Bank of America

Electronic Data Interchange

ASC X12 820 Transaction Set

Payment Order/Remittance Advice
ACH Remittance

Version/Release 004010

The Payment Order/Remittance Advice Transaction Set can be used to make a payment, send a remittance
advice, or make a payment and send a remittance advice.

This transaction set can be an order to a financial institution to make a payment to a payee. It can also be a
remittance advice identifying the detail needed to perform cash application to the payee's accounts receivable
system. The remittance advice can go directly from payer to payee, through a financial institution, or through
a third party agent.

For further details of the transaction sets and segments utilized by Bank of America, please contact your
Treasury Management Officer or Product Management Officer.

The complete ASC X12 standards information may be obtained from:

Data Interchange Standards Association (DISA)

1800 Diagonal Rd., Suite 355
Alexandria, VA 22314-2852
(703) 548-7005

ASC X12 Structure

Introduction

To allow for transmissions of different types of transactions sets from one party to another in the same transmission,
a hierarchy structure of headers and trailers is used. This structure allows the data to be segregated logically for easy
interpretation by the receiver. A brief description of the records in the ASC X12 structure is reviewed below:

ISA
Interchange Control Header - The Interchange Control Header is the beginning outer envelope of one or more
Functional Groups or interchange-related control segments. This header contains the value of the data element
separators, data segment terminators, the identity of the sender and receiver and the required authorization and
security information.

GS
Functional Group Header - The Functional Group Header provides the required control information such as date,
time and control number of the transmission as well as the value for the ANSI version that the two parties are
utilizing.

ST
Transaction Set Header - The Transaction Set Header establishes the transaction set that is used in the transmission.
This transaction set (ex. 820) identifies to all parties the type of information that will follow in the identified
segment.

SE
Transaction Set Trailer - The Transaction Set Trailer ends the transaction set and provides the count of the
transmitted segments.

GE
Functional Group Trailer - The Functional Group Trailer ends the transaction related information or data within the
boundaries of the ST header and SE trailer.

IEA
Interchange Control Trailer - The Interchange Control Trailer is the ending outer envelope of one or more Functional
Groups or interchange-related control segments. This trailer contains the number of the functional groups and the
established control number identified in the ISA.

MY4010 (004010) 2 August 4, 2000

 Bank of America ASC X12 820 Specifications

Contained on the following pages is additional information that will help you in determining the appropriate values
for insertion in your ANSI transmission that is specific to Bank of America. This information is a supplement to the
ANSI standards and is a representation of data segments used in most versions and releases. Bank of America
supports all versions and releases of ANSI standards. If a content value is specified in these instructions, please use
the value provided in this document in the generation of that record.

If you should need additional assistance in determining what values are appropriate for these fields, please call the
EDI Implementation Support representative identified on the Bank of America customer support list.

Order of Structure

To properly process an 820 Payment Order/Remittance Advice transaction set, several data segments are required.
While the ANSI specifications may list some segments as optional, please refer to these instructions to insure
whether they are required to properly process an 820. While the following 820 structure is representative of
Version/Release 003040, others may apply and/or are supported.

Segment ID Segment Name Segment Requirements

ISA Interchange Control Header Mandatory
GS Functional Group Header Mandatory
ST Transaction Set Header Mandatory

SEE 4010 STANDARDS. SEGMENTS VARY ACCORDING TO DATA

SE Transaction Set Trailer Mandatory

GE Functional Group Trailer Mandatory
IEA Interchange Control Trailer Mandatory

MY4010 (004010) 3 August 4, 2000

 Bank of America ASC X12 Specifications

Segment Identifier: ISA

Segment Name: Interchange Control Header
Segment Purpose: To start and identify an interchange of one or more functional groups and interchange-
related control segments

Data Elements
Reference Reference
Designator Number Name Type Length Req.

