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ASC X12 Finance Subcommittee

Consumer Service Provider (CSP)

Billing and Payment Guide

Version 003 Release 061

Biller CSP -Consumer Service Provider Payment System

Consumer

Network

810 Invoice

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DISA © 1996

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

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Preface

Organization of Guide

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

The following are the documents (sections) that make up the Consumer Service Provider (CSP) Billing and Payment Guide.

1. General Section

2. 814 - General Request, Response or Confirmation Transaction Set Section 3. 810 - Invoice Transaction Set Section

4. 820 - Payment Order/Remittance Advice Transaction Set Section

Acknowledgments

This guide was prepared by members of the Finance Subcommittee organized and established by ASC X12. The X12 Finance Subcommittee developed and maintains the referenced standards as well as this guide. Responsibility for the content of this guide resides specifically with the Consumer Service

Provider Billing and Payment Work Group (WG4) of the Invoice and Payment Task Group (TG2) of the ASC X12 Finance Subcommittee. The information contained in this document is based on the input of X12 Finance Subcommittee member organizations, third party service providers and financial

institutions.

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

Obtaining Document Copies

This document is available in multiple formats.

1. Electronic Download

An 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 under the X12 Finance Subcommittee (X12F) page, under the Documents.

2. Diskette

An electronic version of this document is available on diskette from DISA using the contact information listed on the following page.

3. Paper

A 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 by calling 1-888-363-2334.

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Data Interchange Standards Association, Inc. Director, Publications & Standards

1800 Diagonal Road, Suite 200 Alexandria, VA 22314-2852 Phone: (703) 548-7005

Fax: (703) 548-5738

Email: publications@disa.org

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

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810 Invoice

Table of Contents

1. Overview ...1-1 1.1 Description ...1-1 1.2 Transaction Set Usage ...1-1 1.2.1 General...1-1 1.2.2 Structure Information ...1-1 1.3 Data Element Usage ...1-2 2. Mapping Examples ...2-1 2.1 Example 1 - Retail Invoice from a Biller ...2-1 2.2 Example 2 - Cable Invoice from a Biller ...2-7 3. Cross Reference...3-1 4. Detail Layout ...4-1

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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 a Biller 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 invoice for 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 Information

Type of Action Type of Information Segment

Identify Invoice Invoice Identifiers BIG

Invoice Currency CUR

Invoice/Account Level Reference Numbers

REF Identify Invoice

Parties

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 ITD

Invoice Dates DTM

Invoice Messages PID

Invoice Balances BAL

Invoice Installment Information INC

Table 2 - Invoice Item Information One Line Item per Invoiced Item.

Type of Action Type of Information Segment

Detail Invoice Line Item

Line Item

Identify Item, Units, Amounts, Product/Service Type/Identifier

IT1 Invoice Base Line Item

Line Item Currency CUR

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Line Item Meter Reading Information MEA

Line Item Free-Form Product Description PID

Line Item Reference Numbers REF

Line Item Dates DTM

Detail Invoice Line Items Allowances and Charges

Line Item Service/Promotion/Allowance/ Charge Information

SAC Loop

Line Item Service/Promotion/Allowance/ Charge Tax information

TXI Detail Line Item

Seller, Buyer or Service Location

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

Table 3 - Invoice Summary Information One Line Items per Invoiced Item.

Type of Action Type of Information Segment

Summarize Invoice

Total Invoice Amount TDS

Non Line Item Invoice Allowances/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 rendered monthly, such as for a credit card, utilities or telephone service. If the account number is used as an invoice number, this may cause a problem because some CSP systems will not allow the same invoice number 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 are suggested 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-9401

xxxxxx94JAN 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 be passed in the invoice transaction, using the following reference number qualifier:

11 - Account Number

If either of these reference numbers are not present, then the invoice number should be used in the payment transaction. If the invoice number is used, the Biller must be able to remove the suffix from the 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) which provides consumers and small businesses with bill payment services using PC software, including electronic invoicing and payments with large billers. 123 Easy Pay has four customers, Joe Doe, Mary Q. 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

Consumer

ABC Company

123 Easy Pay

Joe, Mary, Sue, Fred

810

Example 1 - Transaction Participant Information

Biller Name: ABC Company ID: 999999999

CSP Name: 123 Easy Pay ID: 123000000

Consumers Name: Mary Q. Smith ID: 123-SMITH

Example 1 - Transaction Payment Information See sample invoice on next page

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ABC COMPANY

A DIVISION OF THE BBB DEPARTMENT STORES COMPANY 13

Account Number New Balance Payment Now Due Please Mail By Enter Amount Due

2 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 COMPANY

7 MARY Q SMITH 14 PO BOX 6099

8 7 MAPLE CT 15-17 ST LOUIS MO 63101-6099

9-11 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 COMPANY

DATE REF. NO. STORE/DEPT DESCRIPTION AMOUNT

DEC 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 30

SHOPPING. WE APPRECIATE YOUR BUSINESS AND LOOK FORWARD 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 32

PREVIOUS BALANCE + PURCHASES + FINANCE CHARGE - PAYMENTS - CREDITS = NEW BALANCE

195.66 74.62 .00 195.66 .00 74.62 19 20 22 23 3 ANNUAL PERCENTAGE RATE MONTHLY PERIODIC RATE AVERAGE DAILY BALANCE

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 date

ACCOUNT NUMBER CREDIT LINE BILLING DATE PLEASE MAIL BY

74-001-999-2 FLEX 5000 12/28/94 01/22/95

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Example 1 - Transaction Set Mapping Table1

Segment Contents Ref. Element Descriptions

ST*810*0001 n/l Transaction Set ID: 810

Control Number: 0001 BIG*941228*7400199921294*****D I n/l 2 1&2 Invoice Date: 941228 Invoice Number: 7400199921294 Transaction Type: DI, Debit Invoice REF*12*740019992 n/l

