X12 820 Payment Order/Remittance Advice

X12 Release 4010Revised

May 9, 2:53 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)

• RA: Payment Order/Remittance Advice (820)

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)

• 820: Payment Order/Remittance Advice

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

020 Heading > BPR

BPR Beginning Segment for Payment Order/Remittance Advice

Required · Max use 1

If either (DFI) ID Number Qualifier (BPR-06) or (DFI) Identification Number (BPR-07) is present, then the other is required

If Account Number Qualifier (BPR-08) is present, then Account Number (BPR-09) is required

If either (DFI) ID Number Qualifier (BPR-12) or (DFI) Identification Number (BPR-13) is present, then the other is required

If Account Number Qualifier (BPR-14) is present, then Account Number (BPR-15) is required

BPR-01 · 305 · Transaction Handling Code · Required · Identifier (ID)

• I: Remittance Information Only

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

BPR-03 · 478 · Credit/Debit Flag Code · Required · Identifier (ID)

• C: Credit

BPR-04 · 591 · Payment Method Code · Required · Identifier (ID)

• ACH: Automated Clearing House (ACH)
• CAS: Cash
• CCC: Credit Card
• CHK: Check
• DEB: Debit Card
• FWT: Federal Reserve Funds/Wire Transfer - Nonrepetitive
• PBD: Draft
• ZZZ: Mutually Defined

BPR-06 · 506 · (DFI) ID Number Qualifier · Optional · Identifier (ID)

• 01: ABA Transit Routing Number Including Check Digits (9 digits)
• 02: Swift Identification (8 or 11 characters)
• 03: CHIPS (3 or 4 digits)
• 04: Canadian Bank Branch and Institution Number

BPR-07 · 507 · (DFI) Identification Number · Optional · String (AN) · Min 3 Max 12

BPR-08 · 569 · Account Number Qualifier · Optional · Identifier (ID)

• 10: Business Account

BPR-09 · 508 · Account Number · Optional · String (AN) · Min 1 Max 35

BPR-12 · 506 · (DFI) ID Number Qualifier · Optional · Identifier (ID)

• 01: ABA Transit Routing Number Including Check Digits (9 digits)
• 02: Swift Identification (8 or 11 characters)
• 03: CHIPS (3 or 4 digits)
• 04: Canadian Bank Branch and Institution Number

BPR-13 · 507 · (DFI) Identification Number · Optional · String (AN) · Min 3 Max 12

BPR-14 · 569 · Account Number Qualifier · Optional · Identifier (ID)

• 10: Business Account

BPR-15 · 508 · Account Number · Optional · String (AN) · Min 1 Max 35

BPR-16 · 373 · Date · Optional · Date (DT) · CCYYMMDD format

030 Heading > NTE

NTE Note/Special Instruction

Optional · Max use >1

NTE-01 · 363 · Note Reference Code · Required · Identifier (ID)

• OTH: Other Instructions
• PMT: Payment

NTE-02 · 352 · Description · Required · String (AN) · Min 1 Max 80

035 Heading > TRN

TRN Trace

Optional · Max use 1

TRN-01 · 481 · Trace Type Code · Required · Identifier (ID)

• 1: Current Transaction Trace Numbers

TRN-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

040 Heading > CUR

CUR Currency

Optional · Max use 1

CUR-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

• BY: Buying Party (Purchaser)

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

050 Heading > REF

REF Reference Identification

Optional · Max use >1

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

• 4N: Special Payment Reference Number
• 8I: FEDWIRE Confirmation Number
• BAF: Receipt Number
• CK: Check Number
• DN: Draft Number
• EM: Electronic Payment Reference Number
• H9: Payment History Reference Number
• ZZ: Mutually Defined

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

REF-03 · 352 · Description · Optional · String (AN) · Min 1 Max 80

060 Heading > DTM

DTM Date/Time Reference Last Payment Made

Optional · Max use >1

Variants (all may be used)

DTMDate/Time Reference Payment Effective

If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required

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

• 707: Last Payment Made

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

DTM-03 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

DTM-04 · 623 · Time Code · Required · Identifier (ID)