ISA01 I01 Authorization Information Qualifier ID 02/02 M

ISA02 I02 Authorization Information AN 10/10 M

ISA03 I03 Security Information Qualifier ID 02/02 M

ISA04 I04 Security Information AN 10/10 M

ISA05 I05 Interchange ID Qualifier ID 02/02 M

ISA06 I06 Interchange Sender ID AN 15/15 M

ISA07 I05 Interchange ID Qualifier ID 02/02 M

ISA08 I07 Interchange Receiver ID AN 15/15 M

ISA09 I08 Interchange Date DT 06/06 M

ISA10 I09 Interchange Time TM 04/04 M

ISA11 I10 Interchange Control ID ID 01/01 M

ISA12 I11 Interchange Version Number ID 05/05 M

ISA13 I12 Interchange Control Number N0 09/09 M

ISA14 I13 Acknowledgment Requested ID 01/01 M

ISA15 I14 Test Indicator "P" ID 01/01 M

ISA16 I15 Subelement Separator AN 01/01 M

Legend: M = Mandatory, O = Optional, X = Conditional

MY4010 (004010) 4 August 4, 2000

 Bank of America ASC X12 Specifications
ISA - Interchange Control Header

Notes:

ISA01: Code to identify the type of information in the Authorization Information.

(00 = No Authorization Information Present)

ISA02: Information used for additional identification or authorization of the sender or the data in the interchange.
The type of information is set by the Authorization Information Qualifier.

ISA03: Code to identify the type of information in the Security Information.

(00 = No Security Information Present)

ISA04: This is used for identifying the security information about the sender or the data in the interchange. The type
of information is set by the Security Information Qualifier.

ISA05: Qualifier to designate the system/method of code structure used to designate the sender or receiver ID
element being qualified.
(16= Bank of America ID Qualifier)

ISA06: Identification code published by the sender for other parties to use as the receiver ID to route data to them.
The sender always codes this number in the sender ID element.
(055169452TST2 = Bank of America Sender ID during testing)
(0551694520002 = Bank of America Sender ID during production)

ISA07: Qualifier to designate the system/method of code structure used to designate the sender or receiver ID
element being qualified.
(ZZ = Mutually Defined)
(01 = DUNS Dun & Bradstreet)

ISA08: Identification code published by the receiver of the data. When sending, it is used by the sender as their
sending ID, thus other parties sending to them will use this as a receiving ID to route data to them.

ISA09: Date of the interchange (YYMMDD).

ISA10: Time of the interchange (HHMM).

MY4010 (004010) 5 August 4, 2000

 Bank of America ASC X12 Specifications
ISA - Interchange Control Header

Notes (Continued):

ISA11: Code to identify the agency responsible for the control standard used by the message that is enclosed by the
interchange header and trailer.
(U = U.S. EDI Community of ASC X12, TDCC, and UCS)

ISA12: This version number covers the interchange control segments (00401).

ISA13: This number uniquely identifies the interchange data to the sender. It is assigned by the sender. Together
with the sender ID it uniquely identifies the interchange data to the receiver. It is suggested that the
sender, receiver, and all third parties be able to maintain an audit trail of interchanges using this number.

The control number provided in the ISA header must match the control number provided in the IEA trailer.
This value signifies the beginning and end of an interchange session with Bank of America.

ISA14: Code sent by the sender to request an interchange acknowledgment.

(0 = No Acknowledgment Requested)
(1 = Interchange Acknowledgment Requested)

ISA15: Code to indicate whether data enclosed by this interchange envelope is test or production.
(T = Test Data)
(P = Production Data)

ISA16: This is a field reserved for future expansion in separating data element subgroups. (in the interest of a
migration to international standards, this should be different from the data element separator.)

MY4010 (004010) 6 August 4, 2000

 Bank of America ASC X12 Specifications

Segment Identifier: GS
Segment Name: Functional Group Header
Segment Purpose: To indicate the beginning of a functional group and to provide control information

Data Elements
Reference Reference
Designator Number Name Type Length Req.