1

Reference Number Qualifier: 12, Billing Account Reference Number: 740019992

REF*9X*FLEX* n/l

18

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

REF*DD*A0252211A n/l

29

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

N1*SE*ABC COMPANY*

1*999999999 n/l 12

Entity Identifier Code: SE, Selling Party follows Name: ABC COMPANY (4)

Identification Code Qualifier: 1, DUNS number follows Identification Code: 999999999

N2*A DIVISION OF BBB DEPT STORES CO n/l

13 Additional Name: A DIVISION OF BBB DEPT STORES

CO

N3*PO BOX 6099 n/l 14 Address: PO BOX 6099

N4*ST LOUIS*MO*631016099 n/l 15 16 17 City: ST LOUIS State: MO Postal Code: 631016099 PER*IC*BILLING INQUIRIES*TE*8005280780 n/l 31

Contact Function Code: IC, Information Contact Name: BILLING INQUIRIES

Communication Number Qualifier: TE, Telephone Communication Number: 8005280780

N1*BT*123 MICHAEL D SMITH

n/l 6

Entity Identifier Code: BT, Bill To follows Name: MICHAEL D SMITH

N2*MARY Q SMITH n/l 7 Additional Name: MARY Q. SMITH

N3*7 MAPLE CT n/l 8 Address: 7 MAPLE CT

N4*ST CHARLES*MO*633033156 n/l 9 10 11 City: ST CHARLES State: MO Postal Code: 633033156 N1*8S*123 EASY PAY* 1*123000000 n/l

Entity Identifier Code: 8S, Consumer Service Provider, CSP follows

Name: 123 EASY PAY

Identification Code Qualifier: 1, DUNS Number follows Identification Code: 123000000

N3*1234 MAIN STREET n/l Address: 1234 MAIN STREET

N4*COLUMBUS*OH*430173221 n/l City: COLUMBUS State: OH Postal Code: 430173221 PER*IC*CUSTOMER INFORMATION* TE*6147911234 n/l

Contact Function Code: IC, Information Contact Name: CUSTOMER INFORMATION

Communication Number Qualifier: TE, Telephone Communication Number: 6147911234

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

32

Terms Type Code: 18, Fixed Date, Late Payment Penalty Applies

Terms Net Due Date: 950125 DTM*946*950122 n/l

5

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

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CHOOSING ABC COMPANY FOR YOUR HOLIDAY SHOPPING. n/l

30a Description: THANK YOU FOR CHOOSING ABC

COMPANY FOR YOUR HOLIDAY SHOPPING. PID*F****WE APPRECIATE YOUR

BUSINESS AND LOOK

FORWARD TO SERVING YOU IN 1995. n/l

30b Item Description Type: F, Free Form

Description: WE APPRECIATE YOUR BUSINESS AND LOOK FORWARD TO SERVING YOU IN 1995.

BAL*P*BD*19566 n/l

19

Balance Type Code: P, Previous Month Amount Qualifier Code: BD, Balance Due Monetary Amount: $195.66

BAL*M*GY*7462 n/l

20

Balance Type Code: M, Current Month

Amount Qualifier Code: GY, Total Debits/Purchases Monetary Amount: $74.62.00

BAL*M*GX*0 n/l

23

Balance Type Code: M, Current Month

Amount Qualifier Code: GX, Total Credits/Returns Monetary Amount: $0.00

BAL*M*TP*19566 n/l

22

Balance Type Code: M, Current Month Amount Qualifier Code: TP, Total Payments Monetary Amount: $195.66

BAL*M*BD*7462 n/l

3

Balance Type Code: M, Current Month Amount Qualifier Code: BD, Balance Due Monetary Amount: $74.62

BAL*M*PJ*0 n/l

28

Balance Type Code: M, Current Month Amount Qualifier Code: PJ, Past Due Amount Monetary Amount: $0.00

BAL*M*KS*2000 n/l

4

Balance Type Code: M, Current Month Amount Qualifier Code: KS, Minimum Fee Monetary Amount: $20.00

BAL*M*GO*500000 n/l

27

Balance Type Code: M, Current Month

Amount Qualifier Code: GO, Credit Line Amount Monetary Amount: $5000.00

Table2

Segment Contents Ref. Element Descriptions

IT1*1 n/l Assigned Identification: 1

PID*F****WOMENS

SPORTSWEAR n/l D

Item Description Type: F, Free Form Description: WOMENS SPORTSWEAR REF*IX*043-1798 n/l

B

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

REF*ST*06 n/l

Ca

Reference Number Qualifier: ST, Store Number Reference Number: 06

REF*DP*581 n/l

Cb

Reference Number Qualifier: DP, Department Number Reference Number: 581

DTM*321*941202 n/l

A

Date/Time Qualifier: 321, Purchased Date: 941202

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

E

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $21.36

IT1*2 n/l Assigned Identification: 2

PID*F****LIZ SPORTSWEAR n/l I

Item Description Type: F, Free Form Description: LIZ SPORTSWEAR

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Segment Contents Ref. Element Descriptions

G Reference Number: 007-5649

REF*ST*06 n/l

Ha

Reference Number Qualifier: ST, Store Number Reference Number: 06

REF*DP*453 n/l

Hb

Reference Number Qualifier: DP, Department Number Reference Number: 453

DTM*321*941215 n/l

F

Date/Time Qualifier: 321, Purchased Date: 941215

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

J

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $28.84

IT1*3 n/l Assigned Identification: 3

PID*F****INFANT WEAR n/l

N

Item Description Type: F, Free Form Description: INFANT WEAR

REF*IX*039-4444 n/l

L

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

REF*ST*07 n/l

Ma

Reference Number Qualifier: ST, Store Number Reference Number: 07

REF*DP*547 n/l

Mb

Reference Number Qualifier: DP, Department Number Reference Number: 547

DTM*321*941219 n/l

K

Date/Time Qualifier: 321, Purchased Date: 941219

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

O

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $15.36

IT1*4 n/l Assigned Identification: 4

PID*F****INFANT LAYETTE n/l

S

Item Description Type: F, Free Form Description: INFANT LAYETTE REF*IX*044-3622 n/l