• 01: Equivalent to ISO P01
• 02: Equivalent to ISO P02
• 03: Equivalent to ISO P03
• 04: Equivalent to ISO P04
• 05: Equivalent to ISO P05
• 06: Equivalent to ISO P06
• 07: Equivalent to ISO P07
• 08: Equivalent to ISO P08
• 09: Equivalent to ISO P09
• 10: Equivalent to ISO P10
• 11: Equivalent to ISO P11
• 12: Equivalent to ISO P12
• 13: Equivalent to ISO M12
• 14: Equivalent to ISO M11
• 15: Equivalent to ISO M10
• 16: Equivalent to ISO M09
• 17: Equivalent to ISO M08
• 18: Equivalent to ISO M07
• 19: Equivalent to ISO M06
• 20: Equivalent to ISO M05
• 21: Equivalent to ISO M04
• 22: Equivalent to ISO M03
• 23: Equivalent to ISO M02
• 24: Equivalent to ISO M01
• AT: Alaska Time
• CT: Central Time
• ET: Eastern Time
• GM: Greenwich Mean Time
• HT: Hawaii-Aleutian Time
• MT: Mountain Time
• NT: Newfoundland Time
• PT: Pacific Time
• TT: Atlantic Time
• UT: Universal Time Coordinate

DTM-05 · 1250 · Date Time Period Format Qualifier · Optional · Identifier (ID)

• UN: Unstructured

DTM-06 · 1251 · Date Time Period · Optional · String (AN) · Min 1 Max 35

060 Heading > DTM

DTM Date/Time Reference Payment Effective

Required · Max use 1

Variants (all may be used)

DTMDate/Time Reference Last Payment Made

If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required

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

• 949: Payment Effective

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

DTM-03 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

DTM-04 · 623 · Time Code · Required · Identifier (ID)

• 01: Equivalent to ISO P01
• 02: Equivalent to ISO P02
• 03: Equivalent to ISO P03
• 04: Equivalent to ISO P04
• 05: Equivalent to ISO P05
• 06: Equivalent to ISO P06
• 07: Equivalent to ISO P07
• 08: Equivalent to ISO P08
• 09: Equivalent to ISO P09
• 10: Equivalent to ISO P10
• 11: Equivalent to ISO P11
• 12: Equivalent to ISO P12
• 13: Equivalent to ISO M12
• 14: Equivalent to ISO M11
• 15: Equivalent to ISO M10
• 16: Equivalent to ISO M09
• 17: Equivalent to ISO M08
• 18: Equivalent to ISO M07
• 19: Equivalent to ISO M06
• 20: Equivalent to ISO M05
• 21: Equivalent to ISO M04
• 22: Equivalent to ISO M03
• 23: Equivalent to ISO M02
• 24: Equivalent to ISO M01
• AT: Alaska Time
• CT: Central Time
• ET: Eastern Time
• GM: Greenwich Mean Time
• HT: Hawaii-Aleutian Time
• MT: Mountain Time
• NT: Newfoundland Time
• PT: Pacific Time
• TT: Atlantic Time
• UT: Universal Time Coordinate

DTM-05 · 1250 · Date Time Period Format Qualifier · Optional · Identifier (ID)

• UN: Unstructured

DTM-06 · 1251 · Date Time Period · Optional · String (AN) · Min 1 Max 35

N1 Loop Optional Max >1

070 Heading > N1 Loop > N1

N1 Name

Required · Max use 1

If either Identification Code Qualifier (N1-03) or Identification Code (N1-04) is present, then the other is required

N1-01 · 98 · Entity Identifier Code · Required · Identifier (ID)

• O1: Originating Bank
• PE: Payee
• PR: Payer
• RB: Receiving Bank

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

N1-03 · 66 · Identification Code Qualifier · Optional · Identifier (ID) · Min 1 Max 2