GS01 479 Functional ID Code ID 02/02 M

GS02 142 Application Sender's Code AN 02/15 M

GS03 124 Application Receiver's Code AN 02/15 M

GS04 373 Date DT 08/08 M

GS05 337 Time TM 04/08 M

GS06 28 Group Control Number N0 01/09 M

GS07 455 Responsible Agency Code ID 01/02 M

GS08 480 Version/Release Industry Code AN 01/12 M

Notes:

GS01: Code identifying a group of application related Transaction Sets.

(RA) = 820 Payment Order/Remittance Advise)

GS02: Code identifying party sending transmission. Codes agreed to by trading partners.
(055169452002 = Bank of America Sender ID

GS03: Code identifying party receiving transmission. Codes agreed to by trading partners.
(Same as ISA08 unless requested otherwise)

GS04: Date sender generated a Functional Group of transaction sets (CCYYMMDD).

GS05: Time sender generated a Functional Group of transaction sets (HHMM).

GS06: Assigned number originated and maintained by the sender. The control number provided in the GS header
must match the control number provided in the GE trailer. This value signifies the beginning and end of a
functional group.

MY4010 (004010) 7 August 4, 2000

 Bank of America ASC X12 Specifications
GS - Functional Group Header

Notes (Continued):

GS07: Code used in conjunction with Data Element 480 to identify the issuer of the standard.
(X = Accredited Standards Committee X12)

GS08: Code indicating the version, release, subrelease and industry identifier of the EDI standard being used,
including the GS and GE segments. Positions 1-3, version number, positions 4-6, release and subrelease
level version; positions 7-12, industry or trade association identifier (optionally assigned by user).
Version 4010 = “004010”

MY4010 (004010) 8 August 4, 2000

 Bank of America ASC X12 Specifications

Segment Identifier: ST
Segment Name: Transaction Set Header
Segment Purpose: To indicate the start of a transaction set and to assign a control number

Data Elements
Reference Reference
Designator Number Name Type Length Req.

ST01 143 Transaction Set ID Code ID 03/03 M

ST02 329 Transaction Set Control Number AN 04/09 M

Notes:

ST01: Code uniquely identifying a Transaction Set (820).

ST02: Identifying control number assigned by the originator for a transaction set. The control number provided in
the ST header must match the control number provided in the SE trailer. This value signifies the beginning
and end of an included transaction set.

MY4010 (004010) 9 August 4, 2000

 Bank of America ASC X12 Specifications

Segment Identifier: SE
Segment Name: Transaction Set Trailer
Segment Purpose: To indicate the end of the transaction set and provide the count of the transmitted
segments (including the beginning ST and ending SE segments)

Data Elements
Reference Reference
Designator Number Name Type Length Req.

SE01 96 Number of Included Segments N0 01/10 M

SE02 329 Transaction Set Control Number AN 04/09 M

Notes:

SE01: Total number of segments included in a transaction set including ST and SE segments.

SE02: Identifying control number assigned by the originator for a transaction set. (The control number provided
in the SE trailer must match the control number provided in the ST header. This value signifies the
beginning and end of an included transaction set.)

MY4010 (004010) 10 August 4, 2000

 Bank of America ASC X12 Specifications

Segment Identifier: GE
Segment Name: Functional Group Trailer
Segment Purpose: To indicate the end of the functional group and to provide control information

Data Elements
Reference Reference
Designator Number Name Type Length Req.

GE01 97 Number of Included Sets N0 01/06 M

GE02 28 Group Control Number N0 01/09 M

Notes:

GE01: Total number of transaction sets included in the functional group or interchange (transmission) group
terminated by the trailer containing this data element.

GE02: Assigned number originated and maintained by the sender. (The control number provided in the GE trailer
must match the control number provided in the GS header. This value signifies the beginning and end of a
functional group.)

MY4010 (004010) 11 August 4, 2000

 Bank of America ASC X12 Specifications

Segment Identifier: IEA

Segment Name: Interchange Control Trailer
Segment Purpose: To define the end of an interchange of one or more functional groups and interchange-
related control segments

Data Elements
Reference Reference
Designator Number Name Type Length Req.

