MF Stedi Demo Account

X12 855 Managed Functions 855 to cXML

X12 Release 4010Revised

Mar 21, 2023, 7:36 PM

Delimiters

• ~ Segment
• * Element
• : Component

ISA Interchange Control Header

Required · Max use 1

ISA-01 · I01 · Authorization Information Qualifier · Required · Identifier (ID)

• 00: No Authorization Information Present (No Meaningful Information in I02)

ISA-02 · I02 · Authorization Information · Required · String (AN) · Min 10 Max 10

ISA-03 · I03 · Security Information Qualifier · Required · Identifier (ID)

• 00: No Security Information Present (No Meaningful Information in I04)

ISA-04 · I04 · Security Information · Required · String (AN) · Min 10 Max 10

ISA-05 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Codes

• 01: Duns (Dun & Bradstreet)
• 02: SCAC (Standard Carrier Alpha Code)
• 03: FMC (Federal Maritime Commission)
• 04: IATA (International Air Transport Association)
• 08: UCC EDI Communications ID (Comm ID)
• 09: X.121 (CCITT)
• 10: Department of Defense (DoD) Activity Address Code
• 11: DEA (Drug Enforcement Administration)
• 12: Phone (Telephone Companies)
• 13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
• 14: Duns Plus Suffix
• 15: Petroleum Accountants Society of Canada Company Code
• 16: Duns Number With 4-Character Suffix
• 17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
• 18: Association of American Railroads (AAR) Standard Distribution Code
• 19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
• 20: Health Industry Number (HIN)
• 21: Integrated Postsecondary Education Data System, or (IPEDS)
• 22: Federal Interagency Commission on Education, or FICE
• 23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
• 24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
• 25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
• 26: Statistics of Canada List of Postsecondary Institutions
• 27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
• 29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 30: U.S. Federal Tax Identification Number
• 31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
• 32: U.S. Federal Employer Identification Number (FEIN)
• 33: National Association of Insurance Commissioners Company Code (NAIC)
• 34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
• 35: Statistics Canada Canadian College Student Information System Institution Codes
• 36: Statistics Canada University Student Information System Institution Codes
• 37: Society of Property Information Compilers and Analysts
• AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
• NR: National Retail Merchants Association (NRMA) - Assigned
• SN: Standard Address Number
• ZZ: Mutually Defined

ISA-06 · I06 · Interchange Sender ID · Required · String (AN) · Min 15 Max 15

ISA-07 · I05 · Interchange ID Qualifier · Required · Identifier (ID) · Min 2 Max 2

Codes

• 01: Duns (Dun & Bradstreet)
• 02: SCAC (Standard Carrier Alpha Code)
• 03: FMC (Federal Maritime Commission)
• 04: IATA (International Air Transport Association)
• 08: UCC EDI Communications ID (Comm ID)
• 09: X.121 (CCITT)
• 10: Department of Defense (DoD) Activity Address Code
• 11: DEA (Drug Enforcement Administration)
• 12: Phone (Telephone Companies)
• 13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
• 14: Duns Plus Suffix
• 15: Petroleum Accountants Society of Canada Company Code
• 16: Duns Number With 4-Character Suffix
• 17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
• 18: Association of American Railroads (AAR) Standard Distribution Code
• 19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
• 20: Health Industry Number (HIN)
• 21: Integrated Postsecondary Education Data System, or (IPEDS)
• 22: Federal Interagency Commission on Education, or FICE
• 23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
• 24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
• 25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
• 26: Statistics of Canada List of Postsecondary Institutions
• 27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
• 29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
• 30: U.S. Federal Tax Identification Number
• 31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
• 32: U.S. Federal Employer Identification Number (FEIN)
• 33: National Association of Insurance Commissioners Company Code (NAIC)
• 34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
• 35: Statistics Canada Canadian College Student Information System Institution Codes
• 36: Statistics Canada University Student Information System Institution Codes
• 37: Society of Property Information Compilers and Analysts
• AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
• NR: National Retail Merchants Association (NRMA) - Assigned
• SN: Standard Address Number
• ZZ: Mutually Defined

ISA-08 · I07 · Interchange Receiver ID · Required · String (AN) · Min 15 Max 15

ISA-09 · I08 · Interchange Date · Required · Date (DT) · YYMMDD format

ISA-10 · I09 · Interchange Time · Required · Time (TM) · HHMM format

ISA-11 · I10 · Interchange Control Standards Identifier · Required · Identifier (ID)

• U: U.S. EDI Community of ASC X12, TDCC, and UCS

ISA-12 · I11 · Interchange Control Version Number · Required · Identifier (ID)

