Unified Grocers 820 EFT Specifications Remittance Advice Document Structure



Similar documents
820 ANSI X12 Version

Detail SE Transaction Set Trailer Summary GE Functional Group Trailer Summary IEA Interchange Control Trailer Summary. ISA Interchange Control Header

ANSI X12 version Remittance Advice

Retail Electric Supplier EDI820 Information Packet

Electronic Data Interchange- Inbound Payments EDI 820/EFT Specifications for Duke Energy

Payment Options for Commercial Customers

ACE HARDWARE 810 INVOICE (FOR CREDIT MEMO ONLY) ANSI X PLEASE DO NOT TRANSMIT WAREHOUSE OR REBATE CREDIT MEMOS.

820 Payroll Deducted and Other Group Premium Payment for Insurance Products

824 Application Advice

997 MUST be sent to Safeway to confirm receipt of 824 transmission. This is unrelated to EDI syntax errors as reported on 997.

ASC X12 Finance Subcommittee. Consumer Service Provider (CSP) Billing and Payment Guide

Customer Electronic Payments Guide

HIPAA EDI Companion Guide for 835 Electronic Remittance Advice

ACH Implementation Guide for Electronic Funds Transfer: Industry

Pos. Seg. Req. Loop No. ID Name Des. Max.Use Repeat LOOP ID IT IT1 Baseline Item Data M PID Product / Item Description M

835 Health Care Claim Payment/Advice Functional Group=HP

835 Claim Payment/Advice

Bill of Lading Number REF Reference Identification M AN 1/30 MustUse

810 Invoice ANSI ASC X12 Version 4010

Portland General Electric Implementation Standard

Invoice. Transaction Set (810) (Outbound from TI)

846 Inbound Inventory Advice WITH VENDOR DIRECT (TO CONSUMER) ORDERS Macy s VICS Version 4010 VICS Document Mapping Effective 08/27/2007

Receiving Advice/Acceptance Certificate - SERVICE PARTS ONLY

EDI Implementation Guide. EDI Bill Payment 820 Transaction Set. Release 2.0

ADOBE ANSI X Version: 1.0

Mazda North American Operations EDI Supplier Documentation October 20, 2015

ACH (Automated Clearing House) Payments

Price Information UCS & X12

RANDOM HOUSE. EDI Implementation Guide. 850 Purchase Order X12 Version 4010

Still receiving checks from your business partners? Confused about receiving ACH electronic payments?

84 LUMBER ELECTRONIC DATA INTERCHANGE VENDOR IMPLEMENTATION PROGRAM INFORMATION PACKAGE 810 INVOICES VERSION August 21, 2007

Electronic Data Interchange

EDI GUIDELINES INVOICE 810 VERSION 4010

810 Invoice. Version: 2.3 Final. X12/V4010/810 : 810 Invoice. Advance Auto Parts. Publication: 3/17/2014 Trading Partner: Notes:

Dart Container Corporation. EDI 810 Outbound Invoice Version 4010

ANSI X12 version Text Message

835 Dental Health Care Claim Payment / Advice. Section 1 835D DentalHealth Care Claim Payment / Advice: Basic Instructions

835 Health Care Claim Payment / Advice

Implementation Guidelines: ANSI X12 Transaction Set 824 Application Advice DOCUMENT NUMBER: ICS S

810 Invoice Revised 01/26/15

850 Purchase Order. X12/V4030/850: 850 Purchase Order. Version: 1.0 Draft

FINANCIAL ELECTRONIC DATA INTERCHANGE GUIDE for Vendors, Localities, Grantees, State Agencies and Non-state Agencies

810 Invoice ANSI X.12 Version 5010

ANSI X12 version Advance Ship Notice

CVS/Caremark. Implementation Guide. 810 RX DC Invoice. Version X

USER GUIDE FOR ELECTRONIC CHILD SUPPORT PAYMENTS USING THE CHILD SUPPORT APPLICATION BANKING CONVENTION THE TASK FORCE ON

ANSI X12 version Planning Schedule with Release Capability

835 Health Care Claim Payment / Advice

Electronic Data Interchange (EDI) Standards 810 Invoice Version 4010

Geisinger Health Plan

DEPARTMENT OF HEALTH & MENTAL HYGIENE MEDICAL CARE PROGRAM COMPANION GUIDE FOR 835 HEALTH CARE CLAIM PAYMENT/ADVICE VERSION X221A1

