: 641800711

N1*IL*ABC CABLEVISION OF ST.PETERS, MO n/l 21

Entity Identifier Code: IL, Franchisee followsName: ABC CABLEVISION OF ST. PETERS, MO

PER*IC*SERVICE AND BILLINGPROBLEMS*TE*3144417737 n/l 22a

22b

Contact Function Code: IC, Information ContactName: SERVICE AND BILLING PROBLEMSCommunication Number Qualifier: TE, TelephoneCommunication Number: 3144417737

PER*IC*SERVICE AND BILLINGPROBLEMS*TE*3142791222 n/l 23a

23b

Contact Function Code: IC, Information ContactName: SERVICE AND BILLING PROBLEMSCommunication Number Qualifier: TE, TelephoneCommunication Number: 3142791222

N1*1K*CITY ADMINISTRATOR*91*M00157 n/l 24

Entity Identifier Code: 1K, Franchisor followsName: CITY ADMINISTRATORIdentification Code Qualifier: 91, Assigned by Seller orSeller’s AgentIdentification Code: M00157

N2*CITY OF ST CHARLES n/l 25 Additional Name: CITY OF ST CHARLESN3*200 NORTH SECOND ST n/l 26 Address: 200 NORTH SECOND STN4*ST. CHARLES*MO*63301 n/l 27

2829

City: ST. CHARLESState: MOPostal Code: 63301

PER*IC*INFORMATIONCONTACT*TE*3149493288 n/l

30

Contact Function Code: IC, Information ContactName: INFORMATION CONTACTCommunication Number Qualifier: TE, TelephoneCommunication Number: 3149493288

N1*AG*FEDERAL COMMUNICATION COMMISSION n/l 32

Entity Identifier Code: AG, Agent/Agency followsName: FEDERAL COMMUNICATI ON COMMISSION

N2*CABLE SERVICE BUREAU*CONSUMER PROTECTIONDIVISION n/l

3334

Additional Name: CABLE SERVICE BUREAUAdditional Name: CONSUMER PROTECTION DIVISION

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810ùù 1 - OVERVIEW CSP BILLING AND PAYMENT GUIDE

810 ùù 2-10 VERSION 1.0 JUNE 1996

Segment Contents Ref. Element DescriptionsN3*1919 M STREET N.W. n/l 35 Address: 1919 M STREET N.W.N4*WASHINGTON*DC*20554 n/l 36

3738

City: WASHINGTONState: DCPostal Code: 20554

PER*IC*INFORMATIONCONTACT*TE*2024160856 n/l

39

Contact Function Code: IC, Information ContactName: INFORMATION CONTACTCommunication Number Qualifier: TE, TelephoneCommunication Number: 2024160856

N1*BT*MARY Q. SMITH n/l6

Entity Identifier Code: BT, Bill To followsName: MARY Q. SMITH

N3*7 MAPLE CT n/l 7 Address: 7 MAPLE CTN4*SAINT CHARLES*MO*633033156 n/l

89

10

City: SAINT CHARLESState: MOPostal Code: 633033156

N1*BY*MARY Q. SMITH n/l6

Entity Identifier Code: BY, Buyer (Service Address)Name: MARY Q. SMITH

N3*7 MAPLE CT n/l 40 Address: 7 MAPLE CTN1*8S*123 EASY PAY*1*123000000 n/l

Entity Identifier Code: 8S, Consumer Service Provider,CSP followsName: 123 EASY PAYIdentification Code Qualifier: 1, DUNS Number followsIdentification Code: 123000000

N3*1234 MAIN STREET n/l Address: 1234 MAIN STREETN4*COLUMBUS*OH*430173221n/l

City: COLUMBUSState: OHPostal Code: 430173221

PER*IC*CUSTOMERINFORMATION* TE*6147911234n/l

Contact Function Code: IC, Information ContactName: CUSTOMER INFORMATIONCommunication Number Qualifier: TE, TelephoneCommunication Number: 6147911234

ITD*18*****950110 n/l

4

Terms Type Code: 18, Fixed Date, Late Payment PenaltyAppliesTerms Net Due Date: 950110

DTM*186*950101 n/l2

Date/Time Qualifier: 186, Invoice Period StartDate: 950101

DTM*186*950131 n/l3

Date/Time Qualifier: 187, Invoice Period EndDate: 950131

DTM*146*941220 n/l5

Date/Time Qualifier: 146, Closing DateDate: 941220

PID*X**AS*S1*THE HOURLYSERVICE CHARGE IS $33.54. n/l

41

Item Description Type: X, Semi-StructuredAgency Qualifier Code: AS, Assigned by SellerProduct Description Code: S1, Statement Msg, Line 1Description: THE HOURLY SERVICE CHARGE IS$33.54.

PID*X**AS*R1*THE TRUEREGULATED FCC BILLINGRATE IS $9.22 FOR BASIC AND$10.20 FOR EXPANDED BASIC.n/l

42a

Item Description Type: X, Semi-StructuredAgency Qualifier Code: AS, Assigned by SellerProduct Description Code: R1, Rate Message, Line 1Description: THE TRUE REGULATED FCC BILLINGRATE IS $9.22 FOR BASIC AND $10.20 FOREXPANDED BASIC.

PID*X**AS*R2*THIS RATESHOULD HAVE BEENEFFECTIVE OCTOBER 1, 1994.

Item Description Type: X, Semi-StructuredAgency Qualifier Code: AS, Assigned by SellerProduct Description Code: R2, Rate Message, Line 2

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 2- MAPPING EXAMPLES

JUNE 1996 VERSION 1.0 810 ùù 2-11

Segment Contents Ref. Element Descriptionsn/l 42b Description: THIS RATE SHOULD HAVE BEEN

EFFECTIVE OCTOBER 1, 1994.PID*X**AS*R3*IF A REFUND ISAPPLICABLE, IT WILL APPEARAS A CREDIT ADJUSTMENT ONYOUR JANUARY BILL. n/l 42c

Item Description Type: X, Semi-StructuredAgency Qualifier Code: AS, Assigned by SellerProduct Description Code: R3, Rate Message, Line 3Description: IF A REFUND IS APPLICABLE, IT WILLAPPEAR AS A CREDIT ADJUSTMENT ON YOURJANUARY BILL.

BAL*P*BD*47.60 n/l

43

Balance Type Code: P, Previous MonthAmount Qualifier Code: BD, Balance DueMonetary Amount: $47.60

BAL*M*BD*47.57 n/l

44

Balance Type Code: M, Current MonthAmount Qualifier Code: BD, Balance DueMonetary Amount: $47.57

Table 2Segment Contents Ref. Element DescriptionsIT1*1 n/l Assigned Identification: 1PID*F****PAYMENT n/l

BItem Description Type: F, Free FormDescription: PAYMENT

DTM*050*941212 n/lA

Date/Time Qualifier: 050, Received DateDate: 941212

SAC*A*I710***-4760 n/l

C

Allowance or Charge Indicator: A, AllowanceService, Promotion, Allowance or Charge Indicator: I710,PaymentAmount: $47.60

IT1*2 n/l Assigned Identification: 2PID*F****RATE CODE ADJ n/l

EItem Description Type: F, Free FormDescription: RATE CODE ADJ

DTM*097*941220 n/lD

Date/Time Qualifier: 097, Transaction Create DateDate: 941220

SAC*A*A170***-03 n/l

F

Allowance or Charge Indicator: A, AllowanceService, Promotion, Allowance or Charge Indicator:A170, AdjustmentAmount: $-0.03

IT1*3 n/l Assigned Identification: 3PID*F****BASIC SERVICE n/l

HItem Description Type: F, Free FormDescription: BASIC SERVICE

DTM*150*950101 n/lG1

Date/Time Qualifier: 150, Service Period StartDate: 950101

DTM*151*950131 n/lG2

Date/Time Qualifier: 151, Service Period EndDate: 950131

SAC*C*D340***922 n/l

I

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $9.22

IT1*4 n/l Assigned Identification: 4PID*F****EXPANDED BASIC n/l

KItem Description Type: F, Free FormDescription: EXPANDED BASIC

DTM*150*950101 n/lJ1

Date/Time Qualifier: 150, Service Period StartDate: 950101

DTM*151*950131 n/lJ2

Date/Time Qualifier: 151, Service Period EndDate: 950131

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810ùù 1 - OVERVIEW CSP BILLING AND PAYMENT GUIDE

810 ùù 2-12 VERSION 1.0 JUNE 1996

Segment Contents Ref. Element DescriptionsSAC*C*D340***1020 n/l

L

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $10.20

IT1*5 n/l Assigned Identification: 5PID*F****STARTER PACKAGE n/l

NItem Description Type: F, Free FormDescription: STARTER PACKAGE

DTM*150*950101 n/lM1

Date/Time Qualifier: 150, Service Period StartDate: 950101

DTM*151*950131 n/lM2

Date/Time Qualifier: 151, Service Period EndDate: 950131

SAC*C*D340***1260 n/l

O

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $12.60

IT1*6 n/l Assigned Identification: 6PID*F****HBO-STZ-ENC-GUIDEn/l Q

Item Description Type: F, Free FormDescription: HBO-STZ-ENC-GUIDE

PID*F****YOUR PACKAGEINCLUDES HBO STARZENCORE AND THE GUIDE n/l

SItem Description Type: F, Free FormDescription: YOUR PACKAGE INCLUDES HBO STARZENCORE AND THE GUIDE

DTM*150*950101 n/lP1

Date/Time Qualifier: 150, Service Period StartDate: 950101

DTM*151*950131 n/lP2

Date/Time Qualifier: 151, Service Period EndDate: 950131

SAC*C*D340***1190 n/l

R

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $11.90

IT1*7 n/l Assigned Identification: 7PID*F****ADDRESSABLE/CONVn/l U

Item Description Type: F, Free FormDescription: ADDRESSABLE/CONV

DTM*150*950101 n/lT1

Date/Time Qualifier: 150, Service Period StartDate: 950101

DTM*151*950131 n/lT2

Date/Time Qualifier: 151, Service Period EndDate: 950131

SAC*C*D340***204 n/l

V

Allowance or Charge Indicator: C, ChargeService, Promotion, Allowance or Charge Indicator:D340, Goods and Services ChargesAmount: $2.04

IT1*8 n/l Assigned Identification: 8PID*F****SALES TAX n/l

XItem Description Type: F, Free FormDescription: SALES TAX

DTM*150*950101 n/lW1

Date/Time Qualifier: 150, Service Period StartDate: 950101

DTM*151*950131 n/lW2

Date/Time Qualifier: 151, Service Period EndDate: 950131

TXI*ST*.22 n/lY

Tax Type Code: ST, State Sales TaxMonetary Amount: $0.22

IT1*9 n/l Assigned Identification: 9PID*F****FRANCHISE TAX n/l

AaItem Description Type: F, Free FormDescription: FRANCHISE TAX

DTM*150*950101 n/l Date/Time Qualifier: 150, Service Period Start

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 2- MAPPING EXAMPLES

JUNE 1996 VERSION 1.0 810 ùù 2-13

Segment Contents Ref. Element DescriptionsZ1 Date: 950101

DTM*151*950131 n/lZ2

Date/Time Qualifier: 151, Service Period EndDate: 950131

TXI*FR*1.39 n/lAb

Tax Type Code: FR, Franchise TaxMonetary Amount: $1.39

IT1*10 n/l Assigned Identification: 10PID*F****REGULATORY FEE n/l

AdItem Description Type: F, Free FormDescription: REGULATORY FEE

DTM*150*950101 n/lAc1

Date/Time Qualifier: 150, Service Period StartDate: 950101

DTM*151*950131 n/lAc2

Date/Time Qualifier: 151, Service Period EndDate: 950131

TXI*UL*.03 n/lAe

Tax Type Code: UL, License TaxMonetary Amount: $0.03

Table 3Segment Contents Ref. Element DescriptionsTDS*4757 n/l 31 Total Invoice Amount: $47.57CTT*10 n/l Number of Line Items: 10SE*0002*94 n/l Control Number: 0002

Number of Segments: 94

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810ùù 1 - OVERVIEW CSP BILLING AND PAYMENT GUIDE

810 ùù 2-14 VERSION 1.0 JUNE 1996

This Page Intentionally Blank

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 3 - CROSS REFERENCE

JUNE 1996 VERSION 1.0 810 ùù 3-1

810 Invoice

3. Cross Reference

The transaction set cross reference is a mapping aid. The cross reference can be used to map or to findthe location of data (data items) within the 810 transaction set.

The report column heading are explained below:

Column Column Name Column Description

Data Item Data Item Name Name of data.Use Use Sequential number identifying multiple uses or

locations for the data item.Type of Data Type of Data Valid values for the column are: ‘Qualifier’ or ‘Data’.

Mapping a data item may require one or morequalifiers to be used to identify the data item.Therefore, the Qualifier(s) and Data item locationsare both listed. The location of the qualifiers arelisted before the location of the data item.

TS ID Transaction Set ID Transaction set ID or number, such as: ‘810’, ‘814’,or ‘820’.

TS Tbl Transaction Set Table Transaction set table or area within the transactionset. Valid Values for this column are: ‘1’-Header/Heading, ‘2’-Detail, or ‘3’-Summary.