• 00401: Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1997

ISA-13 · I12 · Interchange Control Number · Required · Numeric (N0) · Min 9 Max 9

ISA-14 · I13 · Acknowledgment Requested · Required · Identifier (ID) · Min 1 Max 1

• 0: No Acknowledgment Requested
• 1: Interchange Acknowledgment Requested

ISA-15 · I14 · Usage Indicator · Required · Identifier (ID) · Min 1 Max 1

• I: Information
• P: Production Data
• T: Test Data

ISA-16 · I15 · Component Element Separator · Required · String (AN) · Min 1 Max 1

:

Component Element Separator

GS Functional Group Header

Required · Max use 1

GS-01 · 479 · Functional Identifier Code · Required · Identifier (ID)

• PR: Purchase Order Acknowledgement (855)

GS-02 · 142 · Application Sender's Code · Required · String (AN) · Min 2 Max 15

GS-03 · 124 · Application Receiver's Code · Required · String (AN) · Min 2 Max 15

GS-04 · 373 · Date · Required · Date (DT) · CCYYMMDD format

GS-05 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

GS-06 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

GS-07 · 455 · Responsible Agency Code · Required · Identifier (ID) · Min 1 Max 2

• T: Transportation Data Coordinating Committee (TDCC)
• X: Accredited Standards Committee X12

GS-08 · 480 · Version / Release / Industry Identifier Code · Required · String (AN)

• 004010: Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997

Heading

010 Heading > ST

ST Transaction Set Header

Required · Max use 1

ST-01 · 143 · Transaction Set Identifier Code · Required · Identifier (ID)

• 855: Purchase Order Acknowledgment

ST-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

020 Heading > BAK

BAK Beginning Segment for Purchase Order Acknowledgment

Required · Max use 1

BAK-01 · 353 · Transaction Set Purpose Code · Required · Identifier (ID)

• 00: Original
• 01: Cancellation
• 02: Add
• 03: Delete
• 04: Change
• 05: Replace
• 5C: Chargeable Resubmission
• 06: Confirmation
• 07: Duplicate
• 08: Status
• 10: Not Found
• 11: Response
• 12: Not Processed
• 13: Request
• 14: Advance Notification
• 15: Re-Submission
• 16: Proposed
• 17: Cancel, to be Reissued
• 18: Reissue
• 19: Seller initiated change
• 20: Final Transmission
• 21: Transaction on Hold
• 22: Information Copy
• 24: Draft
• 25: Incremental
• 26: Replace - Specified Buyers Parts Only
• 27: Verify
• 28: Query
• 30: Renewal
• 31: Allowance/Addition
• 32: Recovery/Deduction
• 33: Request for Payment
• 34: Payment Declined
• 35: Request Authority
• 36: Authority to Deduct (Reply)
• 37: Authority Declined (Reply)
• 38: No Financial Value
• 39: Response to Proposed Trip Plan
• 40: Commitment Advice
• 41: Corrected and Verified
• 42: Temporary Record
• 43: Request Permission to Service
• 44: Rejection
• 45: Follow-up
• 46: Cancellation with Refund
• 47: Transfer
• 48: Suspended
• 49: Original - No Response Necessary
• 50: Register
• 51: Historical Inquiry
• 52: Response to Historical Inquiry
• 53: Completion
• 54: Approval
• 55: Excavation
• 56: Expiration Notification
• 77: Simulation Exercise
• CN: Completion Notification
• CO: Corrected
• EX: Final Loading Configuration
• GR: Granted
• PR: Proposed Loading Configuration
• RH: Release Hold
• RV: Revised Loading Configuration
• SU: Status Update
• ZZ: Mutually Defined

BAK-02 · 587 · Acknowledgment Type · Required · Identifier (ID)

• AC: Acknowledge - With Detail and Change
• AD: Acknowledge - With Detail, No Change
• AE: Acknowledge - With Exception Detail Only
• AH: Acknowledge - Hold Status
• AK: Acknowledge - No Detail or Change
• AP: Acknowledge - Product Replenishment
• AT: Accepted
• NA: No Acknowledgment Needed
• RD: Reject with Detail
• RF: Reject with Exception Detail Only
• RJ: Rejected - No Detail
• RN: Rejected - Not as Agreed
• RO: Rejected With Counter Offer
• RV: Rejected - Violates Industry Practices
• ZZ: Mutually Defined

BAK-03 · 324 · Purchase Order Number · Required · String (AN) · Min 1 Max 22

BAK-04 · 373 · Purchase Order date · Required · Date (DT) · CCYYMMDD format

BAK-08 · 127 · Seller's/Supplier's Order Number · Required · String (AN) · Min 1 Max 30