BIG LOTS STORES INC. IMPLEMENTATION SPECIFICATIONS ASC X12 INVOICE TRANSACTION SET 810 VERSION 5010

Electronic Data Interchange

VERSION: ANSI X

810 Invoice. Introduction: Heading: Functional Group ID=IN

Customer EDI Guidelines United States 810 Invoice

HIPAA 835 Companion Document

Arkansas Blue Cross Blue Shield EDI Report User Guide. May 15, 2013

The EDI 810 specification is separated into logically distinct groups, which are composed of particular segment types.

To indicate the beginning of an invoice transaction set and to transmit identifying numbers and dates. BIG^ ^12345^ ^ ^

997 Functional Acknowledgment

EDI GUIDELINES. Motor Carrier Load Tender 204 VERSION

Implementation Guidelines: ANSI X12 Transaction Set 850 Purchase Order (Suppliers) DOCUMENT NUMBER: ICS S Supplier

Delivery/Return Acknowledgment or 895 Adjustment UCS

835 Health Care Payment/ Remittance Advice Companion Guide

214 Transportation Carrier Shipment Status Message - LTL

HIPAA - ASC X12N Outbound EDI 835 Electronic Remittance Advice Transaction

810 - Invoice. Set Number Set Name - Invoice Functional Group - IN

Note: The following information is required on all Merchandise Invoices:

AMTEX IMPLEMENTATION GUIDELINES FOR EDI CONVENTIONS

KANSAS CITY SOUTHERN EDI On-Boarding Guide

3/31/08 ALTRA INDUSTRIAL MOTION Invoice Inbound 810 X Page 1 Created by Ralph Lenoir

Eaton Corporation Electronic Data Interchange (EDI) Standards Application Advice (824) Version 4010

EDI 210 Invoice. Motor Freight 210 Invoice with Stop Offs. Version: 1.0 ANSI X Draft

ANSI X Product Transfer and Resale Report

Supply Chain Merchandise Logistics E-Commerce Purchase Order

Ultramar Ltd IMPLEMENTATION GUIDE

860 Purchase Order Change Request Buyer Initiated

State of Nebraska. Motor Fuels Division. EDI Implementation Guide. Revised May ANSI ASC X12 V.4030

RANDOM HOUSE. EDI Implementation Guide Invoice X12 Version 4010

DoD Transportation Electronic Data Interchange (EDI) Convention

EDI GUIDELINES PURCHASE ORDER 850 VERSION 4010

01/12/05 Delivery/Return Base Record - 894

EDI Specifications Invoice (Supplier v4010)

EDI 214 ANSI X12 Version 4010 Transportation Carrier Shipment Status Message

999 Implementation Acknowledgment. Version: 1.0 Draft

944 Warehouse Stock Transfer Receipt Advice. X12/V4030/944: 944 Warehouse Stock Transfer Receipt Advice

ANSI ASC X.12 Standard Version 4010 Transaction Set 214 Transportation Carrier Shipment Status Message

Minnesota Uniform Companion Guide. Health Care Claim Payment And Remittance Advice Electronic Transaction (ANSI ASC X12 835)

CVS/Caremark. Implementation Guide. 852 Product Activity Data Warehouse Movement. Version X

VOLVO Dealer Programs 810 Invoice EDI Guideline

How To Write A Health Care Exchange Transaction

Toyota Boshoku America EDI Implementation Manual Version 1 for: TBA o TBIN o TBMS o TBCA - Woodstock o TBCA - Elmira

XEROX EDI GATEWAY, INC.