Q

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

REF*ST*06 n/l

Ra

Reference Number Qualifier: ST, Store Number Reference Number: 06

REF*DP*148 n/l

Rb

Reference Number Qualifier: DP, Department Number Reference Number: 148

DTM*321*941220 n/l

P

Date/Time Qualifier: 321, Purchased Date: 941220

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

T

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $9.06

IT1*5 n/l Assigned Identification: 5

PID*F****PAYMENT

RECEIVED-THANK YOU n/l X

Item Description Type: F, Free Form

Description: PAYMENT RECEIVED-THANK YOU REF*IX*021-0074 n/l

V

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

REF*ST*98 n/l

Wa

Reference Number Qualifier: ST, Store Number Reference Number: 98

REF*DP*999 n/l

Wb

Reference Number Qualifier: DP, Department Number Reference Number: 999

DTM*050*941224 n/l

U

Date/Time Qualifier: 050, Received Date Date: 941224

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Y

Payment

Amount: $195.66 Table 3

Segment Contents Ref. Element Descriptions

TDS*7462 n/l 20 Total Invoice Amount: $74.62

CTT*5 n/l Number of Line Items: 5

SE*0001*68 n/l Control Number: 0001

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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) which provides consumers and small businesses with bill payment services using PC software, including electronic invoicing and payments with large billers. 123 Easy Pay has four customers, Joe Doe, Mary Q. 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

Consumer

ABC Company

123 Easy Pay

Joe, Mary, Sue, Fred

810

Example 2 - Transaction Participant Information

Biller Name: ABC Company ID: 999999999

CSP Name: 123 Easy Pay ID: 123000000

Consumers Name: Mary Q. Smith ID: 123-SMITH

Example 2 - Transaction Payment Information See Sample invoice on next page

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ABC CABLEVISION 11 DUE DATE AMOUNT DUE OF MISSOURI 01/10/95 47.57 4160 OLD MILL PARKWAY 12 4 31

ST PETERS MO 63376 13-15

Please Indicate Amount 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 27-0711

6 MARY Q. SMITH 18-19 KANSAS CITY MO

7 7 MAPLE CT 20 64180-0711 8-9 SAINT CHARLES MO 10 63303-3156 189999 507423 01 4 3 004757 ---ABC CABLEVISION OF ST. PETERS, MO.

ACCOUNT NUMBER BILLED FROM

BILLED TO DUE DATE INCLUDES PAYMENTS RECEIVED BY 189999-507423-01-4 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. 41

FOR- 7 MAPLE CT 40

THE TRUE REGULATED FCC BILLING RATE 42

11/30 BEGINNING BALANCE 47.60 43 IS $9.22 FOR BASIC AND $10.20 FOR EXPANDED BASIC. THIS RATE SHOULD HAVE 12/12 A PAYMENT B 47.60- C BEEN EFFECTIVE OCTOBER 1, 1994. IF A 12/20 D RATE CODE ADJ E .03- F REFUND IS APPLICABLE, IT WILL APPEAR 01/01-01/31G BASIC SERVICE H 9.22 I AS A CREDIT ADJUSTMENT ON YOUR 01/01-01/31J EXPANDED BASIC K 10.20 L JANUARY STATEMENT.

01/01-01/31M STARTER PACKAGE N 12.60 O

01/01-01/31P HBO-STZ-ENC-GUIDE Q 11.90 R

YOUR PACKAGE INCLUDES HBO

STARZ, ENCORE AND THE GUIDE

01/01-01/31T ADDRESSABLE/CONV U 2.04 V

01/01-01/31W SALES TAX X .22 Y

01/01-01/31Z FRANCHISE TAX Aa 1.39 Ab

01/01-01/31Ac REGULATORY FEE Ad .03 Ae

12/31 BALANCE MONTH END 47.57 44

JAN 01 THRU JAN 31, 1995

---FRANCHISE AUTHORITY 32 FEDERAL COMMUNICATIONS COMMISSION

24 CITY ADMINISTRATOR 33 CABLE SERVICES BUREAU

25 CITY OF ST. CHARLES 34 CONSUMER PROTECTION DIVISION

26 200 NORTH SECOND ST 35 1919 M STREET N.W.

27-29 ST. CHARLES, MO 63301 36-38WASHINGTON, D.C. 20554

30 314-949-3288 39 202-416-0856 FCC COMMUNITY UNIT #M00157

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

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Table1

Segment Contents Ref. Element Descriptions

ST*810*0002 n/l Transaction Set ID: 810

Control Number: 0002 BIG*941220*189999-507423-01-4 1295*****DI n/l 5 1&5 Invoice Date: 941220 Invoice Number: 189999-507423-01-4 1295 Transaction Type: DI, Debit Invoice

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

1

Reference Number Qualifier: 12, Billing Account Reference Number: 189999-507423-01-4 REF*DD*6263 CP 1 B 29 A 84980

CR58 n/l 45

Reference Number Qualifier: DD, Document ID Code Reference Number: 6263 CP 1 B 29 A 84980 CR 58 N1*SE*ABC CABLEVISION OF

MISSOURI*1*999999999 n/l 12

Entity Identifier Code: SE, Selling Party follows Name: ABC CABLEVISION OF MISSOURI

Identification Code Qualifier: 1, DUNS number follows Identification Code: 999999999

N3*4160 OLD MILL PARKWAY n/l 12 Address: 4160 OLD MILL PARKWAY

N4*ST PETERS*MO*633376 n/l 13 14 15 City: ST PETERS State: MO Postal Code: 633376 N1*PE*ABC NORTH CENTRAL

INC n/l 16

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

N3*PO BOX 27-0711 n/l 17 Address: PO BOX 27-0711

N4*KANSAS CITY*MO*641800711 n/l

18 19 20

City: KANSAS CITY State: MO

Postal Code: 641800711 N1*IL*ABC CABLEVISION OF ST.