Seg Pos Segment Position The segment location within the transaction settable or area.

Loop ID Comment Loop ID Comment The loop qualifier or position within the transactionset table or area. Loops can occur multiple timeswithin a mapped transaction set. Each loopoccurrence is identified by the segment that startsthe loop. The loops are uniquely identified by aqualifier that is specified within the first segment ofthe loop. For example, ‘N1/Seller (SE)’ is the N1loop for the Seller that is qualified by the ‘SE’qualifier in the N1 segment.

Seg ID Segment ID The two or three character segment identifier.DE Pos Data Element Position The position of the data element within the specified

segment.DE Nbr Data Element Number The data element number that occurs at the

specified data element position.DE Name Data Element Name The data element name that occurs at the specified

data element position.DE Val Data Element Value The data element value to be used to qualify the

data element when the Type of Data column is‘Qualifier’. When the small letter ‘x’ is listed, theComments column will refer to additional values tobe used.

Comment Comment Comments which expand the definition of a dataelement value column or give additional informationon the data element value.

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810 ùù 3 - CROSS REFERENCE CSP BILLING AND PAYMENT GUIDE

Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-2 VERSION 1.0 JUNE 1996

Account Number1 Qualifier 810 1 050 REF 01 128 Reference Number 11 Account Number

Qualifier1 Data 810 1 050 REF 02 127 Reference Number

Account Number Change Message1 Qualifier 810 1 050 REF 01 128 Reference Number 45 Old Account Number

Qualifier1 Data 810 1 050 REF 02 127 Reference Number

Account Type1 Qualifier 810 1 050 REF 01 128 Reference Number 9X Account Category

Qualifier1 Data 810 1 050 REF 02 127 Reference Number

Activity Date1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 945 Activity, Same as

Item (Transaction)Date

1 Data 810 2 150 DTM 02 373 Date

Adjustment Amount1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, A17 Adjustment

Allow., or ChrgCode

1 Data 810 2 180 SAC 05 610 Amount

Allowance Amount1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge A Allowance

Indicator1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

Allow., or Chrg Promotion,AllowanceCode or Charge Code,

See DE 1300 Codes1 Data 810 2 180 SAC 05 610 Amount

Amount Due by Installment Period1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier IN Installment Amount

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Amount Paid1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge A Allowance

Indicator1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

Allow., or Chrg Promotion,AllowanceCode or Charge Code,

See DE 1300 Codes1 Data 810 2 180 SAC 05 610 Amount

Auto/Debit Withdrawal1 Qualifier 810 1 160 PID 01 349 Item Description F Free Form Message

Type1 Data 810 1 160 PID 05 352 Description Put Indicator in

message

Balance Subject to Charge1 Qualifier 810 3 040 SAC 09 355 Unit or Basis for DO Dollars

Measurement Code1 Data 810 3 040 SAC 10 339 Allowance or Charge

Quantity

Bill Owner Type Code1 Data 810 2 291 N1/Vendor (VN) DMG 05 1109 Race or Ethnicity

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 3 - CROSS REFERENCE

Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

JUNE 1996 VERSION 1.0 810 ùù 3-3

Code1 Data 810 1 121 N1/Seller (SE) DMG 05 1109 Race or Ethnicity

Code

Biller Address1 Data 810 1 090 N1/Seller (SE) N3 01 166 Address Information Also N3021 Data 810 1 090 N1/Seller (SE) N3 02 166 Address Information Also N301

Biller City1 Data 810 1 100 N1/Seller (SE) N4 01 19 City Name

Biller Country1 Data 810 1 100 N1/Seller (SE) N4 04 26 Country Code

Biller Duns ID1 Qualifier 810 1 070 N1/Seller (SE) N1 01 98 Entity Identifier SE Seller (Biller)

Code1 Qualifier 810 1 070 N1/Seller (SE) N1 03 66 Identification Code 1 DUNS Number

Qualifier (Universal ID)1 Data 810 1 070 N1/Seller (SE) N1 04 67 Identification Code

Biller ID1 Qualifier 810 1 070 N1/Seller (SE) N1 01 98 Entity Identifier SE Seller (Biller)

Code1 Qualifier 810 1 070 N1/Seller (SE) N1 03 66 Identification Code 1 DUNS Number

Qualifier (Universal ID)1 Data 810 1 070 N1/Seller (SE) N1 04 67 Identification Code

Biller Name1 Qualifier 810 1 070 N1/Seller (SE) N1 01 98 Entity Identifier SE Seller (Biller)

Code1 Data 810 1 070 N1/Seller (SE) N1 02 93 Name

Biller Phone Number1 Qualifier 810 1 120 N1/Seller (SE) PER 03 365 Communication TE Telephone

Number Qualifier1 Data 810 1 120 N1/Seller (SE) PER 04 364 Communication

Number

Biller Phone Number Type1 Data 810 1 120 N1/Seller (SE) PER 01 366 Contact Function IC Information Contact

Code

Biller Standard Industry Code1 Qualifier 810 2 120 REF 01 128 Reference Number IJ Standard Industrial

Qualifier Classification(SIC) Code

1 Data 810 2 120 REF 02 127 Reference Number

Biller State1 Data 810 1 100 N1/Seller (SE) N4 02 156 State or Province

Code

Biller Tax ID (TIN)1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number SY Social Security

Qualifier Number1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number

Biller Zip/Postal Code1 Data 810 1 100 N1/Seller (SE) N4 03 116 Postal Code

Billing Account Number1 Qualifier 810 1 050 REF 01 128 Reference Number 12 Billing Account

Qualifier Number1 Data 810 1 050 REF 02 127 Reference Number

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-4 VERSION 1.0 JUNE 1996

Billing Date1 Data 810 1 020 BIG 01 245 Invoice Date Same as Invoice

Date

Billing Delayed Message1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'B', Billingmessage

Billing Location ID1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number BF Billing Center

Qualifier Identification1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number

Billing Period-From Date1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 186 Invoice

Period-Start1 Data 810 1 140 DTM 02 373 Date

Billing Period-To Date1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 187 Invoice Period-End1 Data 810 1 140 DTM 02 373 Date

Charge Amount1 Data 810 2 180 SAC 05 610 Amount

Charge Type1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge C Charge

Indicator1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

Allow., or Chrg Promotion,AllowanceCode or Charge Code,

See DE 1300 Codes

Closing Date (Incl Activity Through)1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 146 Closing Date1 Data 810 1 140 DTM 02 373 Date

Consumer Identifier1 Qualifier 810 1 110 N1/Customer(8R/BT) REF 01 128 Reference Number 5E Consumer Identifier

Qualifier1 Data 810 1 110 N1/Customer(8R/BT) REF 02 127 Reference Number

Control Number1 Qualifier 810 1 050 REF 01 128 Reference Number BT Batch Number

Qualifier1 Data 810 1 050 REF 02 127 Reference Number

Cost Center1 Qualifier 810 2 120 REF 01 128 Reference Number CA Cost Allocation

Qualifier Reference1 Data 810 2 120 REF 02 127 Reference Number

Credit Amount1 Data 810 2 180 SAC 05 610 Amount

Credit Available1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GR Credit Line

Code Available, Same asCredit Line AmountAvailable

1 Data 810 1 212 BAL 03 782 Monetary Amount

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 3 - CROSS REFERENCE

Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

JUNE 1996 VERSION 1.0 810 ùù 3-5

Credit Line Amount1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GO Credit Line

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Credit Line Amount Available1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GR Credit Line

Code Available, SameCredit Available

1 Data 810 1 212 BAL 03 782 Monetary Amount

Credit Line Type1 Qualifier 810 1 050 REF 01 128 Reference Number 5D Line of Credit

Qualifier Category1 Data 810 1 050 REF 02 127 Reference Number

Credit Type1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge x xx = A-Allowance,

Indicator C-Charge, N-Neither1 Data 810 2 180 SAC 02 1300 Service, Promotion, B80 Credit

Allow., or ChrgCode

CSP Address1 Data 810 1 090 N1/CSP(8S) N3 01 166 Address Information Also N3021 Data 810 1 090 N1/CSP(8S) N3 02 166 Address Information Also N301

CSP City1 Data 810 1 100 N1/CSP(8S) N4 01 19 City Name

CSP Name1 Qualifier 810 1 070 N1/CSP(8S) N1 01 98 Entity Identifier 8S Consumer Service

Code Provider (CSP)1 Data 810 1 070 N1/CSP(8S) N1 02 93 Name

CSP Phone Number1 Qualifier 810 1 120 N1/CSP(8S) PER 01 366 Contact Function IC Information Contact

Code1 Qualifier 810 1 120 N1/CSP(8S) PER 03 365 Communication TE Telephone

Number Qualifier1 Data 810 1 120 N1/CSP(8S) PER 04 364 Communication

Number

CSP State1 Data 810 1 100 N1/CSP(8S) N4 02 156 State or Province

Code

CSP ZIP/Postal Code1 Data 810 1 100 N1/CSP(8S) N4 03 116 Postal Code

Currency Type1 Qualifier 810 1 040 CUR 01 98 Entity Identifier VN Vendor

Code1 Data 810 1 040 CUR 02 100 Currency Code xx xx = MXP-Mexican

Pesos, CAD-Canadian Dollar, USD-United States Dollar

Current Amount Due (Current Balance)1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier PB Billed Amount

Code (Amount due forperiod bill)

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810 ùù 3 - CROSS REFERENCE CSP BILLING AND PAYMENT GUIDE

Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-6 VERSION 1.0 JUNE 1996

1 Data 810 1 212 BAL 03 782 Monetary Amount

Current Period Energy Use1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier UU Used Quantity,

Specify timeperiod inPAM06-PAM11)

1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for xx xx Unit of MeasureMeasurement Code or Basis Code, DE

355, Such as,K7-Killowatts

1 Data 810 2 055 PAM 02 380 Quantity1 Data 810 2 055 PAM 06 344 Unit of Time Period xx xx = DA-Day,

or Interval MO-Month, HR-Hours1 Data 810 2 055 PAM 07 374 Date/Time Qualifier 193 Period Start Date1 Data 810 2 055 PAM 08 373 Date Period Start Date1 Data 810 2 055 PAM 10 374 Date/Time Qualifier 194 Period End Date1 Data 810 2 055 PAM 11 373 Date Period End Date

Customer Address1 Data 810 1 090 N1/Customer(8R/BT) N3 01 166 Address Information Also N3021 Data 810 1 090 N1/Customer(8R/BT) N3 02 166 Address Information Also N301

Customer Alternate Phone Number1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 01 366 Contact Function AL Alternate Contact

Code1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 03 365 Communication TE Telephone

Number Qualifier1 Data 810 1 120 N1/Customer(8R/BT) PER 04 364 Communication

Number

Customer City1 Data 810 1 100 N1/Customer(8R/BT) N4 01 19 City Name

Customer Country1 Data 810 1 100 N1/Customer(8R/BT) N4 04 26 Country Code

Customer Duns ID1 Data 810 1 070 N1/Customer(8R/BT) N1 04 67 Identification Code

Customer ID1 Qualifier 810 1 070 N1/Customer(8R/BT) N1 01 98 Entity Identifier 8R/ Consumer Service

Code BT Provider (CSP)Customer or Bill To (Customer)

1 Data 810 1 070 N1/Customer(8R/BT) N1 04 67 Identification Code

Customer Name1 Qualifier 810 1 070 N1/Customer(8R/BT) N1 01 98 Entity Identifier 8R/ Consumer Service

Code BT Provider (CSP)Customer or Bill To (Customer)

1 Data 810 1 070 N1/Customer(8R/BT) N1 02 93 Name2 Qualifier 810 1 070 N1/Buyer (BY) N1 01 98 Entity Identifier BY Buyer

Code2 Data 810 1 070 N1/Buyer (BY) N1 02 93 Name3 Qualifier 810 1 070 N1/Property (PP) N1 01 98 Entity Identifier PP Property

Code3 Data 810 1 070 N1/Property (PP) N1 02 93 Name4 Qualifier 810 1 070 N1/Meter (MQ) N1 01 98 Entity Identifier MQ Meter Location

Code4 Data 810 1 070 N1/Meter (MQ) N1 02 93 Name

Customer Phone Number1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 01 366 Contact Function IC Information Contact

Code

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 3 - CROSS REFERENCE

Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

JUNE 1996 VERSION 1.0 810 ùù 3-7

1 Qualifier 810 1 120 N1/Customer(8R/BT) PER 03 365 Communication TE TelephoneNumber Qualifier

1 Data 810 1 120 N1/Customer(8R/BT) PER 04 364 CommunicationNumber

Customer State1 Data 810 1 100 N1/Customer(8R/BT) N4 02 156 State or Province

Code

Customer Tax ID (TIN)1 Qualifier 810 1 110 N1/Customer(8R/BT) REF 01 128 Reference Number TJ Federal Tax ID

Qualifier Number (TIN)1 Data 810 1 110 N1/Customer(8R/BT) REF 02 127 Reference Number

Customer Zip/Postal Code1 Data 810 1 100 N1/Customer(8R/BT) N4 03 116 Postal Code