N1-04 · 67 · Identification Code · Optional · String (AN) · Min 2 Max 80

080 Heading > N1 Loop > N2

N2 Additional Name Information

Optional · Max use >1

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

N2-02 · 93 · Name · Optional · String (AN) · Min 1 Max 60

090 Heading > N1 Loop > N3

N3 Address Information

Optional · Max use >1

N3-01 · 166 · Address Information · Required · String (AN) · Min 1 Max 55

N3-02 · 166 · Address Information · Optional · String (AN) · Min 1 Max 55

100 Heading > N1 Loop > N4

N4 Geographic Location

Optional · Max use 1

N4-01 · 19 · City Name · Required · String (AN) · Min 2 Max 30

N4-02 · 156 · State or Province Code · Optional · Identifier (ID) · Min 2 Max 2

N4-03 · 116 · Postal Code · Optional · Identifier (ID) · Min 3 Max 15

N4-04 · 26 · Country Code · Required · Identifier (ID) · Min 2 Max 3

110 Heading > N1 Loop > REF

REF Reference Identification

Optional · Max use >1

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

• 01: American Bankers Assoc. (ABA) Transit/Routing Number (Including Check Digit, 9 Digits)
• 02: Society for Worldwide Interbank Financial Telecommunication (S.W.I.F.T.) Identification (8 or 11 Characters)
• 03: Clearing House Interbank Payment System (CHIPS) Participant Number (3 or 4 Digits)
• 04: Canadian Financial Institution Branch and Institution Number
• PB: Payer's Financial Institution Account Number for Check, Draft, or Wire Payments; Originating Company Account Number for ACH Transfers
• PY: Payee's Financial Institution Account Number for Check, Draft or Wire Payments; Receiving Company Account Number for ACH Transfer

REF-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

120 Heading > N1 Loop > PER

PER Administrative Communications Contact

Optional · Max use >1

If either Communication Number Qualifier (PER-03) or Communication Number (PER-04) is present, then the other is required

If either Communication Number Qualifier (PER-05) or Communication Number (PER-06) is present, then the other is required

If either Communication Number Qualifier (PER-07) or Communication Number (PER-08) is present, then the other is required

PER-01 · 366 · Contact Function Code · Required · Identifier (ID)

• CN: General Contact

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

PER-03 · 365 · Communication Number Qualifier · Optional · Identifier (ID) · Min 2 Max 2

PER-04 · 364 · Communication Number · Optional · String (AN) · Min 1 Max 80

PER-05 · 365 · Communication Number Qualifier · Optional · Identifier (ID) · Min 2 Max 2

PER-06 · 364 · Communication Number · Optional · String (AN) · Min 1 Max 80

PER-07 · 365 · Communication Number Qualifier · Optional · Identifier (ID) · Min 2 Max 2

PER-08 · 364 · Communication Number · Optional · String (AN) · Min 1 Max 80

Detail

ENT Loop Optional Max >1

010 Detail > ENT Loop > ENT

ENT Entity

Required · Max use 1

ENT-01 · 554 · Assigned Number · Required · Numeric (N0) · Min 1 Max 6

RMR Loop Optional Max >1

150 Detail > ENT Loop > RMR Loop > RMR

RMR Remittance Advice Accounts Receivable Open Item Reference

Required · Max use 1

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

• AH: Agreement Number
• IV: Seller's Invoice Number
• PO: Purchase Order Number

RMR-02 · 127 · Reference Identification · Required · String (AN) · Min 1 Max 30

RMR-04 · 782 · Monetary Amount · Optional · Decimal number (R) · Min 1 Max 15

RMR-05 · 782 · Monetary Amount · Optional · Decimal number (R) · Min 1 Max 15

RMR-06 · 782 · Monetary Amount · Optional · Decimal number (R) · Min 1 Max 15

160 Detail > ENT Loop > RMR Loop > NTE

NTE Note/Special Instruction

Optional · Max use >1

NTE-01 · 363 · Note Reference Code · Required · Identifier (ID)

• CBH: Monetary Amount Description
• PMT: Payment

NTE-02 · 352 · Description · Required · String (AN) · Min 1 Max 80

170 Detail > ENT Loop > RMR Loop > REF

REF Reference Identification

Optional · Max use >1

At least one of Reference Identification (REF-02) or Description (REF-03) is required

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

• AH: Agreement Number
• FJ: Line Item Control Number
• PO: Purchase Order Number
• ZZ: Mutually Defined