IEA01 I16 Number of Functional Groups N0 01/05 M

IEA02 I12 Interchange Control Number N0 09/09 M

Notes:

IEA01: A count of the number of functional groups included in a transmission.

IEA02: This number uniquely identifies the interchange data to the sender. It is assigned by the sender. Together
with the sender ID it uniquely identifies the interchange data to the receiver. It is suggested that the
sender, receiver, and all third parties be able to maintain an audit trail of interchanges using this number.
(The control number provided in the IEA trailer must match the control number provided in the ISA
header. This value signifies the beginning and end of an interchange session.)

MY4010 (004010) 12 August 4, 2000

820 Payment Order/Remittance Advice

Functional Group ID= RA

Introduction:
This Draft Standard for Trial Use contains the format and establishes the data contents of the Payment
Order/Remittance Advice Transaction Set (820) for use within the context of an Electronic Data Interchange (EDI)
environment. The transaction set can be used to make a payment, send a remittance advice, or make a payment and
send a remittance advice. This transaction set can be an order to a financial institution to make a payment to a
payee. It can also be a remittance advice identifying the detail needed to perform cash application to the payee's
accounts receivable system. The remittance advice can go directly from payer to payee, through a financial
institution, or through a third party agent.

Heading:
Pos. Seg. Req. Loop Notes and
No. ID Name Des. Max.Use Repeat Comments
M 010 ST Transaction Set Header M 1
M 020 BPR Beginning Segment for Payment M 1
Order/Remittance Advice
030 NTE Note/Special Instruction O >1
035 TRN Trace O 1 c1
040 CUR Currency O 1 c2
050 REF Reference Identification O >1
060 DTM Date/Time Reference O >1
LOOP ID - N1 >1
070 N1 Name O 1 c3
080 N2 Additional Name Information O >1
090 N3 Address Information O >1
100 N4 Geographic Location O 1
110 REF Reference Identification O >1
120 PER Administrative Communications Contact O >1
130 RDM Remittance Delivery Method O 1
140 DTM Date/Time Reference O 1

MY4010 (004010) 13 August 4, 2000

Detail:
Pos. Seg. Req. Loop Notes and
No. ID Name Des. Max.Use Repeat Comments
LOOP ID - ENT >1
010 ENT Entity O 1 n1, c4
LOOP ID - NM1 >1
020 NM1 Individual or Organizational Name O 1 c5
030 N2 Additional Name Information O >1
040 N3 Address Information O >1
050 N4 Geographic Location O 1
060 REF Reference Identification O >1
070 PER Administrative Communications Contact O >1

LOOP ID - ADX >1

080 ADX Adjustment O 1 c6
090 NTE Note/Special Instruction O >1
100 PER Administrative Communications Contact O >1
105 DTM Date/Time Reference O 1
LOOP ID - REF >1
110 REF Reference Identification O 1
120 DTM Date/Time Reference O >1

LOOP ID - IT1 >1

130 IT1 Baseline Item Data (Invoice) O 1 c7
LOOP ID - REF >1
140 REF Reference Identification O 1
141 DTM Date/Time Reference O 1

LOOP ID - SAC >1

142 SAC Service, Promotion, Allowance, or Charge O 1
Information
143 TXI Tax Information O >1

LOOP ID - SLN >1

144 SLN Subline Item Detail O 1
LOOP ID - REF >1
145 REF Reference Identification O 1
146 DTM Date/Time Reference O >1

LOOP ID - SAC >1

147 SAC Service, Promotion, Allowance, or Charge O 1
Information
148 TXI Tax Information O >1

LOOP ID - RMR >1

150 RMR Remittance Advice Accounts Receivable Open O 1 c8
Item Reference
160 NTE Note/Special Instruction O >1
170 REF Reference Identification O >1
180 DTM Date/Time Reference O >1
LOOP ID - IT1 >1
190 IT1 Baseline Item Data (Invoice) O 1 c9
LOOP ID - REF >1
200 REF Reference Identification O 1
201 DTM Date/Time Reference O 1