Daily Periodic Rate1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge

Indicator1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge

Allow., or ChrgCode

1 Data 810 3 040 SAC 07 332 Allowance or Charge Percent

Delinquent After Date1 Qualifier 810 1 130 ITD 01 336 Terms Type Code xx xx Same as Payment

Due Date Codes1 Data 810 1 130 ITD 06 446 Terms Net Due Date

Detail Message1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'D ', Detailmessage

Escrow Amount1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge C Charge

Indicator1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, I70 Escrow Amount

Allow., or Chrg Code

1 Data 810 2 180 SAC 05 610 Amount

Escrow Balance1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier DG Escrow Balance

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Fee Amount1 Data 810 2 180 SAC 05 610 Amount

Fee Type1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge x xx = A-Allowance,

Indicator C-Charge, N-Neither1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

Allow., or Chrg Promotion,AllowanceCode or Charge Code,

See DE 1300 Codes

Finance Charge1 Data 810 2 180 SAC 05 610 Amount

Finance Charge Annual Rate

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810 ùù 3 - CROSS REFERENCE CSP BILLING AND PAYMENT GUIDE

Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-8 VERSION 1.0 JUNE 1996

1 Data 810 2 180 SAC 08 359 Allowance or Charge Rate

Finance Charge Monthly/Periodic Rate1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge

Indicator1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge

Allow., or ChrgCode

1 Data 810 3 040 SAC 05 610 Amount

Finance Charge Type1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge

Indicator1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge

Allow., or ChrgCode

1 Data 810 3 040 SAC 14 770 Option Number

Finance Charge YTD1 Qualifier 810 1 212 BAL 01 951 Balance Type Code Y Year to Date1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GZ Total Finance

Code Charge (use with"YTD" BAL01)

1 Data 810 1 212 BAL 03 782 Monetary Amount

Franchise Authority Message1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'F ', Franchisemessage

Free Form Message1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'X', Free-Formmessage

Gross Receipts Tax1 Qualifier 810 2 040 TXI 01 963 Tax Type Code GR Gross Receipts Tax1 Data 810 2 040 TXI 02 782 Monetary Amount2 Qualifier 810 2 190 TXI 01 963 Tax Type Code GR Gross Receipts Tax2 Data 810 2 190 TXI 02 782 Monetary Amount

Invoice Date1 Data 810 1 020 BIG 01 245 Invoice Date

Invoice Number1 Data 810 1 020 BIG 02 76 Invoice Number

Invoice Type1 Data 810 1 020 BIG 07 640 Transaction Type xx xx = CN-Credit

Code Invoice, DI-DebitInvoice, FB-FinalBill

Item (Transaction) Date1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 945 Activity, Same as

Activity Date1 Data 810 2 150 DTM 02 373 Date

Item Amount1 Qualifier 810 2 010 IT1 03 355 Unit or Basis for EA/ Each/Unit

Measurement Code1 Data 810 2 010 IT1 04 212 Unit Price

Item Currency Conversion Rate

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

JUNE 1996 VERSION 1.0 810 ùù 3-9

1 Data 810 2 020 CUR 03 280 Exchange Rate

Item Currency Type1 Qualifier 810 2 020 CUR 01 98 Entity Identifier VN Vendor

Code1 Data 810 2 020 CUR 02 100 Currency Code xx xx = MXP-Mexican

Pesos, CAD-Canadian Dollar, USD-United States Dollar

Item Date of Charge1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 050 Received1 Data 810 2 150 DTM 02 373 Date

Item Description1 Qualifier 810 2 060 PID 01 349 Item Description F Free-Form Message

Type1 Data 810 2 060 PID 05 352 Description

Item Foreign Currency Amount1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge xx xx = A-Allowance,

Indicator C-Charge, N-Neither1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

Allow., or Chrg Promotion,AllowanceCode or Charge Code,

See DE 1300 Codes1 Data 810 2 180 SAC 05 610 Amount

Item Measure1 Data 810 2 010 IT1 02 358 Quantity Invoiced

Item Posting Date1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 809 Posted1 Data 810 2 150 DTM 02 373 Date

Item Quantity Invoiced1 Data 810 2 010 IT1 02 358 Quantity Invoiced

Item Record of Charge ID1 Qualifier 810 2 120 REF 01 128 Reference Number IV Seller's Invoice

Qualifier Number1 Data 810 2 120 REF 02 127 Reference Number

Item Reference Number1 Qualifier 810 2 120 REF 01 128 Reference Number IX Item Number

Qualifier1 Data 810 2 120 REF 02 127 Reference Number

Item Seller/Merchant City1 Data 810 2 270 N1/Vendor (VN) N4 01 19 City Name

Item Seller/Merchant ID1 Qualifier 810 2 280 N1/Vendor (VN) REF 01 128 Reference Number VR Vendor ID Number

Qualifier1 Data 810 2 280 N1/Vendor (VN) REF 02 127 Reference Number

Item Seller/Merchant Name1 Qualifier 810 2 240 N1/Vendor (VN) N1 01 98 Entity Identifier VN Vendor

Code1 Data 810 2 240 N1/Vendor (VN) N1 02 93 Name

Item Seller/Merchant State1 Data 810 2 270 N1/Vendor (VN) N4 02 156 State or Province

Code

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-10 VERSION 1.0 JUNE 1996

Item Sequence Number1 Data 810 2 010 IT1 01 350 Assigned

Identification

Item Service Period- From Date1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 150 Service

Period-Start1 Data 810 2 150 DTM 02 373 Date

Item Service Period- To Date1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 151 Service Period-End1 Data 810 2 150 DTM 02 373 Date

Item SIC Code1 Qualifier 810 2 120 REF 01 128 Reference Number IJ Standard Industrial

Qualifier Classification(SIC) Code

1 Data 810 2 120 REF 02 127 Reference Number

Item Store Number1 Qualifier 810 2 120 REF 01 128 Reference Number ST Store Number

Qualifier1 Data 810 2 120 REF 02 127 Reference Number

Item Tip/Gratuity1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge xx xx = A-Allowance,

Indicator C-Charge, N-Neither1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, I69 Gratuity

Allow., or Chrg Code

1 Data 810 2 180 SAC 05 610 Amount

Item Unit1 Data 810 2 010 IT1 03 355 Unit or Basis for xx xx Unit or Basis

Measurement Code for Measure Code,See DE 355 Codes

Joint Customer Name(s)1 Data 810 1 080 N1/Customer(8R/BT) N2 01 93 Name Also N2021 Data 810 1 080 N1/Customer(8R/BT) N2 01 93 Name Also N2021 Data 810 1 080 N1/Customer(8R/BT) N2 02 93 Name Also N2011 Data 810 1 080 N1/Customer(8R/BT) N2 02 93 Name Also N201

Last Period Energy Use1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier UU Used Quantity,

(Specify timeperiod inPAM06-PAM11)

1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for xx xx Unit of MeasureMeasurement Code or Basis Code, DE

355, Such as,K7-Killowatts

1 Data 810 2 055 PAM 02 380 Quantity1 Data 810 2 055 PAM 06 344 Unit of Time Period xx xx = DA-Day,

or Interval MO-Month, HR-Hours1 Data 810 2 055 PAM 07 374 Date/Time Qualifier 193 Period Start Date1 Data 810 2 055 PAM 08 373 Date Period Start Date1 Data 810 2 055 PAM 10 374 Date/Time Qualifier 194 Period End Date1 Data 810 2 055 PAM 11 373 Date Period End Date

Late Message1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'L', Late message

Late Payment Charge

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

JUNE 1996 VERSION 1.0 810 ùù 3-11

1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge C Charge Indicator

1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, E28 Late Payment Charge Allow., or ChrgCode

1 Data 810 2 180 SAC 05 610 Amount

Mail by Date1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 946 Mail by

1 Data 810 1 140 DTM 02 373 Date

Master Number1 Qualifier 810 1 050 REF 01 128 Reference Number 14 Master Number

Qualifier1 Data 810 1 050 REF 02 127 Reference Number

Meter Change Message1 Qualifier 810 2 120 REF 01 128 Reference Number 46 Old Meter Number

Qualifier1 Data 810 2 120 REF 03 352 Description

Meter Location Address1 Data 810 1 090 N1/Meter (MQ) N3 01 166 Address Information Also N3021 Data 810 1 090 N1/Meter (MQ) N3 02 166 Address Information Also N301

Meter Location City1 Data 810 1 100 N1/Meter (MQ) N4 01 19 City Name

Meter Location State1 Data 810 1 100 N1/Meter (MQ) N4 02 156 State or Province

Code

Meter Number1 Qualifier 810 2 120 REF 01 128 Reference Number MG Meter Number

Qualifier1 Data 810 2 120 REF 02 127 Reference Number

Minimum Amount Due (Minimum Payment)1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GT Minimum Due

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Nbr Days Billed1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier D1 Billed Quantity1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for DA Days

Measurement Code1 Data 810 2 055 PAM 02 380 Quantity

Number of Days/Period1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier 1K Time in units1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for DA Days

Measurement Code1 Data 810 2 055 PAM 02 380 Quantity

Past Due Amount1 Qualifier 810 1 212 BAL 01 951 Balance Type Code P Previous Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier PJ Past Due

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Payment Amount1 Data 810 2 180 SAC 05 610 Amount

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-12 VERSION 1.0 JUNE 1996

Payment Date (Initiated)1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 948 Payment Initiated1 Data 810 2 150 DTM 02 373 Date

Payment Due Date1 Qualifier 810 1 130 ITD 01 336 Terms Type Code xx xx = 18-Fixed Date

with Penalty,03-Fixed Date

1 Data 810 1 130 ITD 06 446 Terms Net Due Date

Payment Effective Date1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 949 Payment Effective1 Data 810 2 150 DTM 02 373 Date

Payment Location ID1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number 5T Payment Location

Qualifier Code , Same asRemit To Location ID

1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number

Payment Type1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge A Allowance

Indicator1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

Allow., or Chrg Promotion,AllowanceCode or Charge Code,

See DE 1300 Codes

Percent Change Energy Use1 Data 810 2 055 PAM 13 1004 Percent Qualifier CH Change1 Data 810 2 055 PAM 14 954 Percent

Present Reading1 Data 810 2 059 MEA 05 740 Range Minimum

Previous Amount Due (Prior Balance)1 Qualifier 810 1 212 BAL 01 951 Balance Type Code P Previous Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier BD Balance Due

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Previous Reading1 Data 810 2 059 MEA 06 741 Range Maximum

Price per Usage Unit1 Data 810 2 010 IT1 04 212 Unit Price

Principle Amount Due1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier PF Principle

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Principle Balance1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier YB Actual Unpaid

Code Principle Balance1 Data 810 1 212 BAL 03 782 Monetary Amount

Product Solicitation1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'P', Productmessage

Product Type

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

JUNE 1996 VERSION 1.0 810 ùù 3-13

1 Qualifier 810 2 010 IT1 06 235 Product/Service ID SV Service RenderedQualifier

1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = UtilityIndustry-"Appliance Recycled"

Project Good Neighbor Donation1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'G', GoodNeighbor message

Property Location Address1 Data 810 1 090 N1/Property (PP) N3 01 166 Address Information Also N3021 Data 810 1 090 N1/Property (PP) N3 02 166 Address Information Also N301

Property Location City1 Data 810 1 100 N1/Property (PP) N4 01 19 City Name

Property Location State1 Data 810 1 100 N1/Property (PP) N4 02 156 State or Province

Code

Property Location Zip1 Data 810 1 100 N1/Property (PP) N4 03 116 Postal Code

Rate Change Message1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'R', Rate Changemessage

Rate Code1 Qualifier 810 2 120 REF 01 128 Reference Number RB Rate Code Number

Qualifier1 Data 810 2 120 REF 02 127 Reference Number

Read Type1 Data 810 2 059 MEA 01 737 Measurement

Reference ID Code

Reading Units1 Data 810 2 059 MEA 04 8801 Composite Unit of

Measure

Remit to Location ID1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number 5T Payment Location

Qualifier Code, Same as Remitto Location ID

1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number

Repayment Period1 Qualifier 810 1 213 INC 01 336 Terms Type Code xx xx Terms Type Code,

See DE 336 Codes1 Qualifier 810 1 213 INC 02 355 Unit or Basis for xx xx =

Measurement Code MO-Months, YR-Years,DA-Days

1 Data 810 1 213 INC 03 380 Quantity

Service Location Address1 Data 810 1 090 N1/Buyer (BY) N3 01 166 Address Information Also N3021 Data 810 1 090 N1/Buyer (BY) N3 02 166 Address Information Also N301

Service Location City1 Data 810 1 100 N1/Buyer (BY) N4 01 19 City Name

Service Location State

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-14 VERSION 1.0 JUNE 1996

1 Data 810 1 100 N1/Buyer (BY) N4 02 156 State or ProvinceCode

Service Period-From Date1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 150 Service

Period-Start1 Data 810 1 140 DTM 02 373 Date

Service Period-To Date1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 151 Service Period-End1 Data 810 1 140 DTM 02 373 Date

Service Type1 Qualifier 810 2 010 IT1 06 235 Product/Service ID SV Service Rendered

Qualifier1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = Service

Description perindustry codes

Service Type1 Qualifier 810 2 010 IT1 06 235 Product/Service ID SV Service Rendered