PETERS, MO n/l 21

Entity Identifier Code: IL, Franchisee follows Name: ABC CABLEVISION OF ST. PETERS, MO PER*IC*SERVICE AND BILLING

PROBLEMS*TE*3144417737 n/l 22a

22b

Contact Function Code: IC, Information Contact Name: SERVICE AND BILLING PROBLEMS Communication Number Qualifier: TE, Telephone Communication Number: 3144417737

PER*IC*SERVICE AND BILLING

PROBLEMS*TE*3142791222 n/l 23a

23b

Contact Function Code: IC, Information Contact Name: SERVICE AND BILLING PROBLEMS Communication Number Qualifier: TE, Telephone Communication Number: 3142791222

N1*1K*CITY ADMINISTRATOR*

91*M00157 n/l 24

Entity Identifier Code: 1K, Franchisor follows Name: CITY ADMINISTRATOR

Identification Code Qualifier: 91, Assigned by Seller or Seller’s Agent

Identification Code: M00157

N2*CITY OF ST CHARLES n/l 25 Additional Name: CITY OF ST CHARLES

N3*200 NORTH SECOND ST n/l 26 Address: 200 NORTH SECOND ST

N4*ST. CHARLES*MO*63301 n/l 27 28 29 City: ST. CHARLES State: MO Postal Code: 63301 PER*IC*INFORMATION CONTACT*TE*3149493288 n/l 30

Contact Function Code: IC, Information Contact Name: INFORMATION CONTACT

Communication Number Qualifier: TE, Telephone Communication Number: 3149493288

N1*AG*FEDERAL COMMUNICATI

ON COMMISSION n/l 32

Entity Identifier Code: AG, Agent/Agency follows Name: FEDERAL COMMUNICATI ON COMMISSION N2*CABLE SERVICE BUREAU

*CONSUMER PROTECTION DIVISION n/l

33 34

Additional Name: CABLE SERVICE BUREAU

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N4*WASHINGTON*DC*20554 n/l 36 37 38 City: WASHINGTON State: DC Postal Code: 20554 PER*IC*INFORMATION CONTACT*TE*2024160856 n/l 39

Contact Function Code: IC, Information Contact Name: INFORMATION CONTACT

Communication Number Qualifier: TE, Telephone Communication Number: 2024160856

N1*BT*MARY Q. SMITH n/l

6

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

N3*7 MAPLE CT n/l 7 Address: 7 MAPLE CT

N4*SAINT CHARLES*MO* 633033156 n/l

8 9 10

City: SAINT CHARLES State: MO

Postal Code: 633033156 N1*BY*MARY Q. SMITH n/l

6

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

N3*7 MAPLE CT n/l 40 Address: 7 MAPLE CT

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

Entity Identifier Code: 8S, Consumer Service Provider, CSP follows

Name: 123 EASY PAY

Identification Code Qualifier: 1, DUNS Number follows Identification Code: 123000000

N3*1234 MAIN STREET n/l Address: 1234 MAIN STREET

N4*COLUMBUS*OH*430173221 n/l City: COLUMBUS State: OH Postal Code: 430173221 PER*IC*CUSTOMER INFORMATION* TE*6147911234 n/l

Contact Function Code: IC, Information Contact Name: CUSTOMER INFORMATION

Communication Number Qualifier: TE, Telephone Communication Number: 6147911234

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

4

Terms Type Code: 18, Fixed Date, Late Payment Penalty Applies

Terms Net Due Date: 950110 DTM*186*950101 n/l

2

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

DTM*186*950131 n/l

3

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

DTM*146*941220 n/l

5

Date/Time Qualifier: 146, Closing Date Date: 941220

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

41

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

PID*X**AS*R1*THE TRUE REGULATED FCC BILLING RATE IS $9.22 FOR BASIC AND $10.20 FOR EXPANDED BASIC. n/l

42a

Item Description Type: X, Semi-Structured Agency Qualifier Code: AS, Assigned by Seller Product Description Code: R1, Rate Message, Line 1 Description: THE TRUE REGULATED FCC BILLING RATE IS $9.22 FOR BASIC AND $10.20 FOR EXPANDED BASIC.

PID*X**AS*R2*THIS RATE SHOULD HAVE BEEN

EFFECTIVE OCTOBER 1, 1994.

Item Description Type: X, Semi-Structured Agency Qualifier Code: AS, Assigned by Seller Product Description Code: R2, Rate Message, Line 2

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Segment Contents Ref. Element Descriptions

n/l 42b Description: THIS RATE SHOULD HAVE BEEN

EFFECTIVE OCTOBER 1, 1994. PID*X**AS*R3*IF A REFUND IS

APPLICABLE, IT WILL APPEAR AS A CREDIT ADJUSTMENT ON

YOUR JANUARY BILL. n/l 42c

Item Description Type: X, Semi-Structured Agency Qualifier Code: AS, Assigned by Seller Product Description Code: R3, Rate Message, Line 3 Description: IF A REFUND IS APPLICABLE, IT WILL APPEAR AS A CREDIT ADJUSTMENT ON YOUR JANUARY BILL.