BAK-09 · 373 · Order Date · Optional · Date (DT) · CCYYMMDD format

040 Heading > CUR

CUR Currency

Optional · Max use 1

CUR-01 · 98 · Business Entity Identifier Code · Required · Identifier (ID) · Min 2 Max 3

CUR-02 · 100 · Currency Code · Required · Identifier (ID) · Min 3 Max 3

150 Heading > DTM

DTM Date/Time Reference

Optional · Max use >1

DTM-01 · 374 · Date/Time Qualifier · Required · Identifier (ID) · Min 3 Max 3

DTM-02 · 373 · Date · Required · Date (DT) · CCYYMMDD format

Detail

PO1 Loop Required Max >1

010 Detail > PO1 Loop > PO1

PO1 Baseline Item Data

Required · Max use 1

If either Product/Service ID Qualifier (PO1-08) or Product/Service ID (PO1-09) is present, then the other is required

If either Product/Service ID Qualifier (PO1-10) or Product/Service ID (PO1-11) is present, then the other is required

If either Product/Service ID Qualifier (PO1-12) or Product/Service ID (PO1-13) is present, then the other is required

If either Product/Service ID Qualifier (PO1-06) or Product/Service ID (PO1-07) is present, then the other is required

PO1-01 · 350 · PO Line number · Required · String (AN) · Min 1 Max 20

PO1-02 · 330 · Quantity Ordered · Required · Decimal number (R) · Min 1 Max 15

PO1-03 · 355 · Unit or Basis for Measurement Code (UOM) · Required · Identifier (ID) · Min 2 Max 2

PO1-04 · 212 · Unit Price · Required · Decimal number (R) · Min 1 Max 15

PO1-05 · 639 · Basis of Unit Price Code · Optional · Identifier (ID) · Min 2 Max 2

PO1-06 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

PO1-07 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

PO1-08 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

PO1-09 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

PO1-10 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

PO1-11 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

PO1-12 · 235 · Product/Service ID Qualifier · Optional · Identifier (ID) · Min 2 Max 2

PO1-13 · 234 · Product/Service ID · Optional · String (AN) · Min 1 Max 48

ACK Loop Required Max >1

270 Detail > PO1 Loop > ACK Loop > ACK

ACK Line Item Acknowledgment

Required · Max use 1

If Date/Time Qualifier (ACK-04) is present, then Date (ACK-05) is required

ACK-01 · 668 · Line Item Status Code · Required · Identifier (ID)

• AA: Item Accepted - Order Forwarded to Alternate Supplier Location
• AC: Item Accepted and Shipped
• AR: Item Accepted and Released for Shipment
• BP: Item Accepted - Partial Shipment, Balance Backordered
• DR: Item Accepted - Date Rescheduled
• IA: Item Accepted
• IB: Item Backordered
• IC: Item Accepted - Changes Made
• ID: Item Deleted
• IE: Item Accepted, Price Pending
• IF: Item on Hold, Incomplete Description
• IH: Item on Hold
• IP: Item Accepted - Price Changed
• IQ: Item Accepted - Quantity Changed
• IR: Item Rejected
• IS: Item Accepted - Substitution Made
• IW: Item on Hold-Waiver Required
• R1: Item Rejected, Not a Contract Item
• R2: Item Rejected, Invalid Item Product Number
• R3: Item Rejected, Invalid Unit of Issue
• R4: Item Rejected, Contract Item not Available
• R5: Item Rejected, Reorder Item as a Just in Time (JIT) Order
• R6: Item Rejected, Reorder Item as an Extended Delivery Order (EDO)
• R7: Item Rejected, Reorder Item as a Drop Shipment
• R8: Item Rejected, Reorder Item as a Surge Order
• SP: Item Accepted - Schedule Date Pending

ACK-02 · 380 · Quantity · Required · Decimal number (R) · Min 1 Max 15

ACK-03 · 355 · Unit or Basis for Measurement Code (UOM) · Required · Identifier (ID) · Min 2 Max 2

ACK-04 · 374 · Date/Time Qualifier · Optional · Identifier (ID) · Min 3 Max 3

ACK-05 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

ACK-06 · 326 · Request Reference Number · Optional · String (AN) · Min 1 Max 45

ACK-07 · 235 · Vendor Part Number Identifier · Required · Identifier (ID)

• VP: Vendor's (Seller's) Part Number

ACK-08 · 234 · Vendor Part Number · Required · String (AN) · Min 1 Max 48

ACK-09 · 235 · Buyer's Part Number ID Qualifier · Required · Identifier (ID)