REF-02 · 127 · Reference Identification · Optional · String (AN) · Min 1 Max 30

REF-03 · 352 · Description · Optional · String (AN) · Min 1 Max 80

180 Detail > ENT Loop > RMR Loop > DTM

DTM Date/Time Reference Invoice

Optional · Max use >1

Variants (all may be used)

DTMDate/Time Reference Letter of AgreementDTMDate/Time Reference Purchase Order

If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required

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

• 003: Invoice

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

DTM-03 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

DTM-04 · 623 · Time Code · Required · Identifier (ID)

• 01: Equivalent to ISO P01
• 02: Equivalent to ISO P02
• 03: Equivalent to ISO P03
• 04: Equivalent to ISO P04
• 05: Equivalent to ISO P05
• 06: Equivalent to ISO P06
• 07: Equivalent to ISO P07
• 08: Equivalent to ISO P08
• 09: Equivalent to ISO P09
• 10: Equivalent to ISO P10
• 11: Equivalent to ISO P11
• 12: Equivalent to ISO P12
• 13: Equivalent to ISO M12
• 14: Equivalent to ISO M11
• 15: Equivalent to ISO M10
• 16: Equivalent to ISO M09
• 17: Equivalent to ISO M08
• 18: Equivalent to ISO M07
• 19: Equivalent to ISO M06
• 20: Equivalent to ISO M05
• 21: Equivalent to ISO M04
• 22: Equivalent to ISO M03
• 23: Equivalent to ISO M02
• 24: Equivalent to ISO M01
• AT: Alaska Time
• CT: Central Time
• ET: Eastern Time
• GM: Greenwich Mean Time
• HT: Hawaii-Aleutian Time
• MT: Mountain Time
• NT: Newfoundland Time
• PT: Pacific Time
• TT: Atlantic Time
• UT: Universal Time Coordinate

DTM-05 · 1250 · Date Time Period Format Qualifier · Optional · Identifier (ID)

• UN: Unstructured

DTM-06 · 1251 · Date Time Period · Optional · String (AN) · Min 1 Max 35

180 Detail > ENT Loop > RMR Loop > DTM

DTM Date/Time Reference Letter of Agreement

Optional · Max use 1

Variants (all may be used)

DTMDate/Time Reference InvoiceDTMDate/Time Reference Purchase Order

If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required

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

• LEA: Letter of Agreement

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

DTM-03 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

DTM-04 · 623 · Time Code · Required · Identifier (ID)

• 01: Equivalent to ISO P01
• 02: Equivalent to ISO P02
• 03: Equivalent to ISO P03
• 04: Equivalent to ISO P04
• 05: Equivalent to ISO P05
• 06: Equivalent to ISO P06
• 07: Equivalent to ISO P07
• 08: Equivalent to ISO P08
• 09: Equivalent to ISO P09
• 10: Equivalent to ISO P10
• 11: Equivalent to ISO P11
• 12: Equivalent to ISO P12
• 13: Equivalent to ISO M12
• 14: Equivalent to ISO M11
• 15: Equivalent to ISO M10
• 16: Equivalent to ISO M09
• 17: Equivalent to ISO M08
• 18: Equivalent to ISO M07
• 19: Equivalent to ISO M06
• 20: Equivalent to ISO M05
• 21: Equivalent to ISO M04
• 22: Equivalent to ISO M03
• 23: Equivalent to ISO M02
• 24: Equivalent to ISO M01
• AT: Alaska Time
• CT: Central Time
• ET: Eastern Time
• GM: Greenwich Mean Time
• HT: Hawaii-Aleutian Time
• MT: Mountain Time
• NT: Newfoundland Time
• PT: Pacific Time
• TT: Atlantic Time
• UT: Universal Time Coordinate

DTM-05 · 1250 · Date Time Period Format Qualifier · Optional · Identifier (ID)

• UN: Unstructured

DTM-06 · 1251 · Date Time Period · Optional · String (AN) · Min 1 Max 35

180 Detail > ENT Loop > RMR Loop > DTM

DTM Date/Time Reference Purchase Order

Optional · Max use 1

Variants (all may be used)