BAL*P*BD*47.60 n/l

43

Balance Type Code: P, Previous Month Amount Qualifier Code: BD, Balance Due Monetary Amount: $47.60

BAL*M*BD*47.57 n/l

44

Balance Type Code: M, Current Month Amount Qualifier Code: BD, Balance Due Monetary Amount: $47.57

Table 2

Segment Contents Ref. Element Descriptions

IT1*1 n/l Assigned Identification: 1

PID*F****PAYMENT n/l

B

Item Description Type: F, Free Form Description: PAYMENT

DTM*050*941212 n/l

A

Date/Time Qualifier: 050, Received Date Date: 941212

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

C

Allowance or Charge Indicator: A, Allowance

Service, Promotion, Allowance or Charge Indicator: I710, Payment

Amount: $47.60

IT1*2 n/l Assigned Identification: 2

PID*F****RATE CODE ADJ n/l

E

Item Description Type: F, Free Form Description: RATE CODE ADJ DTM*097*941220 n/l

D

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

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

F

Allowance or Charge Indicator: A, Allowance Service, Promotion, Allowance or Charge Indicator: A170, Adjustment

Amount: $-0.03

IT1*3 n/l Assigned Identification: 3

PID*F****BASIC SERVICE n/l

H

Item Description Type: F, Free Form Description: BASIC SERVICE DTM*150*950101 n/l

G1

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

DTM*151*950131 n/l

G2

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

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

I

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $9.22

IT1*4 n/l Assigned Identification: 4

PID*F****EXPANDED BASIC n/l

K

Item Description Type: F, Free Form Description: EXPANDED BASIC DTM*150*950101 n/l

J1

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

DTM*151*950131 n/l

J2

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

(20)

L

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $10.20

IT1*5 n/l Assigned Identification: 5

PID*F****STARTER PACKAGE n/l N

Item Description Type: F, Free Form Description: STARTER PACKAGE DTM*150*950101 n/l

M1

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

DTM*151*950131 n/l

M2

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

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

O

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $12.60

IT1*6 n/l Assigned Identification: 6

PID*F****HBO-STZ-ENC-GUIDE

n/l Q

Item Description Type: F, Free Form Description: HBO-STZ-ENC-GUIDE PID*F****YOUR PACKAGE

INCLUDES HBO STARZ ENCORE AND THE GUIDE n/l

S

Item Description Type: F, Free Form

Description: YOUR PACKAGE INCLUDES HBO STARZ ENCORE AND THE GUIDE

DTM*150*950101 n/l

P1

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

DTM*151*950131 n/l

P2

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

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

R

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $11.90

IT1*7 n/l Assigned Identification: 7

PID*F****ADDRESSABLE/CONV

n/l U

Item Description Type: F, Free Form Description: ADDRESSABLE/CONV DTM*150*950101 n/l

T1

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

DTM*151*950131 n/l

T2

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

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

V

Allowance or Charge Indicator: C, Charge

Service, Promotion, Allowance or Charge Indicator: D340, Goods and Services Charges

Amount: $2.04

IT1*8 n/l Assigned Identification: 8

PID*F****SALES TAX n/l

X

Item Description Type: F, Free Form Description: SALES TAX

DTM*150*950101 n/l

W1

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

DTM*151*950131 n/l

W2

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

TXI*ST*.22 n/l

Y

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

IT1*9 n/l Assigned Identification: 9

PID*F****FRANCHISE TAX n/l

Aa

Item Description Type: F, Free Form Description: FRANCHISE TAX

(21)

Segment Contents Ref. Element Descriptions

Z1 Date: 950101

DTM*151*950131 n/l

Z2

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

TXI*FR*1.39 n/l

Ab

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

IT1*10 n/l Assigned Identification: 10

PID*F****REGULATORY FEE n/l

Ad

Item Description Type: F, Free Form Description: REGULATORY FEE DTM*150*950101 n/l

Ac1

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

DTM*151*950131 n/l

Ac2

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

TXI*UL*.03 n/l

Ae

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

Table 3

Segment Contents Ref. Element Descriptions

TDS*4757 n/l 31 Total Invoice Amount: $47.57

CTT*10 n/l Number of Line Items: 10

SE*0002*94 n/l Control Number: 0002

(22)
(23)

810 Invoice

3. Cross Reference

The transaction set cross reference is a mapping aid. The cross reference can be used to map or to find the 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 more qualifiers to be used to identify the data item. Therefore, the Qualifier(s) and Data item locations are both listed. The location of the qualifiers are listed 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 transaction set. Valid Values for this column are: ‘1’-Header/ Heading, ‘2’-Detail, or ‘3’-Summary.

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

Loop ID Comment Loop ID Comment The loop qualifier or position within the transaction set table or area. Loops can occur multiple times within a mapped transaction set. Each loop occurrence is identified by the segment that starts the loop. The loops are uniquely identified by a qualifier that is specified within the first segment of the loop. For example, ‘N1/Seller (SE)’ is the N1 loop 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, the Comments column will refer to additional values to be used.

Comment Comment Comments which expand the definition of a data

element value column or give additional information on the data element value.

(24)

Account Number

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

1 Data 810 1 050 REF 02 127 Reference Number

Account Number Change Message

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

1 Data 810 1 050 REF 02 127 Reference Number

Account Type

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

1 Data 810 1 050 REF 02 127 Reference Number

Activity Date

1 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 Amount

1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, A17 Adjustment Allow., or Chrg

Code 1 Data 810 2 180 SAC 05 610 Amount

Allowance Amount

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

1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance Code or Charge Code,

See DE 1300 Codes 1 Data 810 2 180 SAC 05 610 Amount

Amount Due by Installment Period

1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier IN Installment Amount

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Amount Paid

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

1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance Code or Charge Code,

See DE 1300 Codes 1 Data 810 2 180 SAC 05 610 Amount

Auto/Debit Withdrawal

1 Qualifier 810 1 160 PID 01 349 Item Description F Free Form Message Type

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

Balance Subject to Charge

1 Qualifier 810 3 040 SAC 09 355 Unit or Basis for DO Dollars Measurement Code

1 Data 810 3 040 SAC 10 339 Allowance or Charge Quantity

Bill Owner Type Code

(25)