• BP: Buyer's Part Number

ACK-10 · 234 · Buyer's Part Number ID · Required · String (AN) · Min 1 Max 48

SCH Loop Optional Max >1

310 Detail > PO1 Loop > SCH Loop > SCH

SCH Line Item Schedule

Required · Max use 1

SCH-01 · 380 · Quantity · Required · Decimal number (R) · Min 1 Max 15

SCH-02 · 355 · Unit or Basis for Measurement Code · Required · Identifier (ID) · Min 2 Max 2

SCH-05 · 374 · Date/Time Qualifier · Required · Identifier (ID) · Min 3 Max 3

SCH-06 · 373 · Date · Required · Date (DT) · CCYYMMDD format

Summary

CTT Loop Optional Max >1

010 Summary > CTT Loop > CTT

CTT Transaction Totals

Required · Max use 1

If either Weight (CTT-03) or Unit or Basis for Measurement Code (CTT-04) is present, then the other is required

If either Volume (CTT-05) or Unit or Basis for Measurement Code (CTT-06) is present, then the other is required

CTT-01 · 354 · Number of Line Items · Required · Numeric (N0) · Min 1 Max 6

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

CTT-03 · 81 · Weight · Optional · Decimal number (R) · Min 1 Max 10

CTT-04 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

CTT-05 · 183 · Volume · Optional · Decimal number (R) · Min 1 Max 8

CTT-06 · 355 · Unit or Basis for Measurement Code · Optional · Identifier (ID) · Min 2 Max 2

CTT-07 · 352 · Description · Optional · String (AN) · Min 1 Max 80

020 Summary > CTT Loop > AMT

AMT Monetary Amount

Optional · Max use 1

AMT-01 · 522 · Amount Qualifier Code · Required · Identifier (ID) · Min 1 Max 3

AMT-02 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

AMT-03 · 478 · Credit/Debit Flag Code · Optional · Identifier (ID) · Min 1 Max 1

030 Summary > SE

SE Transaction Set Trailer

Required · Max use 1

SE-01 · 96 · Number of Included Segments · Required · Numeric (N0) · Min 1 Max 10

SE-02 · 329 · Transaction Set Control Number · Required · Numeric (N) · Min 4 Max 9

GE Functional Group Trailer

Required · Max use 1

GE-01 · 97 · Number of Transaction Sets Included · Required · Numeric (N0) · Min 1 Max 6

GE-02 · 28 · Group Control Number · Required · Numeric (N0) · Min 1 Max 9

IEA Interchange Control Trailer

Required · Max use 1

IEA-01 · I16 · Number of Included Functional Groups · Required · Numeric (N0) · Min 1 Max 5

IEA-02 · I12 · Interchange Control Number · Required · Numeric (N0) · Min 9 Max 9

EDI Samples

855 Vroozi Items Accepted

ISA*00*          *00*          *01*075322693      *ZZ*MFVZHEBXXXXXON *221005*0034*U*00401*000000013*0*T*:~
GS*PR*075322693*MFVZHEBXXXXXON*20221005*0034*13*X*004010~
ST*855*0013~
BAK*06*AK*2000535644*20220901****624748*20220901~
DTM*067*20221006~
DTM*068*20221006~
PO1*1*2*EA*136.7*CP*VP*WBEWTA67-PB-385-1A-80-F2-CBG*BP*1042215~
ACK*IA*2*EA*068*20221006**VP*WBEWTA67-PB-385-1A-80-F2-CBG*BP*1042215~
PO1*2*2*EA*109.56*CP*VP*EWTA-MPB-335-9A-80-100-FA2-CBK*BP*1286413~
ACK*IA*2*EA*068*20221006**VP*EWTA-MPB-335-9A-80-100-FA2-CBK*BP*1286413~
PO1*3*2*EA*104.75*CP*VP*63412FTLAKX4*BP*1208996~
ACK*IA*2*EA*068*20221006**VP*63412FTLAKX4*BP*1208996~
SE*11*0013~
GE*1*13~
IEA*1*000000013~

855 Vroozi Items Rejected

ISA*00*          *00*          *01*075322693      *ZZ*MFVZHEBXXXXXON *221005*0034*U*00401*000000013*0*T*:~
GS*PR*075322693*MFVZHEBXXXXXON*20221005*0034*13*X*004010~
ST*855*0013~
BAK*06*AK*2000535644*20220901****624748*20220901~
DTM*067*20221006~
DTM*068*20221006~
PO1*1*2*EA*136.7*CP*VP*A3L850-03-BLK-S*BP*VEN1000086~
ACK*IR*2*EA****VP*A3L850-03-BLK-S*BP*VEN1000086~
SE*7*0013~
GE*1*13~
IEA*1*000000013~