Qualifier1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = Service

Description perindustry codes

State Tax1 Qualifier 810 2 040 TXI 01 963 Tax Type Code ST State Sales Tax1 Data 810 2 040 TXI 02 782 Monetary Amount2 Qualifier 810 2 190 TXI 01 963 Tax Type Code ST State Sales Tax2 Data 810 2 190 TXI 02 782 Monetary Amount

Statement Message1 Data 810 1 160 PID 05 352 Description PID04 1st position

= 'S', Statementmessage

Supplemental Account Number1 Qualifier 810 1 050 REF 01 128 Reference Number 5B Supplemental

Qualifier Account Number1 Data 810 1 050 REF 02 127 Reference Number

Tax Amount1 Data 810 2 040 TXI 02 782 Monetary Amount2 Data 810 2 190 TXI 02 782 Monetary Amount

Tax Jurisdiction1 Qualifier 810 2 040 TXI 04 955 Tax Jurisdiction xx xx = CD-Customer

Code Qualifier defined, VD-VendorDefined, VE-Vertex

1 Data 810 2 040 TXI 05 956 Tax JurisdictionCode

2 Qualifier 810 2 190 TXI 04 955 Tax Jurisdiction xx xx = CD-CustomerCode Qualifier defined, VD-Vendor

Defined, VE-Vertex2 Data 810 2 190 TXI 05 956 Tax Jurisdiction

Code

Tax Rate1 Data 810 2 040 TXI 03 954 Percent2 Data 810 2 190 TXI 03 954 Percent

Tax Type1 Data 810 2 040 TXI 01 963 Tax Type Code xx xx Tax Type Code,

See DE 963 Codes

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 3 - CROSS REFERENCE

Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

JUNE 1996 VERSION 1.0 810 ùù 3-15

2 Data 810 2 190 TXI 01 963 Tax Type Code xx xx Tax Type Code,See DE 963 Codes

Taxes Paid YTD1 Qualifier 810 1 212 BAL 01 951 Balance Type Code Y Year to Date1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GU Taxes Paid

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Amount Due (New Balance)1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier BD Balance Due

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Charges Amount1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GW Total Charge

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Credit Amount1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GX Total Credit

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Debit Amount1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GY Total Debit

Code1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Finance Charges1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GZ Total Finance

Code Charge

1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Payment Amount1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier TP Total Payment

Code Amount1 Data 810 1 212 BAL 03 782 Monetary Amount

Usage Amount1 Data 810 2 010 IT1 02 358 Quantity Invoiced

Usage Cost per day1 Qualifier 810 2 055 PAM 04 522 Amount Qualifier DY Per Day Limit

Code1 Data 810 2 055 PAM 05 782 Monetary Amount

Usage Rate1 Qualifier 810 2 120 REF 01 128 Reference Number RB Rate Code Number

Qualifier1 Data 810 2 120 REF 02 127 Reference Number

Usage Unit1 Data 810 2 010 IT1 01 350 Assigned

Identification

Usage Unit Type1 Data 810 2 010 IT1 03 355 Unit or Basis for xx xx Unit or Basis

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Data Type of TS TS Seg Seg DE DE DE DEItem Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

810 ùù 3-16 VERSION 1.0 JUNE 1996

Measurement Code for Measure Code,See DE 355 Codes

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-1

810 Invoice

4. Detail Layout

Purpose and ScopeThis Draft Standard for Trial Use contains the format and establishes the data contents of the InvoiceTransaction 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 practicerelative to the billing for goods and services provided.

Functional Group Code - IN

Areas(a) Data Segments that are not used are not listed or detailed in the document.(b) Data Elements that are mandatory are marked with 'M/U' for MUST USE in the far left-hand column.(c) Data Elements that are not used are marked with 'X' in far left-hand column.

Heading (Table 1): Page Pos. Seg. Req. Loop Notes and No. No. ID Name Des. Max.Use Repeat Comments

4-3 010 ST Transaction Set Header M 14-4 020 BIG Beginning Segment for Invoice M 14-5 040 CUR Currency O 14-7 050 REF Reference Identification O 12

LOOP ID - N1 2004-9 070 N1 Name O 14-10 080 N2 Additional Name Information O 24-11 090 N3 Address Information O 24-12 100 N4 Geographic Location O 14-13 110 REF Reference Identification O 124-14 120 PER Administrative Communications Contact O 34-15 125 DMG Demographic Information O 1

4-17 130 ITD Terms of Sale/Deferred Terms of Sale O >14-19 140 DTM Date/Time Reference O 104-20 160 PID Product/Item Description O 2004-22 212 BAL Balance Detail O >14-23 213 INC Installment Information O 14-25 214 PAM Period Amount O >1

Detail (Table 2): Page Pos. Seg. Req. Loop Notes and No. No. ID Name Des. Max.Use Repeat Comments

LOOP ID - IT1 2000004-27 010 IT1 Baseline Item Data (Invoice) O 14-29 020 CUR Currency O 14-31 040 TXI Tax Information O 104-33 055 PAM Period Amount O 10

LOOP ID - PID 10004-36 060 PID Product/Item Description O 1

4-37 120 REF Reference Identification O >14-39 150 DTM Date/Time Reference O 10

LOOP ID - SAC 254-40 180 SAC Service, Promotion, Allowance, or Charge

InformationO 1

4-42 190 TXI Tax Information O 10

LOOP ID - N1 2004-44 240 N1 Name O 14-45 270 N4 Geographic Location O 14-46 280 REF Reference Identification O 124-47 295 DMG Demographic Information O 1

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810 ùù 4-2 VERSION 1.0 JUNE 1996

Summary (Table 3): Page Pos. Seg. Req. Loop Notes and No. No. ID Name Des. Max.Use Repeat Comments

4-49 010 TDS Total Monetary Value Summary M 1LOOP ID - SAC 25

4-50 040 SAC Service, Promotion, Allowance, or ChargeInformation

O 1

4-52 050 TXI Tax Information O 10

4-54 070 CTT Transaction Totals O 1 n14-55 080 SE Transaction Set Trailer M 1

Transaction Set Notes

1. Number of line items (CTT01) is the accumulation of the number of IT1 segments. If used, hashtotal (CTT02) is the sum of the value of quantities invoiced (IT102) for each IT1 segment.

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-3

Segment: ST Transaction Set HeaderPosition: 010

Loop:Level: Heading

Usage: MandatoryMax Use: 1Purpose: To indicate the start of a transaction set and to assign a control number

Syntax Notes:Semantic Notes: 1 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).

Comments:

Data Element SummaryRef. DataDes. Element Name Attributes

M/U ST01 143 Transaction Set Identifier Code M ID 3/3Code uniquely identifying a Transaction Set Valid Value(s):

810 X12.2 InvoiceM/U ST02 329 Transaction Set Control Number M AN 4/9

Identifying control number that must be unique within the transactionset functional group assigned by the originator for a transaction set The transaction set control number is assigned by the originator andis unique. A unique number aids in error reconciliation and research.

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810 ùù 4-4 VERSION 1.0 JUNE 1996

Segment: BIG Beginning Segment for InvoicePosition: 020

Loop:Level: Heading

Usage: MandatoryMax Use: 1Purpose: To indicate the beginning of an invoice transaction set and transmit identifying

numbers and datesSyntax Notes:

Semantic Notes: 1 BIG01 is the invoice issue date.2 BIG03 is the date assigned by the purchaser to purchase order.3 BIG10 indicates the consolidated invoice number. When BIG07 contains

code CI, BIG10 is not used.Comments: 1 BIG07 is used only to further define the type of invoice when needed.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U BIG01 373 Date M DT 6/6Date (YYMMDD) This date is the Invoice Date or Billing Date.

M/U BIG02 76 Invoice Number M AN 1/22Identifying number assigned by issuer

X BIG03 373 Date O DT 6/6Date (YYMMDD)

X BIG04 324 Purchase Order Number O AN 1/22Identifying number for Purchase Order assigned by theorderer/purchaser

X BIG05 328 Release Number O AN 1/30Number identifying a release against a Purchase Order previouslyplaced by the parties involved in the transaction

X BIG06 327 Change Order Sequence Number O AN 1/8Number assigned by the orderer identifying a specific change orrevision to a previously transmitted transaction set

BIG07 640 Transaction Type Code O ID 2/2Code specifying the type of transaction Valid Value(s):

CN Credit InvoiceDI Debit InvoiceFB Final Bill

BIG08 353 Transaction Set Purpose Code O ID 2/2Code identifying purpose of transaction set Valid Value(s):

00 Original07 DuplicateCO Corrected

X BIG09 306 Action Code O ID 1/2Code indicating type of action

X BIG10 76 Invoice Number O AN 1/22Identifying number assigned by issuer

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JUNE 1996 VERSION 1.0 810 ùù 4-5

Segment: CUR CurrencyPosition: 040

Loop:Level: Heading

Usage: OptionalMax Use: 1Purpose: To specify the currency (dollars, pounds, francs, etc.) used in a transaction

Syntax Notes: 1 If CUR08 is present, then CUR07 is required.2 If CUR09 is present, then CUR07 is required.3 If CUR10 is present, then at least one of CUR11 or CUR12 is required.4 If CUR11 is present, then CUR10 is required.5 If CUR12 is present, then CUR10 is required.6 If CUR13 is present, then at least one of CUR14 or CUR15 is required.7 If CUR14 is present, then CUR13 is required.8 If CUR15 is present, then CUR13 is required.9 If CUR16 is present, then at least one of CUR17 or CUR18 is required.10 If CUR17 is present, then CUR16 is required.11 If CUR18 is present, then CUR16 is required.12 If CUR19 is present, then at least one of CUR20 or CUR21 is required.13 If CUR20 is present, then CUR19 is required.14 If CUR21 is present, then CUR19 is required.

Semantic Notes:Comments: 1 See Figures Appendix for examples detailing the use of the CUR segment.

Notes: Currency associated with an invoice. Not recommended for domestictransactions.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U CUR01 98 Entity Identifier Code M ID 2/2Code identifying an organizational entity, a physical location, or anindividual This data element identifies the party using currency defined in theCurrency Code CUR02.

M/U CUR02 100 Currency Code M ID 3/3Code (Standard ISO) for country in whose currency the charges arespecified This data element is a three position alpha code of the ISO-4217.The primary codes used in North America are: MXP - Mexican Pesos CAD - Canadian Dollar USD - United States Dollar

CUR03 280 Exchange Rate O R 4/10Value to be used as a multiplier conversion factor to convert monetaryvalue from one currency to another

CUR04 98 Entity Identifier Code O ID 2/2Code identifying an organizational entity, a physical location, or anindividual

CUR05 100 Currency Code O ID 3/3Code (Standard ISO) for country in whose currency the charges arespecified

CUR06 669 Currency Market/Exchange Code O ID 3/3Code identifying the market upon which the currency exchange rate isbased

X CUR07 374 Date/Time Qualifier X ID 3/3

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810 ùù 4-6 VERSION 1.0 JUNE 1996

Code specifying type of date or time, or both date and timeX CUR08 373 Date O DT 6/6

Date (YYMMDD)X CUR09 337 Time O TM 4/8

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)

X CUR10 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR11 373 Date X DT 6/6Date (YYMMDD)

X CUR12 337 Time X TM 4/8Time 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)

X CUR13 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR14 373 Date X DT 6/6Date (YYMMDD)

X CUR15 337 Time X TM 4/8Time 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)

X CUR16 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR17 373 Date X DT 6/6Date (YYMMDD)

X CUR18 337 Time X TM 4/8Time 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)

X CUR19 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR20 373 Date X DT 6/6Date (YYMMDD)

X CUR21 337 Time X TM 4/8Time 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)

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-7

Segment: REF Reference IdentificationPosition: 050

Loop:Level: Heading

Usage: OptionalMax Use: 12Purpose: To specify identifying information

Syntax Notes: 1 At least one of REF02 or REF03 is required.2 If either C04003 or C04004 is present, then the other is required.3 If either C04005 or C04006 is present, then the other is required.

Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.Comments:

Notes: Reference numbers associated with the invoice.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U REF01 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification Valid Value(s):

11 Account NumberNumber identifies a telecommunications industryaccount

12 Billing AccountAccount number under which billing is rendered

14 Master Account NumberAccount number used to represent individualbilling accounts which have been consolidatedand/or summarized

45 Old Account NumberIdentifies accounts being changed

5B Supplemental Account Number5C Congressional District9X Account CategoryBT Batch Number

REF02 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

REF03 352 Description X AN 1/80A free-form description to clarify the related data elements and theircontent

X REF04 C040 Reference Identifier OTo identify one or more reference numbers or identification numbers asspecified by the Reference Qualifier

X C04001 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification

X C04002 127 Reference Identification M AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

X C04003 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04004 127 Reference Identification X AN 1/30

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

X C04005 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04006 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-9

Segment: N1 NamePosition: 070

Loop: N1Level: Heading

Usage: OptionalMax Use: 1Purpose: To identify a party by type of organization, name, and code

Syntax Notes: 1 At least one of N102 or N103 is required.2 If either N103 or N104 is present, then the other is required.

Semantic Notes:Comments: 1 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 processingparty.