Data Type of TS TS Seg Seg DE DE DE DE

Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

Code

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

Biller Address

1 Data 810 1 090 N1/Seller (SE) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Seller (SE) N3 02 166 Address Information Also N301

Biller City

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

Biller Country

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

Biller Duns ID

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

1 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 ID

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

1 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 Name

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

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

Biller Phone Number

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

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

Biller Phone Number Type

1 Data 810 1 120 N1/Seller (SE) PER 01 366 Contact Function IC Information Contact Code

Biller Standard Industry Code

1 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 State

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

Biller Zip/Postal Code

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

Billing Account Number

1 Qualifier 810 1 050 REF 01 128 Reference Number 12 Billing Account Qualifier Number 1 Data 810 1 050 REF 02 127 Reference Number

(26)

Billing Date

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

Billing Delayed Message

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'B', Billing message

Billing Location ID

1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number BF Billing Center Qualifier Identification 1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number

Billing Period-From Date

1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 186 Invoice Period-Start 1 Data 810 1 140 DTM 02 373 Date

Billing Period-To Date

1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 187 Invoice Period-End 1 Data 810 1 140 DTM 02 373 Date

Charge Amount

1 Data 810 2 180 SAC 05 610 Amount

Charge Type

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

1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance Code 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 Date 1 Data 810 1 140 DTM 02 373 Date

Consumer Identifier

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

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

Control Number

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

1 Data 810 1 050 REF 02 127 Reference Number

Cost Center

1 Qualifier 810 2 120 REF 01 128 Reference Number CA Cost Allocation Qualifier Reference 1 Data 810 2 120 REF 02 127 Reference Number

Credit Amount

1 Data 810 2 180 SAC 05 610 Amount

Credit Available

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

Code Available, Same as Credit Line Amount Available

(27)

Data Type of TS TS Seg Seg DE DE DE DE

Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment Credit Line Amount

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

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Credit Line Amount Available

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

Code Available, Same Credit Available 1 Data 810 1 212 BAL 03 782 Monetary Amount

Credit Line Type

1 Qualifier 810 1 050 REF 01 128 Reference Number 5D Line of Credit Qualifier Category 1 Data 810 1 050 REF 02 127 Reference Number

Credit Type

1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge x xx = A-Allowance, Indicator C-Charge, N-Neither 1 Data 810 2 180 SAC 02 1300 Service, Promotion, B80 Credit

Allow., or Chrg Code

CSP Address

1 Data 810 1 090 N1/CSP(8S) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/CSP(8S) N3 02 166 Address Information Also N301

CSP City

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

CSP Name

1 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 Number

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

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

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

CSP State

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

CSP ZIP/Postal Code

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

Currency Type

1 Qualifier 810 1 040 CUR 01 98 Entity Identifier VN Vendor Code

1 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 Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier PB Billed Amount Code (Amount due for

(28)

1 Data 810 1 212 BAL 03 782 Monetary Amount

Current Period Energy Use

1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier UU Used Quantity, Specify time period in PAM06-PAM11) 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for xx xx Unit of Measure

Measurement Code or Basis Code, DE 355, Such as, K7-Killowatts 1 Data 810 2 055 PAM 02 380 Quantity

1 Data 810 2 055 PAM 06 344 Unit of Time Period xx xx = DA-Day, or Interval MO-Month, HR-Hours 1 Data 810 2 055 PAM 07 374 Date/Time Qualifier 193 Period Start Date 1 Data 810 2 055 PAM 08 373 Date Period Start Date 1 Data 810 2 055 PAM 10 374 Date/Time Qualifier 194 Period End Date 1 Data 810 2 055 PAM 11 373 Date Period End Date

Customer Address

1 Data 810 1 090 N1/Customer(8R/BT) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Customer(8R/BT) N3 02 166 Address Information Also N301

Customer Alternate Phone Number

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

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

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

Customer City

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

Customer Country

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

Customer Duns ID

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

Customer ID

1 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 Name

1 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 Name

2 Qualifier 810 1 070 N1/Buyer (BY) N1 01 98 Entity Identifier BY Buyer Code

2 Data 810 1 070 N1/Buyer (BY) N1 02 93 Name

3 Qualifier 810 1 070 N1/Property (PP) N1 01 98 Entity Identifier PP Property Code

3 Data 810 1 070 N1/Property (PP) N1 02 93 Name

4 Qualifier 810 1 070 N1/Meter (MQ) N1 01 98 Entity Identifier MQ Meter Location Code

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

Customer Phone Number

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

(29)

Data Type of TS TS Seg Seg DE DE DE DE

Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

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

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

Customer State

1 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 Code

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

Daily Periodic Rate

1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge Indicator

1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge Allow., or Chrg

Code

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

Delinquent After Date

1 Qualifier 810 1 130 ITD 01 336 Terms Type Code xx xx Same as Payment Due Date Codes 1 Data 810 1 130 ITD 06 446 Terms Net Due Date

Detail Message

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'D ', Detail message

Escrow Amount

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

1 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 Balance

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

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Fee Amount

1 Data 810 2 180 SAC 05 610 Amount

Fee Type

1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge x xx = A-Allowance, Indicator C-Charge, N-Neither 1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

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

See DE 1300 Codes

Finance Charge

1 Data 810 2 180 SAC 05 610 Amount

(30)