LOOP ID - SAC >1

MY4010 (004010) 14 August 4, 2000
 202 SAC Service, Promotion, Allowance, or Charge O 1
Information
203 TXI Tax Information O >1

LOOP ID - SLN >1

204 SLN Subline Item Detail O 1
LOOP ID - REF >1
205 REF Reference Identification O 1
206 DTM Date/Time Reference O >1

LOOP ID - SAC >1

207 SAC Service, Promotion, Allowance, or Charge O 1
Information
208 TXI Tax Information O >1

LOOP ID - ADX >1

210 ADX Adjustment O 1 c10
220 NTE Note/Special Instruction O >1
230 PER Administrative Communications Contact O >1
LOOP ID - REF >1
240 REF Reference Identification O 1
250 DTM Date/Time Reference O >1

LOOP ID - IT1 >1

260 IT1 Baseline Item Data (Invoice) O 1 c11
LOOP ID - REF >1
270 REF Reference Identification O 1
271 DTM Date/Time Reference O 1

LOOP ID - SAC >1

272 SAC Service, Promotion, Allowance, or Charge O 1
Information
273 TXI Tax Information O >1

LOOP ID - SLN >1

274 SLN Subline Item Detail O 1
LOOP ID - REF >1
275 REF Reference Identification O 1
276 DTM Date/Time Reference O >1

LOOP ID - SAC >1

277 SAC Service, Promotion, Allowance, or Charge O 1
Information
278 TXI Tax Information O >1

LOOP ID - TXP >1

280 TXP Tax Payment O 1 n2
285 TXI Tax Information O >1

LOOP ID - DED >1

287 DED Deductions O 1 n3

LOOP ID - LX >1
290 LX Assigned Number O 1 n4
295 REF Reference Identification O >1
300 TRN Trace O >1
LOOP ID - NM1 >1
305 NM1 Individual or Organizational Name O 1
310 REF Reference Identification O >1
315 G53 Maintenance Type O 1

MY4010 (004010) 15 August 4, 2000

 LOOP ID - AIN >1
320 AIN Income O 1
325 QTY Quantity O >1
330 DTP Date or Time or Period O >1

LOOP ID - PEN >1

335 PEN Pension Information O 1
340 AMT Monetary Amount O >1
345 DTP Date or Time or Period O >1
LOOP ID - INV >1
350 INV Investment Vehicle Selection O 1
355 DTP Date or Time or Period O >1

LOOP ID - N9 1
360 N9 Reference Identification O 1 n5
LOOP ID - AMT >1
370 AMT Monetary Amount O 1 c12
380 REF Reference Identification O >1

LOOP ID - N1 >1
390 N1 Name O 1
400 REF Reference Identification O >1
LOOP ID - EMS >1
410 EMS Employment Position O 1
420 ATN Attendance O >1
430 AIN Income O >1
440 PYD Payroll Deduction O >1

LOOP ID - RYL >1

450 RYL Royalty Payment O 1 n6
LOOP ID - NM1 >1
460 NM1 Individual or Organizational Name O 1
LOOP ID - LOC >1
470 LOC Location O 1
LOOP ID - PID >1
480 PID Product/Item Description O 1
490 DTM Date/Time Reference O 1
LOOP ID - PCT >1
500 PCT Percent Amounts O 1
510 QTY Quantity O 1
LOOP ID - AMT >1
520 AMT Monetary Amount O 1
530 ADX Adjustment O >1

LOOP ID - ASM 1
540 ASM Amount and Settlement Method O 1
550 ADX Adjustment O 1

MY4010 (004010) 16 August 4, 2000

Summary:
Pos. Seg. Req. Loop Notes and
No. ID Name Des. Max.Use Repeat Comments
M 010 SE Transaction Set Trailer M 1

Transaction Set Notes

1. The ENT loop is for vendor or consumer third party consolidated payments.
2. The TXP loop is for tax payments.
3. The DED loop is for child support payments.
4. The LX loop is for pension payments.
5. The N9 loop is for payroll payments.
6. The RYL loop is for royalty payments.