DTMDate/Time Reference InvoiceDTMDate/Time Reference Letter of Agreement

If either Date Time Period Format Qualifier (DTM-05) or Date Time Period (DTM-06) is present, then the other is required

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

• 004: Purchase Order

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

DTM-03 · 337 · Time · Required · Time (TM) · HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

DTM-04 · 623 · Time Code · Required · Identifier (ID)

• 01: Equivalent to ISO P01
• 02: Equivalent to ISO P02
• 03: Equivalent to ISO P03
• 04: Equivalent to ISO P04
• 05: Equivalent to ISO P05
• 06: Equivalent to ISO P06
• 07: Equivalent to ISO P07
• 08: Equivalent to ISO P08
• 09: Equivalent to ISO P09
• 10: Equivalent to ISO P10
• 11: Equivalent to ISO P11
• 12: Equivalent to ISO P12
• 13: Equivalent to ISO M12
• 14: Equivalent to ISO M11
• 15: Equivalent to ISO M10
• 16: Equivalent to ISO M09
• 17: Equivalent to ISO M08
• 18: Equivalent to ISO M07
• 19: Equivalent to ISO M06
• 20: Equivalent to ISO M05
• 21: Equivalent to ISO M04
• 22: Equivalent to ISO M03
• 23: Equivalent to ISO M02
• 24: Equivalent to ISO M01
• AT: Alaska Time
• CT: Central Time
• ET: Eastern Time
• GM: Greenwich Mean Time
• HT: Hawaii-Aleutian Time
• MT: Mountain Time
• NT: Newfoundland Time
• PT: Pacific Time
• TT: Atlantic Time
• UT: Universal Time Coordinate

DTM-05 · 1250 · Date Time Period Format Qualifier · Optional · Identifier (ID)

• UN: Unstructured

DTM-06 · 1251 · Date Time Period · Optional · String (AN) · Min 1 Max 35

ADX Loop Optional Max >1

210 Detail > ENT Loop > RMR Loop > ADX Loop > ADX

ADX Adjustment

Required · Max use 1

ADX-01 · 782 · Monetary Amount · Required · Decimal number (R) · Min 1 Max 15

ADX-02 · 426 · Adjustment Reason Code · Required · Identifier (ID)

• CS: Adjustment

220 Detail > ENT Loop > RMR Loop > ADX Loop > NTE

NTE Note/Special Instruction

Optional · Max use >1

NTE-01 · 363 · Note Reference Code · Required · Identifier (ID)

• CBH: Monetary Amount Description

NTE-02 · 352 · Description · Required · String (AN) · Min 1 Max 80

Summary

010 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

Sample

ISA*00*          *00*          *ZZ*SENDER         *ZZ*RECEIVER       *250509*1453*U*00401*000000001*0*T*>~
GS*RA*SENDERGS*RECEIVERGS*20250509*145356*1*X*004010~
ST*820*0001~
BPR*I*2*C*ACH**01*234567890*10*3261382790***01*678902345*10*3882514900*20041010~
TRN*1*PR-031204-01~
REF*EM*PREF-INV-031204-01~
REF*H9*PR-031204-01~
DTM*949*20041010*000000*17~
N1*PR*Buyer~
N3*100 1st Street~
N4*Anywhere*CA*94089*US~
REF*PB*3261382790~
N1*O1*Moose Credit Union~
N3*100 Elk Dr~
N4*Mooseville*CA*94087*US~
REF*01*234567890~
N1*PE*Supplier~
N3*100 Main Street~
N4*Anywhere*CA*94089*US~
REF*PY*3882514900~
N1*RB*Gold Rush National Bank~
N3*100 Bret Harte Road~
N4*Gold Rush*CA*97123*US~
REF*01*678902345~
ENT*1~
RMR*IV*INV-031204-01**2**0.35~
REF*FJ*1~
REF*PO*P0-031204-01~
REF*ZZ*PaymentProposalID*PP-031204-01~
ADX*0.5*CS~
SE*29*0001~
GE*1*1~
IEA*1*000000001~