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

Finance Charge Monthly/Periodic Rate

1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge Indicator

1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge Allow., or Chrg

Code 1 Data 810 3 040 SAC 05 610 Amount

Finance Charge Type

1 Qualifier 810 3 040 SAC 01 248 Allowance or Charge C Charge Indicator

1 Qualifier 810 3 040 SAC 02 1300 Service, Promotion, D04 Finance Charge Allow., or Chrg

Code

1 Data 810 3 040 SAC 14 770 Option Number

Finance Charge YTD

1 Qualifier 810 1 212 BAL 01 951 Balance Type Code Y Year to Date 1 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 Message

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'F ', Franchise message

Free Form Message

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'X', Free-Form message

Gross Receipts Tax

1 Qualifier 810 2 040 TXI 01 963 Tax Type Code GR Gross Receipts Tax 1 Data 810 2 040 TXI 02 782 Monetary Amount

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

Invoice Date

1 Data 810 1 020 BIG 01 245 Invoice Date

Invoice Number

1 Data 810 1 020 BIG 02 76 Invoice Number

Invoice Type

1 Data 810 1 020 BIG 07 640 Transaction Type xx xx = CN-Credit Code Invoice, DI-Debit

Invoice, FB-Final Bill

Item (Transaction) Date

1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 945 Activity, Same as Activity Date 1 Data 810 2 150 DTM 02 373 Date

Item Amount

1 Qualifier 810 2 010 IT1 03 355 Unit or Basis for EA/ Each/Unit Measurement Code

1 Data 810 2 010 IT1 04 212 Unit Price

(31)

Data Type of TS TS Seg Seg DE DE DE DE

Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

1 Data 810 2 020 CUR 03 280 Exchange Rate

Item Currency Type

1 Qualifier 810 2 020 CUR 01 98 Entity Identifier VN Vendor Code

1 Data 810 2 020 CUR 02 100 Currency Code xx xx = MXP-Mexican Pesos, CAD-Canadian Dollar, USD-United States Dollar

Item Date of Charge

1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 050 Received 1 Data 810 2 150 DTM 02 373 Date

Item Description

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

1 Data 810 2 060 PID 05 352 Description

Item Foreign Currency Amount

1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge xx xx = A-Allowance, Indicator C-Charge, N-Neither 1 Qualifier 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service,

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

See DE 1300 Codes 1 Data 810 2 180 SAC 05 610 Amount

Item Measure

1 Data 810 2 010 IT1 02 358 Quantity Invoiced

Item Posting Date

1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 809 Posted 1 Data 810 2 150 DTM 02 373 Date

Item Quantity Invoiced

1 Data 810 2 010 IT1 02 358 Quantity Invoiced

Item Record of Charge ID

1 Qualifier 810 2 120 REF 01 128 Reference Number IV Seller's Invoice Qualifier Number 1 Data 810 2 120 REF 02 127 Reference Number

Item Reference Number

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

1 Data 810 2 120 REF 02 127 Reference Number

Item Seller/Merchant City

1 Data 810 2 270 N1/Vendor (VN) N4 01 19 City Name

Item Seller/Merchant ID

1 Qualifier 810 2 280 N1/Vendor (VN) REF 01 128 Reference Number VR Vendor ID Number Qualifier

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

Item Seller/Merchant Name

1 Qualifier 810 2 240 N1/Vendor (VN) N1 01 98 Entity Identifier VN Vendor Code

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

Item Seller/Merchant State

1 Data 810 2 270 N1/Vendor (VN) N4 02 156 State or Province Code

(32)

Item Sequence Number

1 Data 810 2 010 IT1 01 350 Assigned Identification

Item Service Period- From Date

1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 150 Service Period-Start 1 Data 810 2 150 DTM 02 373 Date

Item Service Period- To Date

1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 151 Service Period-End 1 Data 810 2 150 DTM 02 373 Date

Item SIC Code

1 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 Number

1 Qualifier 810 2 120 REF 01 128 Reference Number ST Store Number Qualifier

1 Data 810 2 120 REF 02 127 Reference Number

Item Tip/Gratuity

1 Qualifier 810 2 180 SAC 01 248 Allowance or Charge xx xx = A-Allowance, Indicator C-Charge, N-Neither 1 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 Unit

1 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 N202 1 Data 810 1 080 N1/Customer(8R/BT) N2 01 93 Name Also N202 1 Data 810 1 080 N1/Customer(8R/BT) N2 02 93 Name Also N201 1 Data 810 1 080 N1/Customer(8R/BT) N2 02 93 Name Also N201

Last Period Energy Use

1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier UU Used Quantity, (Specify time period in PAM06-PAM11) 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for xx xx Unit of Measure

Measurement Code or Basis Code, DE 355, Such as, K7-Killowatts 1 Data 810 2 055 PAM 02 380 Quantity

1 Data 810 2 055 PAM 06 344 Unit of Time Period xx xx = DA-Day, or Interval MO-Month, HR-Hours 1 Data 810 2 055 PAM 07 374 Date/Time Qualifier 193 Period Start Date 1 Data 810 2 055 PAM 08 373 Date Period Start Date 1 Data 810 2 055 PAM 10 374 Date/Time Qualifier 194 Period End Date 1 Data 810 2 055 PAM 11 373 Date Period End Date

Late Message

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'L', Late message

(33)

Data Type of TS TS Seg Seg DE DE DE DE

Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

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 Chrg

Code 1 Data 810 2 180 SAC 05 610 Amount

Mail by Date

1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 946 Mail by 1 Data 810 1 140 DTM 02 373 Date

Master Number

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

1 Data 810 1 050 REF 02 127 Reference Number

Meter Change Message

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

1 Data 810 2 120 REF 03 352 Description

Meter Location Address

1 Data 810 1 090 N1/Meter (MQ) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Meter (MQ) N3 02 166 Address Information Also N301

Meter Location City

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

Meter Location State

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

Meter Number

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

1 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 Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier GT Minimum Due

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Nbr Days Billed

1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier D1 Billed Quantity 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for DA Days