2 N105 and N106 further define the type of entity in N101.Notes: This N1 loop identifies invoice parties.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U N101 98 Entity Identifier Code M ID 2/2Code identifying an organizational entity, a physical location, or anindividual Valid Value(s):

8R Consumer Service Provider (CSP) Customer8S Consumer Service Provider (CSP)BT Bill-to-PartyBY Buying Party (Purchaser)MQ Metering LocationPP PropertySE Selling Party

N102 93 Name X AN 1/35Free-form name

N103 66 Identification Code Qualifier X ID 1/2Code designating the system/method of code structure used forIdentification Code (67) Valid Value(s):

1 D-U-N-S Number, Dun & Bradstreet9 D-U-N-S+4, D-U-N-S Number with Four Character

Suffix92 Assigned by Buyer or Buyer's Agent

N104 67 Identification Code X AN 2/20Code identifying a party or other code

X N105 706 Entity Relationship Code O ID 2/2Code describing entity relationship

X N106 98 Entity Identifier Code O ID 2/2Code identifying an organizational entity, a physical location, or anindividual

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810 ùù 4-10 VERSION 1.0 JUNE 1996

Segment: N2 Additional Name InformationPosition: 080

Loop: N1Level: Heading

Usage: OptionalMax Use: 2Purpose: To specify additional names or those longer than 35 characters in length

Syntax Notes:Semantic Notes:

Comments:Notes: Additional invoice party names.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U N201 93 Name M AN 1/35Free-form name

N202 93 Name O AN 1/35Free-form name

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-11

Segment: N3 Address InformationPosition: 090

Loop: N1Level: Heading

Usage: OptionalMax Use: 2Purpose: To specify the location of the named party

Syntax Notes:Semantic Notes:

Comments:Notes: Invoice party address information.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U N301 166 Address Information M AN 1/35Address information

N302 166 Address Information O AN 1/35Address information

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810 ùù 4-12 VERSION 1.0 JUNE 1996

Segment: N4 Geographic LocationPosition: 100

Loop: N1Level: Heading

Usage: OptionalMax Use: 1Purpose: To specify the geographic place of the named party

Syntax Notes: 1 If N406 is present, then N405 is required.Semantic Notes:

Comments: 1 A combination of either N401 through N404, or N405 and N406 may beadequate to specify a location.

2 N402 is required only if city name (N401) is in the U.S. or Canada.Notes: Invoice party address geographic location information.

Data Element SummaryRef. DataDes. Element Name Attributes

N401 19 City Name O AN 2/30Free-form text for city name

N402 156 State or Province Code O ID 2/2Code (Standard State/Province) as defined by appropriate governmentagency

N403 116 Postal Code O ID 3/15Code defining international postal zone code excluding punctuation andblanks (zip code for United States)

N404 26 Country Code O ID 2/3Code identifying the country

N405 309 Location Qualifier X ID 1/2Code identifying type of location

N406 310 Location Identifier O AN 1/30Code which identifies a specific location

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-13

Segment: REF Reference IdentificationPosition: 110

Loop: N1Level: Heading

Usage: OptionalMax Use: 12Purpose: To specify identifying information

Syntax Notes: 1 At least one of REF02 or REF03 is required.2 If either C04003 or C04004 is present, then the other is required.3 If either C04005 or C04006 is present, then the other is required.

Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.Comments:

Notes: Reference numbers associated with the invoice party.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U REF01 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification Valid Value(s):

5E Consumer Identifier5T Payment LocationBF Billing Center IdentificationSY Social Security NumberTJ Federal Taxpayer's Identification Number

REF02 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

REF03 352 Description X AN 1/80A free-form description to clarify the related data elements and theircontent

X REF04 C040 Reference Identifier OTo identify one or more reference numbers or identification numbers asspecified by the Reference Qualifier

X C04001 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification

X C04002 127 Reference Identification M AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

X C04003 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04004 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

X C04005 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04006 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

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810 ùù 4-14 VERSION 1.0 JUNE 1996

Segment: PER Administrative Communications ContactPosition: 120

Loop: N1Level: Heading

Usage: OptionalMax Use: 3Purpose: To identify a person or office to whom administrative communications should be

directedSyntax Notes: 1 If either PER03 or PER04 is present, then the other is required.

2 If either PER05 or PER06 is present, then the other is required.3 If either PER07 or PER08 is present, then the other is required.

Semantic Notes:Comments:

Notes: Invoice party information contacts and telephone numbers.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U PER01 366 Contact Function Code M ID 2/2Code identifying the major duty or responsibility of the person or groupnamed Valid Value(s):

AL Alternate ContactPerson to be contacted when the main contact isnot available

IC Information ContactPER02 93 Name O AN 1/35

Free-form namePER03 365 Communication Number Qualifier X ID 2/2

Code identifying the type of communication number Valid Value(s):

TE TelephonePER04 364 Communication Number X AN 1/80

Complete communications number including country or area codewhen applicable

X PER05 365 Communication Number Qualifier X ID 2/2Code identifying the type of communication number

X PER06 364 Communication Number X AN 1/80Complete communications number including country or area codewhen applicable

X PER07 365 Communication Number Qualifier X ID 2/2Code identifying the type of communication number

X PER08 364 Communication Number X AN 1/80Complete communications number including country or area codewhen applicable

X PER09 443 Contact Inquiry Reference O AN 1/20Additional reference number or description to clarify a contact number

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-15

Segment: DMG Demographic InformationPosition: 125

Loop: N1Level: Heading

Usage: OptionalMax Use: 1Purpose: To supply demographic information

Syntax Notes: 1 If either DMG01 or DMG02 is present, then the other is required.Semantic Notes: 1 DMG02 is the date of birth.

2 DMG07 is the country of citizenship.3 DMG09 is the age in years.

Comments:Notes: Invoice party demographic information.

Data Element SummaryRef. DataDes. Element Name Attributes

X DMG01 1250 Date Time Period Format Qualifier X ID 2/3Code indicating the date format, time format, or date and time format

X DMG02 1251 Date Time Period X AN 1/35Expression of a date, a time, or range of dates, times or dates andtimes

X DMG03 1068 Gender Code O ID 1/1Code indicating the sex of the individual

X DMG04 1067 Marital Status Code O ID 1/1Code defining the marital status of a person

DMG05 1109 Race or Ethnicity Code O ID 1/1Code indicating the racial or ethnic background of a person; it isnormally self-reported; Under certain circumstances this information iscollected for United States Government statistical purposes Valid Value(s):

A Asian or Pacific IslanderB BlackC CaucasianD Subcontinent Asian AmericanE Other Race or EthnicityF Asian Pacific AmericanG Native AmericanH HispanicI American Indian or Alaskan NativeJ Native HawaiianN Black (Non-Hispanic)

A person having origins in any of the black racialgroups of Africa who is not of Mexican, PuertoRican, Cuban, or South or Central American originor of any other Spanish culture or origin regardlessof race

O White (Non-Hispanic)A person having origins in any of the originalpeoples of Europe, North Africa, or the MiddleEast who is not of Mexican, Puerto Rican, Cuban,or South or Central American origin or of any other

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Spanish culture or origin regardless of raceP Pacific Islander

X DMG06 1066 Citizenship Status Code O ID 1/2Code indicating citizenship status

X DMG07 26 Country Code O ID 2/3Code identifying the country

X DMG08 659 Basis of Verification Code O ID 1/2Code indicating the basis of verification

X DMG09 380 Quantity O R 1/15Numeric value of quantity

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-17

Segment: ITD Terms of Sale/Deferred Terms of SalePosition: 130

Loop:Level: Heading

Usage: OptionalMax Use: >1Purpose: To specify terms of sale

Syntax Notes: 1 If ITD03 is present, then at least one of ITD04 ITD05 or ITD13 is required.2 If ITD08 is present, then at least one of ITD04 ITD05 or ITD13 is required.3 If ITD09 is present, then at least one of ITD10 or ITD11 is required.

Semantic Notes: 1 ITD15 is the percentage applied to a base amount used to determine a latepayment charge.

Comments: 1 If the code in ITD01 is "04", then ITD07 or ITD09 is required and eitherITD10 or ITD11 is required; if the code in ITD01 is "05", then ITD06 or ITD07is required.

Notes: Terms of payment associated with the invoice.

Data Element SummaryRef. DataDes. Element Name Attributes

ITD01 336 Terms Type Code O ID 2/2Code identifying type of payment terms Valid Value(s):

03 Fixed Date18 Fixed Date, Late Payment Penalty Applies

Sales terms specifying a past due date, and a latepayment percentage penalty applies to unpaidbalances past this due date

X ITD02 333 Terms Basis Date Code O ID 1/2Code identifying the beginning of the terms period

X ITD03 338 Terms Discount Percent O R 1/6Terms discount percentage, expressed as a percent, available to thepurchaser if an invoice is paid on or before the Terms Discount DueDate

X ITD04 370 Terms Discount Due Date X DT 6/6Date payment is due if discount is to be earned

X ITD05 351 Terms Discount Days Due X N0 1/3Number of days in the terms discount period by which payment is due ifterms discount is earned

ITD06 446 Terms Net Due Date O DT 6/6Date when total invoice amount becomes due

X ITD07 386 Terms Net Days O N0 1/3Number of days until total invoice amount is due (discount notapplicable)

X ITD08 362 Terms Discount Amount O N2 1/10Total amount of terms discount

X ITD09 388 Terms Deferred Due Date O DT 6/6Date deferred payment or percent of invoice payable is due

X ITD10 389 Deferred Amount Due X N2 1/10Deferred amount due for payment

X ITD11 342 Percent of Invoice Payable X R 1/5Amount of invoice payable expressed in percent

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ITD12 352 Description O AN 1/80A free-form description to clarify the related data elements and theircontent

X ITD13 765 Day of Month X N0 1/2The numeric value of the day of the month between 1 and themaximum day of the month being referenced

X ITD14 107 Payment Method Code O ID 1/1Code identifying type of payment procedures

X ITD15 954 Percent O R 1/10Percentage expressed as a decimal

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-19

Segment: DTM Date/Time ReferencePosition: 140

Loop:Level: Heading

Usage: OptionalMax Use: 10Purpose: To specify pertinent dates and times

Syntax Notes: 1 At least one of DTM02 DTM03 or DTM06 is required.2 If either DTM06 or DTM07 is present, then the other is required.

Semantic Notes:Comments:

Notes: Dates associated with the invoice.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U DTM01 374 Date/Time Qualifier M ID 3/3Code specifying type of date or time, or both date and time Valid Value(s):

146 Closing Date150 Service Period Start151 Service Period End186 Invoice Period Start

When the billing period covered by an invoicebegins

187 Invoice Period EndWhen the billing period covered by an invoiceends

946 Mail ByDTM02 373 Date X DT 6/6

Date (YYMMDD)X DTM03 337 Time X TM 4/8

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)

X DTM04 623 Time Code O ID 2/2Code identifying the time. In accordance with International StandardsOrganization standard 8601, time can be specified by a + or - and anindication in hours in relation to Universal Time Coordinate (UTC) time;since + is a restricted character, + and - are substituted by P and M inthe codes that follow

DTM05 624 Century O N0 2/2The first two characters in the designation of the year (CCYY)

X DTM06 1250 Date Time Period Format Qualifier X ID 2/3Code indicating the date format, time format, or date and time format

X DTM07 1251 Date Time Period X AN 1/35Expression of a date, a time, or range of dates, times or dates andtimes

VERSION 003 ùù RELEASE 061 ASC X12 FINANCE SUBCOMMITTEE810ùù 4 - DETAIL LAYOUT CSP BILLING AND PAYMENT GUIDE

810 ùù 4-20 VERSION 1.0 JUNE 1996

Segment: PID Product/Item DescriptionPosition: 160

Loop:Level: Heading

Usage: OptionalMax Use: 200Purpose: To describe a product or process in coded or free-form format

Syntax Notes: 1 If PID04 is present, then PID03 is required.2 At least one of PID04 or PID05 is required.3 If PID07 is present, then PID03 is required.4 If PID08 is present, then PID03 is required.

Semantic Notes: 1 Use PID03 to indicate the organization that publishes the code list beingreferred to.

2 PID04 should be used for industry-specific product description codes.3 PID08 describes the physical characteristics of the product identified in

PID04. A "Y" indicates that the specified attribute applies to this item; an "N"indicates it does not apply. Any other value is indeterminate.

4 PID09 is used to identify the language being used in PID05.Comments: 1 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.2 Use PID06 when necessary to refer to the product surface or layer being

described in the segment.3 PID07 specifies the individual code list of the agency specified in PID03.

Notes: Message text associated with the invoice.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U PID01 349 Item Description Type M ID 1/1Code indicating the format of a description Valid Value(s):

F Free-formS Structured (From Industry Code List)X Semi-structured (Code and Text)

X PID02 750 Product/Process Characteristic Code O ID 2/3Code identifying the general class of a product or process characteristic

PID03 559 Agency Qualifier Code X ID 2/2Code identifying the agency assigning the code values Valid Value(s):

AS Assigned by SellerPID04 751 Product Description Code X AN 1/12

A code from an industry code list which provides specific data about aproduct characteristic Use this code to identify the type and line number of a message.Use first position to identify TYPE of message. Use second position toidentify LINE NUMBER of message. For example, B1 for Billing message line one, B2 for BillingMessage line two, S1 for Statement Message line one. Message Types are determines by seller (invoice sender). Thefollowing are samples of message TYPES: B - Billing Message D - Detail Message F - Franchise Message

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-21

G - Good Neighbor Message L - Late Message P - Product Message R - Rate Message S - Statement Message X - Free-form Message

PID05 352 Description X AN 1/80A free-form description to clarify the related data elements and theircontent Message line of data.