Transaction Set Comments

1. The TRN segment is used to uniquely identify a payment order/remittance advice.
2. The CUR segment does not initiate a foreign exchange transaction.
3. The N1 loop allows for name/address information for the payer and payee which would be utilized to address
remittance(s) for delivery.
4. ENT09 may contain the payee's accounts receivable customer number.
5. Allowing the NM1 segment to repeat in this area allows the paying entity within a payer and the paid entity
within a payee to be identified (not the payer and payee).
6. This ADX loop contains adjustment items which are not netted to an RMR segment in this transaction set.
7. Loop IT1 within the ADX loop is the adjustment line item detail loop.
8. Loop RMR is for open items being referenced or for payment on account.
9. Loop IT1 within the RMR loop is the remittance line item detail loop.
10. This ADX loop can only contain adjustment information for the immediately preceding RMR segment and
affects the amount (RMR04) calculation. If this adjustment amount is not netted to the immediately preceding
RMR, use the outer ADX loop (position 080).
11. Loop IT1 within the ADX loop is the adjustment line item detail loop.
12. The AMT segment can be used to provide information about allocation or distribution of gross pay that is
split across multiple payment orders.

MY4010 (004010) 17 August 4, 2000

 Segment: ST Transaction Set Header
Position: 010
Loop:
Level: Heading
Usage: Mandatory
Max Use: 1
Purpose: To indicate the start of a transaction set and to assign a control number
Syntax Notes:
Semantic Notes: 1 The transaction set identifier (ST01) is used by the translation routines of the
interchange partners to select the appropriate transaction set definition (e.g., 810
selects the Invoice Transaction Set).
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M ST01 143 Transaction Set Identifier Code M ID 3/3
Code uniquely identifying a Transaction Set
Refer to 004010 Data Element Dictionary for acceptable code values.
M ST02 329 Transaction Set Control Number M AN 4/9
Identifying control number that must be unique within the transaction set
functional group assigned by the originator for a transaction set