Measurement Code 1 Data 810 2 055 PAM 02 380 Quantity

Number of Days/Period

1 Qualifier 810 2 055 PAM 01 673 Quantity Qualifier 1K Time in units 1 Qualifier 810 2 055 PAM 03 355 Unit or Basis for DA Days

Measurement Code 1 Data 810 2 055 PAM 02 380 Quantity

Past Due Amount

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

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Payment Amount

(34)

Payment Date (Initiated)

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

Payment Due Date

1 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 Date

1 Qualifier 810 2 150 DTM 01 374 Date/Time Qualifier 949 Payment Effective 1 Data 810 2 150 DTM 02 373 Date

Payment Location ID

1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number 5T Payment Location Qualifier Code , Same as

Remit To Location ID 1 Data 810 1 110 N1/Seller (SE) REF 02 127 Reference Number

Payment Type

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

1 Data 810 2 180 SAC 02 1300 Service, Promotion, xxx xxxx Service, Allow., or Chrg Promotion,Allowance Code or Charge Code,

See DE 1300 Codes

Percent Change Energy Use

1 Data 810 2 055 PAM 13 1004 Percent Qualifier CH Change 1 Data 810 2 055 PAM 14 954 Percent

Present Reading

1 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 Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier BD Balance Due

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Previous Reading

1 Data 810 2 059 MEA 06 741 Range Maximum

Price per Usage Unit

1 Data 810 2 010 IT1 04 212 Unit Price

Principle Amount Due

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

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Principle Balance

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

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

Product Solicitation

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'P', Product message

(35)

Data Type of TS TS Seg Seg DE DE DE DE

Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

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

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

Project Good Neighbor Donation

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'G', Good Neighbor message

Property Location Address

1 Data 810 1 090 N1/Property (PP) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Property (PP) N3 02 166 Address Information Also N301

Property Location City

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

Property Location State

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

Property Location Zip

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

Rate Change Message

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'R', Rate Change message

Rate Code

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

1 Data 810 2 120 REF 02 127 Reference Number

Read Type

1 Data 810 2 059 MEA 01 737 Measurement Reference ID Code

Reading Units

1 Data 810 2 059 MEA 04 8801 Composite Unit of Measure

Remit to Location ID

1 Qualifier 810 1 110 N1/Seller (SE) REF 01 128 Reference Number 5T Payment Location Qualifier Code, Same as Remit

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

Repayment Period

1 Qualifier 810 1 213 INC 01 336 Terms Type Code xx xx Terms Type Code, See DE 336 Codes 1 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 Address

1 Data 810 1 090 N1/Buyer (BY) N3 01 166 Address Information Also N302 1 Data 810 1 090 N1/Buyer (BY) N3 02 166 Address Information Also N301

Service Location City

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

(36)

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

Service Period-From Date

1 Qualifier 810 1 140 DTM 01 374 Date/Time Qualifier 150 Service Period-Start 1 Data 810 1 140 DTM 02 373 Date

Service Period-To Date

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

Service Type

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

1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = Service Description per industry codes

Service Type

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

1 Data 810 2 010 IT1 07 234 Product/Service ID xx xx = Service Description per industry codes

State Tax

1 Qualifier 810 2 040 TXI 01 963 Tax Type Code ST State Sales Tax 1 Data 810 2 040 TXI 02 782 Monetary Amount

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

Statement Message

1 Data 810 1 160 PID 05 352 Description PID04 1st position = 'S', Statement message

Supplemental Account Number

1 Qualifier 810 1 050 REF 01 128 Reference Number 5B Supplemental Qualifier Account Number 1 Data 810 1 050 REF 02 127 Reference Number

Tax Amount

1 Data 810 2 040 TXI 02 782 Monetary Amount 2 Data 810 2 190 TXI 02 782 Monetary Amount

Tax Jurisdiction

1 Qualifier 810 2 040 TXI 04 955 Tax Jurisdiction xx xx = CD-Customer Code Qualifier defined, VD-Vendor

Defined, VE-Vertex 1 Data 810 2 040 TXI 05 956 Tax Jurisdiction

Code

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

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

Code

Tax Rate

1 Data 810 2 040 TXI 03 954 Percent 2 Data 810 2 190 TXI 03 954 Percent

Tax Type

1 Data 810 2 040 TXI 01 963 Tax Type Code xx xx Tax Type Code, See DE 963 Codes

(37)

Data Type of TS TS Seg Seg DE DE DE DE

Item Use Data ID Tbl Pos Loop ID Comment ID Pos Nbr Name Val Comment

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

Taxes Paid YTD

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

Code

1 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 Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier BD Balance Due

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Charges Amount

1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month 1 Qualifier 810 1 212 BAL 02 522 Amount Qualifier G W Total Charge

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Credit Amount

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

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Debit Amount

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

Code

1 Data 810 1 212 BAL 03 782 Monetary Amount

Total Finance Charges

1 Qualifier 810 1 212 BAL 01 951 Balance Type Code M Current Month 1 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 Amount

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

Code Amount

1 Data 810 1 212 BAL 03 782 Monetary Amount

Usage Amount

1 Data 810 2 010 IT1 02 358 Quantity Invoiced

Usage Cost per day

1 Qualifier 810 2 055 PAM 04 522 Amount Qualifier DY Per Day Limit Code

1 Data 810 2 055 PAM 05 782 Monetary Amount

Usage Rate

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

1 Data 810 2 120 REF 02 127 Reference Number

Usage Unit

1 Data 810 2 010 IT1 01 350 Assigned Identification

Usage Unit Type

(38)

Measurement Code for Measure Code, See DE 355 Codes

(39)

810 Invoice

4. Detail Layout

Purpose and Scope

This Draft Standard for Trial Use contains the format and establishes the data contents of the Invoice Transaction 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 practice relative 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 1 4-4 020 BIG Beginning Seg

References

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