X12 Implementation Guidelines For Outbound Receiving Advice v (861O)

Administrative Services of Kansas

MOLINA MEDICAID SOLUTIONS. Louisiana Medicaid 835 Health Care Claim/Payment Advice Companion Guide. Based on ASC X12N Version X221A1

Transcription:

Unified Grocers 820 EFT Specifications Remittance Advice Document Structure LEVEL SEGMENT NAME Req Max Use Envelope Header ISA Interchange Header M 1 GS Group Header M 1 ST Transaction Set Header M 1 Loop ID Max Loop Transaction Header BPR Beginning Segment for RA M 1 TRN Header Trace O 1 DTM Header Date/Time O 1 N1 Name (Payer/Payee) M 2 Transaction Detail ENT Entity O 1 RMR Remittance/Advice M 1 RMR REF P.O. Number Reference O 1 RMR REF Voucher Number Reference O 1 RMR DTM Payment Date/Time O 1 RMR ADX Payment Adjustment O 1 ADX NTE Notes O 1 ADX Envelope Trailer SE Transaction Set Trailer M 1 GE Group Trailer M 1 IEA Interchange Trailer M 1

Remittance/Advice Segments Segment = BPR Beginning Segment for Remittance/Advice Usage = Mandatory BPR01 Payment Method Code M ID 1/1 X BPR02 Monetary Amount (Check) M R2 1/22 ACH AMOUNT BPR03 Credit/Debit Flag M ID 1/1 C BPR04 Payment Method Code M ID 3/3 ACH BPR05 Payment Format M ID 1/30 CTX BPR06 DFI Code O ID 2/2 01 BPR07 DFI ID Number O AN 3/12 Unified ABA NBR BPR08 Payer Account Code O ID 1/3 DA BPR09 Payor Account Number O AN 1/35 Unified BANK ACCT NBR BPR10 Payer ID O AN 10/10 Not used BPR11 Payer Supplement O AN 9/9 Not used BPR12 DFI Qualifier Code O ID 2/2 01 BPR13 DFI ID O AN 3/12 VENDOR ABA NBR BPR14 Account Number Qualifier O ID 1/3 DA BPR15 Account Number O AN 1/35 VENDOR BANK ACCT NBR BPR16 ACH Credit Date O DT 8/8 ACH DATE Segment = TRN Trace (Union Bank) TRN01 Trace Type Code M ID 1/2 TRN02 Trace ID M AN 1/30 3 ACH NBR

Segment = DTM Date/Time DTM01 Date/Time Qualifier Code M ID 3/3 DTM02 Settlement Date M DT 8/8 097 ACH DATE Segment = N1 Name N101 Entity Identifier Code M ID 2/2 PR for Payer N102 Name M AN 1/35 UNIFIED GROCERS, INC. N103 ID Code Qualifier M AN 1/2 1 N104 ID Code Duns Number M AN 2/80 0069068040001 Segment = N1 Name N101 Entity Identifier Code M ID 2/2 PE for Payer N102 Name M AN 1/35 VENDOR NAME Segment = ENT Entity ENT01 Assigned Number M N0 1/6 Value using accumulator 01

Segment = RMR Remittance/Advice Usage = Mandatory RMR01 Reference Qualifier Code M ID 2/2 RMR02 Reference ID M AN 1/30 RMR03 Payment Action Code O ID 2/2 RMR04 RMR05 RMR06 IV for invoice INVOICE NBR Not Used NET AMT GROSS AMT DISCOUNT AMT Segment = REF Reference Identification REF01 Reference Identification Qualifier Code M ID 2/3 PO REF02 Reference Identification M AN 1/30 PO NBR Segment = REF Reference Identification REF01 Reference Identification Qualifier Code M ID 2/3 ZZ REF02 Reference Identification M AN 1/30 REF03 Description M AN 1/80 VOUCHER NBR VOUCHER/CHECK DESCRIPTION

Segment = DTM Date/Time DTM01 Date/Time Qualifier Code M ID 3/3 DTM02 Payment Sent Date M DT 8/8 003 INVOICE DATE Segment = ADX Adjustment ADX01 Adjustment Monetary Amount M R2 1/18 ADJUSTMENT AMT ADX02 Adjustment Reason Code M ID 2/2 ADX03 Reference ID Qualifier C ID 2/3 ADX04 Reference ID C ID 1/30 ADJUSTMENT CODE 01 Pricing Error 02 Allow/Chg Error 06 Quantity Contested 54 Freight Deducted L7 Misc. Deductions 82 UPC / GTIN Segment = NTE Note/Special Instruction NTE01 Note Reference Code O ID 3/3 NTE02 Note Description M AN 1/80 Not Used ADJUSTMENT DESCRIPTION