X PID06 752 Surface/Layer/Position Code O ID 2/2Code indicating the product surface, layer or position that is beingdescribed

X PID07 822 Source Subqualifier O AN 1/15A reference that indicates the table or text maintained by the SourceQualifier

X PID08 1073 Yes/No Condition or Response Code O ID 1/1Code indicating a Yes or No condition or response

X PID09 819 Language Code O ID 2/3Code designating the language used in text, from a standard code listmaintained by the International Standards Organization (ISO 639)

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810 ùù 4-22 VERSION 1.0 JUNE 1996

Segment: BAL Balance DetailPosition: 212

Loop:Level: Heading

Usage: OptionalMax Use: >1Purpose: To identify the specific monetary balances associated with a particular account

Syntax Notes:Semantic Notes:

Comments:Notes: Balance information associated with the invoice.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U BAL01 951 Balance Type Code M ID 1/2Code indicating the type of balance Valid Value(s):

M Current MonthP Previous Month

Balance of previous period charges prior toapplying payments and adjustments for theprevious period billing

Y Year to DateM/U BAL02 522 Amount Qualifier Code M ID 1/2

Code to qualify amount Valid Value(s):

BD Balance DueDG Escrow Balance

The amount authorized to be bid at a foreclosuresale or sales price in a preforeclosure sale

GO Credit LineGR Credit Line AvailableGU Taxes PaidGW Total ChargeGX Total CreditGY Total DebitGZ Total Finance ChargeIN InstallmentMD Minimum DuePB Billed Amount

Total amount due on the period billPF PrincipalPJ Past DueTP Total payment amountYB Actual Unpaid Principal Balance

M/U BAL03 782 Monetary Amount M R 1/15Monetary amount

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-23

Segment: INC Installment InformationPosition: 213

Loop:Level: Heading

Usage: OptionalMax Use: 1Purpose: To specify installment billing arrangement

Syntax Notes:Semantic Notes: 1 INC02 is the installment period (e.g., months).

2 INC03 is the total number of installments.3 INC04 is the number of the current installment.4 INC05 is the installment balance after the current installment is applied.

Comments:Notes: Installment billing information associated with the invoice.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U INC01 336 Terms Type Code M ID 2/2Code identifying type of payment terms

M/U INC02 C001 Composite Unit of Measure MTo identify a composite unit of measure (See Figures Appendix forexamples of use)

M/U C00101 355 Unit or Basis for Measurement Code M ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken Valid Value(s):

DA DaysMO MonthsYR Years

X C00102 1018 Exponent O R 1/15Power to which a unit is raised

X C00103 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00104 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00105 1018 Exponent O R 1/15Power to which a unit is raised

X C00106 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00107 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00108 1018 Exponent O R 1/15Power to which a unit is raised

X C00109 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00110 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00111 1018 Exponent O R 1/15

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810 ùù 4-24 VERSION 1.0 JUNE 1996

Power to which a unit is raisedX C00112 649 Multiplier O R 1/10

Value to be used as a multiplier to obtain a new valueX C00113 355 Unit or Basis for Measurement Code O ID 2/2

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

X C00114 1018 Exponent O R 1/15Power to which a unit is raised

X C00115 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

M/U INC03 380 Quantity M R 1/15Numeric value of quantity

M/U INC04 380 Quantity M R 1/15Numeric value of quantity

INC05 782 Monetary Amount O R 1/15Monetary amount

ASC X12 FINANCE SUBCOMMITTEE VERSION 003 ùù RELEASE 061CSP BILLING AND PAYMENT GUIDE 810 ùù 4 - DETAIL LAYOUT

JUNE 1996 VERSION 1.0 810 ùù 4-25

Segment: PAM Period AmountPosition: 214

Loop:Level: Heading

Usage: OptionalMax Use: >1Purpose: To indicate a quantity, and/or amount for an identified period

Syntax Notes: 1 If any of PAM01 PAM02 or PAM03 is present, then all are required.2 At least one of PAM02 PAM05 or PAM14 is required.3 If either PAM04 or PAM05 is present, then the other is required.4 If either PAM06 or PAM07 is present, then the other is required.5 If PAM07 is present, then at least one of PAM08 or PAM09 is required.6 If PAM07 is present, then PAM06 is required.7 If PAM08 is present, then PAM07 is required.8 If PAM09 is present, then PAM07 is required.9 If PAM10 is present, then at least one of PAM11 or PAM12 is required.10 If PAM11 is present, then PAM10 is required.11 If either PAM13 or PAM14 is present, then the other is required.

Semantic Notes: 1 PAM10, PAM11, or PAM12 are used when two dates are required.Comments:

Notes: Period amounts and quantities associated with the invoice.

Data Element SummaryRef. DataDes. Element Name Attributes

PAM01 673 Quantity Qualifier X ID 2/2Code specifying the type of quantity

PAM02 380 Quantity X R 1/15Numeric value of quantity

PAM03 C001 Composite Unit of Measure XTo identify a composite unit of measure (See Figures Appendix forexamples of use)

M/U C00101 355 Unit or Basis for Measurement Code M ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00102 1018 Exponent O R 1/15Power to which a unit is raised

X C00103 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00104 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00105 1018 Exponent O R 1/15Power to which a unit is raised

X C00106 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00107 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00108 1018 Exponent O R 1/15Power to which a unit is raised

X C00109 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

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X C00110 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00111 1018 Exponent O R 1/15Power to which a unit is raised

X C00112 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00113 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00114 1018 Exponent O R 1/15Power to which a unit is raised

X C00115 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

PAM04 522 Amount Qualifier Code X ID 1/2Code to qualify amount

PAM05 782 Monetary Amount X R 1/15Monetary amount

PAM06 344 Unit of Time Period or Interval X ID 2/2Code indicating the time period or interval

PAM07 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

PAM08 373 Date X DT 6/6Date (YYMMDD)

PAM09 337 Time X TM 4/8Time 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)

PAM10 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

PAM11 373 Date X DT 6/6Date (YYMMDD)

PAM12 337 Time X TM 4/8Time 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)

PAM13 1004 Percent Qualifier X ID 1/2Code to qualify percent

PAM14 954 Percent X R 1/10Percentage expressed as a decimal

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Segment: IT1 Baseline Item Data (Invoice)Position: 010

Loop: IT1Level: Detail

Usage: OptionalMax Use: 1Purpose: To specify the basic and most frequently used line item data for the invoice and

related transactionsSyntax Notes: 1 If any of IT102 IT103 or IT104 is present, then all are required.

2 If either IT106 or IT107 is present, then the other is required.3 If either IT108 or IT109 is present, then the other is required.4 If either IT110 or IT111 is present, then the other is required.5 If either IT112 or IT113 is present, then the other is required.6 If either IT114 or IT115 is present, then the other is required.7 If either IT116 or IT117 is present, then the other is required.8 If either IT118 or IT119 is present, then the other is required.9 If either IT120 or IT121 is present, then the other is required.10 If either IT122 or IT123 is present, then the other is required.11 If either IT124 or IT125 is present, then the other is required.

Semantic Notes: 1 IT101 is the purchase order line item identification.Comments: 1 Element 235/234 combinations should be interpreted to include products

and/or services. See the Data Dictionary for a complete list of IDs.2 IT106 through IT125 provide for ten different product/service IDs for each

item. For example: Case, Color, Drawing No., UPC No., ISBN No., ModelNo., or SKU.

Notes: The IT1 loop identifies an invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

IT101 350 Assigned Identification O AN 1/20Alphanumeric characters assigned for differentiation within atransaction set

IT102 358 Quantity Invoiced X R 1/10Number of units invoiced (supplier units)

IT103 355 Unit or Basis for Measurement Code X ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken Valid Value(s):

EA EachUN Unit

IT104 212 Unit Price X R 1/17Price per unit of product, service, commodity, etc.

IT105 639 Basis of Unit Price Code O ID 2/2Code identifying the type of unit price for an item

IT106 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234) Valid Value(s):

SV Service RenderedVN Vendor's (Seller's) Item Number

IT107 234 Product/Service ID X AN 1/40

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Identifying number for a product or serviceX IT108 235 Product/Service ID Qualifier X ID 2/2

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

X IT109 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT110 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT111 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT112 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT113 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT114 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT115 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT116 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT117 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT118 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT119 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT120 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT121 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT122 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT123 234 Product/Service ID X AN 1/40Identifying number for a product or service

X IT124 235 Product/Service ID Qualifier X ID 2/2Code identifying the type/source of the descriptive number used inProduct/Service ID (234)

X IT125 234 Product/Service ID X AN 1/40Identifying number for a product or service

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Segment: CUR CurrencyPosition: 020

Loop: IT1Level: Detail

Usage: OptionalMax Use: 1Purpose: To specify the currency (dollars, pounds, francs, etc.) used in a transaction

Syntax Notes: 1 If CUR08 is present, then CUR07 is required.2 If CUR09 is present, then CUR07 is required.3 If CUR10 is present, then at least one of CUR11 or CUR12 is required.4 If CUR11 is present, then CUR10 is required.5 If CUR12 is present, then CUR10 is required.6 If CUR13 is present, then at least one of CUR14 or CUR15 is required.7 If CUR14 is present, then CUR13 is required.8 If CUR15 is present, then CUR13 is required.9 If CUR16 is present, then at least one of CUR17 or CUR18 is required.10 If CUR17 is present, then CUR16 is required.11 If CUR18 is present, then CUR16 is required.12 If CUR19 is present, then at least one of CUR20 or CUR21 is required.13 If CUR20 is present, then CUR19 is required.14 If CUR21 is present, then CUR19 is required.

Semantic Notes:Comments: 1 See Figures Appendix for examples detailing the use of the CUR segment.

Notes: Currency associated with an invoice line item. Not recommend for domestictransactions.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U CUR01 98 Entity Identifier Code M ID 2/2Code identifying an organizational entity, a physical location, or anindividual This data element identifies the party using currency defined in theCurrency Code CUR02.

M/U CUR02 100 Currency Code M ID 3/3Code (Standard ISO) for country in whose currency the charges arespecified This data element is a three position alpha code of the ISO-4217.The primary codes used in North America are MXP - Mexican Peso CAD - Canadian Dollar USD - United States Dollar.

CUR03 280 Exchange Rate O R 4/10Value to be used as a multiplier conversion factor to convert monetaryvalue from one currency to another

CUR04 98 Entity Identifier Code O ID 2/2Code identifying an organizational entity, a physical location, or anindividual

CUR05 100 Currency Code O ID 3/3Code (Standard ISO) for country in whose currency the charges arespecified

CUR06 669 Currency Market/Exchange Code O ID 3/3Code identifying the market upon which the currency exchange rate isbased

X CUR07 374 Date/Time Qualifier X ID 3/3

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Code specifying type of date or time, or both date and timeX CUR08 373 Date O DT 6/6

Date (YYMMDD)X CUR09 337 Time O TM 4/8

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)

X CUR10 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR11 373 Date X DT 6/6Date (YYMMDD)

X CUR12 337 Time X TM 4/8Time 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)

X CUR13 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR14 373 Date X DT 6/6Date (YYMMDD)

X CUR15 337 Time X TM 4/8Time 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)

X CUR16 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR17 373 Date X DT 6/6Date (YYMMDD)

X CUR18 337 Time X TM 4/8Time 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)

X CUR19 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

X CUR20 373 Date X DT 6/6Date (YYMMDD)

X CUR21 337 Time X TM 4/8Time 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)

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Segment: TXI Tax InformationPosition: 040

Loop: IT1Level: Detail

Usage: OptionalMax Use: 10Purpose: To specify tax information

Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.2 If either TXI04 or TXI05 is present, then the other is required.3 If TXI08 is present, then TXI03 is required.

Semantic Notes: 1 TXI07 is a code indicating the relationship of the price or amount to theassociated segment.

Comments: 1 TXI02 is the monetary amount of the tax.2 TXI03 is the tax percent expressed as a decimal.3 If TXI02 is not used, then the application of the percent (TXI03) is between

trading partners.Notes: Tax information associated with an invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U TXI01 963 Tax Type Code M ID 2/2Code specifying the type of tax See Data Element 963 for all possible tax type codes. Only themain tax types are listed here. Valid Value(s):

GR Gross Receipts TaxST State Sales Tax

TXI02 782 Monetary Amount X R 1/15Monetary amount

TXI03 954 Percent X R 1/10Percentage expressed as a decimal

TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2Code identifying the source of the data used in tax jurisdiction code Valid Value(s):

CD Customer definedVD Vendor definedVE Vertex

TXI05 956 Tax Jurisdiction Code X AN 1/10Code identifying the taxing jurisdiction

TXI06 441 Tax Exempt Code X ID 1/1Code identifying exemption status from sales and use tax

TXI07 662 Relationship Code O ID 1/1Code indicating the relationship between entities

TXI08 828 Dollar Basis For Percent O R 1/9Dollar basis to be used in the percent calculation of the allowance,charge or tax

TXI09 325 Tax Identification Number O AN 1/20Number assigned to a purchaser (buyer, orderer) by a taxingjurisdiction (state, county, etc.); often called a tax exemption number orcertificate number

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TXI10 350 Assigned Identification O AN 1/20Alphanumeric characters assigned for differentiation within atransaction set

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Segment: PAM Period AmountPosition: 055

Loop: IT1Level: Detail

Usage: OptionalMax Use: 10Purpose: To indicate a quantity, and/or amount for an identified period

Syntax Notes: 1 If any of PAM01 PAM02 or PAM03 is present, then all are required.2 At least one of PAM02 PAM05 or PAM14 is required.3 If either PAM04 or PAM05 is present, then the other is required.4 If either PAM06 or PAM07 is present, then the other is required.5 If PAM07 is present, then at least one of PAM08 or PAM09 is required.6 If PAM07 is present, then PAM06 is required.7 If PAM08 is present, then PAM07 is required.8 If PAM09 is present, then PAM07 is required.9 If PAM10 is present, then at least one of PAM11 or PAM12 is required.10 If PAM11 is present, then PAM10 is required.11 If either PAM13 or PAM14 is present, then the other is required.

Semantic Notes: 1 PAM10, PAM11, or PAM12 are used when two dates are required.Comments:

Notes: Period amounts and quantities associated with an invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

PAM01 673 Quantity Qualifier X ID 2/2Code specifying the type of quantity Valid Value(s):

1K Time UnitsThe number of time units such as 8 (hours)

D1 BilledUU Used

PAM02 380 Quantity X R 1/15Numeric value of quantity

PAM03 C001 Composite Unit of Measure XTo identify a composite unit of measure (See Figures Appendix forexamples of use)

M/U C00101 355 Unit or Basis for Measurement Code M ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken Valid Value(s):

DA DaysK7 Kilowatt

Measure of electrical powerX C00102 1018 Exponent O R 1/15

Power to which a unit is raisedX C00103 649 Multiplier O R 1/10

Value to be used as a multiplier to obtain a new valueX C00104 355 Unit or Basis for Measurement Code O ID 2/2

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

X C00105 1018 Exponent O R 1/15

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Power to which a unit is raisedX C00106 649 Multiplier O R 1/10

Value to be used as a multiplier to obtain a new valueX C00107 355 Unit or Basis for Measurement Code O ID 2/2

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

X C00108 1018 Exponent O R 1/15Power to which a unit is raised

X C00109 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00110 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00111 1018 Exponent O R 1/15Power to which a unit is raised

X C00112 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

X C00113 355 Unit or Basis for Measurement Code O ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

X C00114 1018 Exponent O R 1/15Power to which a unit is raised

X C00115 649 Multiplier O R 1/10Value to be used as a multiplier to obtain a new value

PAM04 522 Amount Qualifier Code X ID 1/2Code to qualify amount Valid Value(s):

DY Per Day LimitPAM05 782 Monetary Amount X R 1/15

Monetary amountPAM06 344 Unit of Time Period or Interval X ID 2/2

Code indicating the time period or interval Valid Value(s):

DY DayHR HoursMO Month

PAM07 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time Valid Value(s):

193 Period StartPAM08 373 Date X DT 6/6

Date (YYMMDD)PAM09 337 Time X TM 4/8

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)

PAM10 374 Date/Time Qualifier X ID 3/3Code specifying type of date or time, or both date and time

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Valid Value(s):194 Period End

PAM11 373 Date X DT 6/6Date (YYMMDD)

PAM12 337 Time X TM 4/8Time 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)

PAM13 1004 Percent Qualifier X ID 1/2Code to qualify percent Valid Value(s):

CH ChangePAM14 954 Percent X R 1/10

Percentage expressed as a decimal

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Segment: PID Product/Item DescriptionPosition: 060

Loop: PIDLevel: Detail

Usage: OptionalMax Use: 1Purpose: To describe a product or process in coded or free-form format

Syntax Notes: 1 If PID04 is present, then PID03 is required.2 At least one of PID04 or PID05 is required.3 If PID07 is present, then PID03 is required.4 If PID08 is present, then PID03 is required.

Semantic Notes: 1 Use PID03 to indicate the organization that publishes the code list beingreferred to.

2 PID04 should be used for industry-specific product description codes.3 PID08 describes the physical characteristics of the product identified in

PID04. A "Y" indicates that the specified attribute applies to this item; an "N"indicates it does not apply. Any other value is indeterminate.

4 PID09 is used to identify the language being used in PID05.Comments: 1 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.2 Use PID06 when necessary to refer to the product surface or layer being

described in the segment.3 PID07 specifies the individual code list of the agency specified in PID03.

Notes: Description information associated with an invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U PID01 349 Item Description Type M ID 1/1Code indicating the format of a description Valid Value(s):

F Free-formX PID02 750 Product/Process Characteristic Code O ID 2/3

Code identifying the general class of a product or process characteristicX PID03 559 Agency Qualifier Code X ID 2/2

Code identifying the agency assigning the code valuesX PID04 751 Product Description Code X AN 1/12

A code from an industry code list which provides specific data about aproduct characteristic

PID05 352 Description X AN 1/80A free-form description to clarify the related data elements and theircontent

X PID06 752 Surface/Layer/Position Code O ID 2/2Code indicating the product surface, layer or position that is beingdescribed

X PID07 822 Source Subqualifier O AN 1/15A reference that indicates the table or text maintained by the SourceQualifier

X PID08 1073 Yes/No Condition or Response Code O ID 1/1Code indicating a Yes or No condition or response

X PID09 819 Language Code O ID 2/3Code designating the language used in text, from a standard code listmaintained by the International Standards Organization (ISO 639)

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Segment: REF Reference IdentificationPosition: 120

Loop: IT1Level: Detail

Usage: OptionalMax Use: >1Purpose: To specify identifying information

Syntax Notes: 1 At least one of REF02 or REF03 is required.2 If either C04003 or C04004 is present, then the other is required.3 If either C04005 or C04006 is present, then the other is required.

Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.Comments:

Notes: Reference numbers associated with an invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U REF01 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification Valid Value(s):

46 Old Meter NumberIdentifies meters being removed

CA Cost Allocation ReferenceIJ Standard Industry Classification (SIC) CodeIV Seller's Invoice NumberIX Item NumberMG Meter NumberRB Rate code numberST Store Number

REF02 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

REF03 352 Description X AN 1/80A free-form description to clarify the related data elements and theircontent

X REF04 C040 Reference Identifier OTo identify one or more reference numbers or identification numbers asspecified by the Reference Qualifier

X C04001 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification

X C04002 127 Reference Identification M AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

X C04003 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04004 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

X C04005 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04006 127 Reference Identification X AN 1/30

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

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Segment: DTM Date/Time ReferencePosition: 150

Loop: IT1Level: Detail

Usage: OptionalMax Use: 10Purpose: To specify pertinent dates and times

Syntax Notes: 1 At least one of DTM02 DTM03 or DTM06 is required.2 If either DTM06 or DTM07 is present, then the other is required.

Semantic Notes:Comments:

Notes: Dates associated with an invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U DTM01 374 Date/Time Qualifier M ID 3/3Code specifying type of date or time, or both date and time Valid Value(s):

050 Received150 Service Period Start151 Service Period End809 Posted945 Activity948 Payment Initiated949 Payment Effective

DTM02 373 Date X DT 6/6Date (YYMMDD)

X DTM03 337 Time X TM 4/8Time 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)

X DTM04 623 Time Code O ID 2/2Code identifying the time. In accordance with International StandardsOrganization standard 8601, time can be specified by a + or - and anindication in hours in relation to Universal Time Coordinate (UTC) time;since + is a restricted character, + and - are substituted by P and M inthe codes that follow

DTM05 624 Century O N0 2/2The first two characters in the designation of the year (CCYY)

X DTM06 1250 Date Time Period Format Qualifier X ID 2/3Code indicating the date format, time format, or date and time format

X DTM07 1251 Date Time Period X AN 1/35Expression of a date, a time, or range of dates, times or dates andtimes

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Segment: SAC Service, Promotion, Allowance, or Charge InformationPosition: 180

Loop: SACLevel: Detail

Usage: OptionalMax Use: 1Purpose: To request or identify a service, promotion, allowance, or charge; to specify the

amount or percentage for the service, promotion, allowance, or chargeSyntax Notes: 1 At least one of SAC02 or SAC03 is required.

2 If either SAC03 or SAC04 is present, then the other is required.3 If either SAC06 or SAC07 is present, then the other is required.4 If either SAC09 or SAC10 is present, then the other is required.5 If SAC11 is present, then SAC10 is required.6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.7 If SAC14 is present, then SAC13 is required.

Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 isrequired.

2 SAC05 is the total amount for the service, promotion, allowance, or charge.If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.

3 SAC08 is the allowance or charge rate per unit.4 SAC10 and SAC11 is the quantity basis when the allowance or charge

quantity is different from the purchase order or invoice quantity.SAC10 and SAC11 used together indicate a quantity range, which could bea dollar amount, that is applicable to service, promotion, allowance, orcharge.

5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specificreference number as identified by the code used.

6 SAC14 is used in conjunction with SAC13 to identify an option when there ismore than one option of the promotion.

Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance,or charge. In addition, it may be used in conjunction to further the code inSAC02.

2 In some business applications, it is necessary to advise the trading partnerof the actual dollar amount that a particular allowance, charge, or promotionwas based on to reduce ambiguity. This amount is commonly referred to a"Dollar Basis Amount". It is represented in the SAC segment in SAC10 usingthe qualifier "DO" - Dollars in SAC09.

Notes: Service/Promotion allowance/charge information associated with an invoice lineitem.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U SAC01 248 Allowance or Charge Indicator M ID 1/1Code which indicates an allowance or charge for the service specified Valid Value(s):

A AllowanceC ChargeN No Allowance or ChargeP PromotionR Allowance RequestS Service

SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4

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Code identifying the service, promotion, allowance, or charge See data element 1300 for other codes. The codes listed here areonly a small subset of the code which can be used. Valid Value(s):

A170 AdjustmentsB800 CreditE280 Late Payment ChargeI690 GratuityI700 Escrow

SAC03 559 Agency Qualifier Code X ID 2/2Code identifying the agency assigning the code values

SAC04 1301 Agency Service, Promotion, Allowance, orCharge Code

X AN 1/10

Agency maintained code identifying the service, promotion, allowance,or charge

SAC05 610 Amount O N2 1/15Monetary amount

SAC06 378 Allowance/ Charge Percent Qualifier X ID 1/1Code indicating on what basis allowance or charge percent iscalculated

SAC07 332 Percent X R 1/6Percent expressed as a percent

SAC08 118 Rate O R 1/9Rate expressed in the standard monetary denomination for thecurrency specified

SAC09 355 Unit or Basis for Measurement Code X ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

SAC10 380 Quantity X R 1/15Numeric value of quantity

SAC11 380 Quantity O R 1/15Numeric value of quantity

SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2Code indicating method of handling for an allowance or charge

SAC13 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

SAC14 770 Option Number O AN 1/20A unique number identifying available promotion or allowance optionswhen more than one is offered

SAC15 352 Description O AN 1/80A free-form description to clarify the related data elements and theircontent

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Segment: TXI Tax InformationPosition: 190

Loop: SACLevel: Detail

Usage: OptionalMax Use: 10Purpose: To specify tax information

Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.2 If either TXI04 or TXI05 is present, then the other is required.3 If TXI08 is present, then TXI03 is required.

Semantic Notes: 1 TXI07 is a code indicating the relationship of the price or amount to theassociated segment.

Comments: 1 TXI02 is the monetary amount of the tax.2 TXI03 is the tax percent expressed as a decimal.3 If TXI02 is not used, then the application of the percent (TXI03) is between

trading partners.Notes: Tax information related to a service/promotion allowance/charge.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U TXI01 963 Tax Type Code M ID 2/2Code specifying the type of tax See Data Element 963 for all possible tax type codes. Only themain tax types are listed here. Valid Value(s):

GR Gross Receipts TaxST State Sales Tax

TXI02 782 Monetary Amount X R 1/15Monetary amount

TXI03 954 Percent X R 1/10Percentage expressed as a decimal

TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2Code identifying the source of the data used in tax jurisdiction code Valid Value(s):

CD Customer definedVD Vendor definedVE Vertex

TXI05 956 Tax Jurisdiction Code X AN 1/10Code identifying the taxing jurisdiction

TXI06 441 Tax Exempt Code X ID 1/1Code identifying exemption status from sales and use tax

TXI07 662 Relationship Code O ID 1/1Code indicating the relationship between entities

TXI08 828 Dollar Basis For Percent O R 1/9Dollar basis to be used in the percent calculation of the allowance,charge or tax

TXI09 325 Tax Identification Number O AN 1/20Number assigned to a purchaser (buyer, orderer) by a taxingjurisdiction (state, county, etc.); often called a tax exemption number orcertificate number

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TXI10 350 Assigned Identification O AN 1/20Alphanumeric characters assigned for differentiation within atransaction set

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Segment: N1 NamePosition: 240

Loop: N1Level: Detail

Usage: OptionalMax Use: 1Purpose: To identify a party by type of organization, name, and code

Syntax Notes: 1 At least one of N102 or N103 is required.2 If either N103 or N104 is present, then the other is required.

Semantic Notes:Comments: 1 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 processingparty.

2 N105 and N106 further define the type of entity in N101.Notes: This N1 loop contains name/address information for a party associated with an

invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U N101 98 Entity Identifier Code M ID 2/2Code identifying an organizational entity, a physical location, or anindividual Valid Value(s):

VN VendorN102 93 Name X AN 1/35

Free-form nameN103 66 Identification Code Qualifier X ID 1/2

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

N104 67 Identification Code X AN 2/20Code identifying a party or other code

X N105 706 Entity Relationship Code O ID 2/2Code describing entity relationship

X N106 98 Entity Identifier Code O ID 2/2Code identifying an organizational entity, a physical location, or anindividual

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Segment: N4 Geographic LocationPosition: 270

Loop: N1Level: Detail

Usage: OptionalMax Use: 1Purpose: To specify the geographic place of the named party

Syntax Notes: 1 If N406 is present, then N405 is required.Semantic Notes:

Comments: 1 A combination of either N401 through N404, or N405 and N406 may beadequate to specify a location.

2 N402 is required only if city name (N401) is in the U.S. or Canada.Notes: Invoice line item party address geographic location information.

Data Element SummaryRef. DataDes. Element Name Attributes

N401 19 City Name O AN 2/30Free-form text for city name

N402 156 State or Province Code O ID 2/2Code (Standard State/Province) as defined by appropriate governmentagency

N403 116 Postal Code O ID 3/15Code defining international postal zone code excluding punctuation andblanks (zip code for United States)

N404 26 Country Code O ID 2/3Code identifying the country

N405 309 Location Qualifier X ID 1/2Code identifying type of location

N406 310 Location Identifier O AN 1/30Code which identifies a specific location

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Segment: REF Reference IdentificationPosition: 280

Loop: N1Level: Detail

Usage: OptionalMax Use: 12Purpose: To specify identifying information

Syntax Notes: 1 At least one of REF02 or REF03 is required.2 If either C04003 or C04004 is present, then the other is required.3 If either C04005 or C04006 is present, then the other is required.

Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.Comments:

Notes: Reference numbers associated with the invoice line item party.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U REF01 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification Valid Value(s):

VR Vendor ID NumberREF02 127 Reference Identification X AN 1/30

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

REF03 352 Description X AN 1/80A free-form description to clarify the related data elements and theircontent

X REF04 C040 Reference Identifier OTo identify one or more reference numbers or identification numbers asspecified by the Reference Qualifier

X C04001 128 Reference Identification Qualifier M ID 2/3Code Qualifying the Reference Identification

X C04002 127 Reference Identification M AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

X C04003 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04004 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

X C04005 128 Reference Identification Qualifier X ID 2/3Code Qualifying the Reference Identification

X C04006 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

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Segment: DMG Demographic InformationPosition: 295

Loop: N1Level: Detail

Usage: OptionalMax Use: 1Purpose: To supply demographic information

Syntax Notes: 1 If either DMG01 or DMG02 is present, then the other is required.Semantic Notes: 1 DMG02 is the date of birth.

2 DMG07 is the country of citizenship.3 DMG09 is the age in years.

Comments:Notes: Invoice line item party demographic information.

Data Element SummaryRef. DataDes. Element Name Attributes

X DMG01 1250 Date Time Period Format Qualifier X ID 2/3Code indicating the date format, time format, or date and time format

X DMG02 1251 Date Time Period X AN 1/35Expression of a date, a time, or range of dates, times or dates andtimes

X DMG03 1068 Gender Code O ID 1/1Code indicating the sex of the individual

X DMG04 1067 Marital Status Code O ID 1/1Code defining the marital status of a person

DMG05 1109 Race or Ethnicity Code O ID 1/1Code indicating the racial or ethnic background of a person; it isnormally self-reported; Under certain circumstances this information iscollected for United States Government statistical purposes Valid Value(s):

A Asian or Pacific IslanderB BlackC CaucasianD Subcontinent Asian AmericanE Other Race or EthnicityF Asian Pacific AmericanG Native AmericanH HispanicI American Indian or Alaskan NativeJ Native HawaiianN Black (Non-Hispanic)

A person having origins in any of the black racialgroups of Africa who is not of Mexican, PuertoRican, Cuban, or South or Central American originor of any other Spanish culture or origin regardlessof race

O White (Non-Hispanic)A person having origins in any of the originalpeoples of Europe, North Africa, or the MiddleEast who is not of Mexican, Puerto Rican, Cuban,or South or Central American origin or of any other

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Spanish culture or origin regardless of raceP Pacific Islander

X DMG06 1066 Citizenship Status Code O ID 1/2Code indicating citizenship status

X DMG07 26 Country Code O ID 2/3Code identifying the country

X DMG08 659 Basis of Verification Code O ID 1/2Code indicating the basis of verification

X DMG09 380 Quantity O R 1/15Numeric value of quantity

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Segment: TDS Total Monetary Value SummaryPosition: 010

Loop:Level: Summary

Usage: MandatoryMax Use: 1Purpose: To specify the total invoice discounts and amounts

Syntax Notes:Semantic Notes: 1 TDS01 is the total amount of invoice (including charges, less allowances)

before terms discount (if discount is applicable).2 TDS02 indicates the amount upon which the terms discount amount is

calculated.3 TDS03 is the amount of invoice due if paid by terms discount due date (total

invoice or installment amount less cash discount).4 TDS04 indicates the total amount of terms discount.

Comments: 1 TDS02 is required if the dollar value subject to discount is not equal to thedollar value of TDS01.

Notes: Summary of the invoice detail amounts.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U TDS01 610 Amount M N2 1/15Monetary amount

TDS02 610 Amount O N2 1/15Monetary amount

TDS03 610 Amount O N2 1/15Monetary amount

TDS04 610 Amount O N2 1/15Monetary amount

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Segment: SAC Service, Promotion, Allowance, or Charge InformationPosition: 040

Loop: SACLevel: Summary

Usage: OptionalMax Use: 1Purpose: To request or identify a service, promotion, allowance, or charge; to specify the

amount or percentage for the service, promotion, allowance, or chargeSyntax Notes: 1 At least one of SAC02 or SAC03 is required.

2 If either SAC03 or SAC04 is present, then the other is required.3 If either SAC06 or SAC07 is present, then the other is required.4 If either SAC09 or SAC10 is present, then the other is required.5 If SAC11 is present, then SAC10 is required.6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.7 If SAC14 is present, then SAC13 is required.

Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 isrequired.

2 SAC05 is the total amount for the service, promotion, allowance, or charge.If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.

3 SAC08 is the allowance or charge rate per unit.4 SAC10 and SAC11 is the quantity basis when the allowance or charge

quantity is different from the purchase order or invoice quantity.SAC10 and SAC11 used together indicate a quantity range, which could bea dollar amount, that is applicable to service, promotion, allowance, orcharge.

5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specificreference number as identified by the code used.

6 SAC14 is used in conjunction with SAC13 to identify an option when there ismore than one option of the promotion.

Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance,or charge. In addition, it may be used in conjunction to further the code inSAC02.

2 In some business applications, it is necessary to advise the trading partnerof the actual dollar amount that a particular allowance, charge, or promotionwas based on to reduce ambiguity. This amount is commonly referred to a"Dollar Basis Amount". It is represented in the SAC segment in SAC10 usingthe qualifier "DO" - Dollars in SAC09.

Notes: Additional service/promotion allowance/charge information not associated withan invoice line item.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U SAC01 248 Allowance or Charge Indicator M ID 1/1Code which indicates an allowance or charge for the service specified Valid Value(s):

A AllowanceC ChargeN No Allowance or Charge

SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4Code identifying the service, promotion, allowance, or charge Valid Value(s):

D040 Finance Charge

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SAC03 559 Agency Qualifier Code X ID 2/2Code identifying the agency assigning the code values

SAC04 1301 Agency Service, Promotion, Allowance, orCharge Code

X AN 1/10

Agency maintained code identifying the service, promotion, allowance,or charge

SAC05 610 Amount O N2 1/15Monetary amount

SAC06 378 Allowance/ Charge Percent Qualifier X ID 1/1Code indicating on what basis allowance or charge percent iscalculated

SAC07 332 Percent X R 1/6Percent expressed as a percent

SAC08 118 Rate O R 1/9Rate expressed in the standard monetary denomination for thecurrency specified

SAC09 355 Unit or Basis for Measurement Code X ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

SAC10 380 Quantity X R 1/15Numeric value of quantity

SAC11 380 Quantity O R 1/15Numeric value of quantity

SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2Code indicating method of handling for an allowance or charge

SAC13 127 Reference Identification X AN 1/30Reference information as defined for a particular Transaction Set or asspecified by the Reference Identification Qualifier

SAC14 770 Option Number O AN 1/20A unique number identifying available promotion or allowance optionswhen more than one is offered

SAC15 352 Description O AN 1/80A free-form description to clarify the related data elements and theircontent

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Segment: TXI Tax InformationPosition: 050

Loop: SACLevel: Summary

Usage: OptionalMax Use: 10Purpose: To specify tax information

Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.2 If either TXI04 or TXI05 is present, then the other is required.3 If TXI08 is present, then TXI03 is required.

Semantic Notes: 1 TXI07 is a code indicating the relationship of the price or amount to theassociated segment.

Comments: 1 TXI02 is the monetary amount of the tax.2 TXI03 is the tax percent expressed as a decimal.3 If TXI02 is not used, then the application of the percent (TXI03) is between

trading partners.Notes: Tax information related to an additional service/promotion allowance/charge.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U TXI01 963 Tax Type Code M ID 2/2Code specifying the type of tax See Data Element 963 for all possible tax type codes. Only themain tax types are listed here. Valid Value(s):

GR Gross Receipts TaxST State Sales Tax

TXI02 782 Monetary Amount X R 1/15Monetary amount

TXI03 954 Percent X R 1/10Percentage expressed as a decimal

TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2Code identifying the source of the data used in tax jurisdiction code Valid Value(s):

CD Customer definedVD Vendor definedVE Vertex

TXI05 956 Tax Jurisdiction Code X AN 1/10Code identifying the taxing jurisdiction

TXI06 441 Tax Exempt Code X ID 1/1Code identifying exemption status from sales and use tax

TXI07 662 Relationship Code O ID 1/1Code indicating the relationship between entities

TXI08 828 Dollar Basis For Percent O R 1/9Dollar basis to be used in the percent calculation of the allowance,charge or tax

TXI09 325 Tax Identification Number O AN 1/20Number assigned to a purchaser (buyer, orderer) by a taxingjurisdiction (state, county, etc.); often called a tax exemption number orcertificate number

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TXI10 350 Assigned Identification O AN 1/20Alphanumeric characters assigned for differentiation within atransaction set

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Segment: CTT Transaction TotalsPosition: 070

Loop:Level: Summary

Usage: OptionalMax Use: 1Purpose: To transmit a hash total for a specific element in the transaction set

Syntax Notes: 1 If either CTT03 or CTT04 is present, then the other is required.2 If either CTT05 or CTT06 is present, then the other is required.

Semantic Notes:Comments: 1 This segment is intended to provide hash totals to validate transaction

completeness and correctness.Notes: Invoice transaction totals.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U CTT01 354 Number of Line Items M N0 1/6Total number of line items in the transaction set

CTT02 347 Hash Total O R 1/10Sum of values of the specified data element. All values in the dataelement will be summed without regard to decimal points (explicit orimplicit) or signs. Truncation will occur on the left most digits if the sumis greater than the maximum size of the hash total of the data element.

Example:

-.0018 First occurrence of value being hashed. .18 Second occurrenceof value being hashed. 1.8 Third occurrence of value being hashed.18.01 Fourth occurrence of value being hashed. ------- 1855 Hash totalprior to truncation. 855 Hash total after truncation to three-digit field.

CTT03 81 Weight X R 1/10Numeric value of weight

CTT04 355 Unit or Basis for Measurement Code X ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

CTT05 183 Volume X R 1/8Value of volumetric measure

CTT06 355 Unit or Basis for Measurement Code X ID 2/2Code specifying the units in which a value is being expressed, ormanner in which a measurement has been taken

CTT07 352 Description O AN 1/80A free-form description to clarify the related data elements and theircontent

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Segment: SE Transaction Set TrailerPosition: 080

Loop:Level: Summary

Usage: MandatoryMax Use: 1Purpose: To indicate the end of the transaction set and provide the count of the

transmitted segments (including the beginning (ST) and ending (SE) segments)Syntax Notes:

Semantic Notes:Comments: 1 SE is the last segment of each transaction set.

Data Element SummaryRef. DataDes. Element Name Attributes

M/U SE01 96 Number of Included Segments M N0 1/10Total number of segments included in a transaction set including STand SE segments

M/U SE02 329 Transaction Set Control Number M AN 4/9Identifying control number that must be unique within the transactionset functional group assigned by the originator for a transaction set