Segment: BPR Beginning Segment for Payment Order/Remittance Advice

Position: 020
Loop:
Level: Heading
Usage: Mandatory
Max Use: 1
Purpose: To indicate the beginning of a Payment Order/Remittance Advice Transaction Set and
total payment amount, or to enable related transfer of funds and/or information from
payer to payee to occur
Syntax Notes: 1 If either BPR06 or BPR07 is present, then the other is required.
2 If BPR08 is present, then BPR09 is required.
3 If either BPR12 or BPR13 is present, then the other is required.
4 If BPR14 is present, then BPR15 is required.
5 If either BPR18 or BPR19 is present, then the other is required.
6 If BPR20 is present, then BPR21 is required.
Semantic Notes: 1 BPR02 specifies the payment amount.
2 When using this transaction set to initiate a payment, all or some of BPR06 through
BPR16 may be required, depending on the conventions of the specific financial
channel being used.
BPR06 and BPR07 relate to the originating depository financial institution (ODFI).
3 BPR08 is a code identifying the type of bank account or other financial asset.
4 BPR09 is the account of the company originating the payment. This account may be
debited or credited depending on the type of payment order.
5 BPR12 and BPR13 relate to the receiving depository financial institution (RDFI).
6 BPR14 is a code identifying the type of bank account or other financial asset.
7 BPR15 is the account number of the receiving company to be debited or credited
with the payment order.
8 BPR16 is the date the originating company intends for the transaction to be settled
(i.e., Payment Effective Date).
9 BPR17 is a code identifying the business reason for this payment.
10 BPR18, BPR19, BPR20 and BPR21, if used, identify a third bank identification
number and account to be used for return items only.
11 BPR20 is a code identifying the type of bank account or other financial asset.
Comments:
MY4010 (004010) 18 August 4, 2000
 Data Element Summary
Ref. Data
Des. Element Name Attributes
M BPR01 305 Transaction Handling Code M ID 1/2
Code designating the action to be taken by all parties
Refer to 004010 Data Element Dictionary for acceptable code values.
M BPR02 782 Monetary Amount M R 1/18
Monetary amount
M BPR03 478 Credit/Debit Flag Code M ID 1/1
Code indicating whether amount is a credit or debit
Refer to 004010 Data Element Dictionary for acceptable code values.
M BPR04 591 Payment Method Code M ID 3/3
Code identifying the method for the movement of payment instructions
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR05 812 Payment Format Code O ID 1/10
Code identifying the payment format to be used
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR06 506 (DFI) ID Number Qualifier X ID 2/2
Code identifying the type of identification number of Depository Financial
Institution (DFI)
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR07 507 (DFI) Identification Number X AN 3/12
Depository Financial Institution (DFI) identification number
BPR08 569 Account Number Qualifier O ID 1/3
Code indicating the type of account
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR09 508 Account Number X AN 1/35
Account number assigned
BPR10 509 Originating Company Identifier O AN 10/10
A unique identifier designating the company initiating the funds transfer
instructions. The first character is one-digit ANSI identification code
designation (ICD) followed by the nine-digit identification number which
may be an IRS employer identification number (EIN), data universal
numbering system (DUNS), or a user assigned number; the ICD for an
EIN is 1, DUNS is 3, user assigned number is 9
BPR11 510 Originating Company Supplemental Code O AN 9/9
A code defined between the originating company and the originating
depository financial institution (ODFI) that uniquely identifies the
company initiating the transfer instructions
BPR12 506 (DFI) ID Number Qualifier X ID 2/2
Code identifying the type of identification number of Depository Financial
Institution (DFI)
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR13 507 (DFI) Identification Number X AN 3/12
Depository Financial Institution (DFI) identification number
BPR14 569 Account Number Qualifier O ID 1/3
Code indicating the type of account
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR15 508 Account Number X AN 1/35
Account number assigned
BPR16 373 Date O DT 8/8
Date expressed as CCYYMMDD
MY4010 (004010) 19 August 4, 2000
 BPR17 1048 Business Function Code O ID 1/3
Code identifying the business reason for this payment
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR18 506 (DFI) ID Number Qualifier X ID 2/2
Code identifying the type of identification number of Depository Financial
Institution (DFI)
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR19 507 (DFI) Identification Number X AN 3/12
Depository Financial Institution (DFI) identification number
BPR20 569 Account Number Qualifier O ID 1/3
Code indicating the type of account
Refer to 004010 Data Element Dictionary for acceptable code values.
BPR21 508 Account Number X AN 1/35
Account number assigned

Segment: NTE Note/Special Instruction

Position: 030
Loop:
Level: Heading
Usage: Optional
Max Use: >1
Purpose: To transmit information in a free-form format, if necessary, for comment or special
instruction
Syntax Notes:
Semantic Notes:
Comments: 1 The NTE segment permits free-form information/data which, under ANSI X12
standard implementations, is not machine processable. The use of the NTE segment
should therefore be avoided, if at all possible, in an automated environment.

Data Element Summary

Ref. Data
Des. Element Name Attributes
NTE01 363 Note Reference Code O ID 3/3
Code identifying the functional area or purpose for which the note applies
Refer to 004010 Data Element Dictionary for acceptable code values.
M NTE02 352 Description M AN 1/80
A free-form description to clarify the related data elements and their
content

Segment: TRN Trace

Position: 035
Loop:
Level: Heading
Usage: Optional
Max Use: 1
Purpose: To uniquely identify a transaction to an application
Syntax Notes:
Semantic Notes: 1 TRN02 provides unique identification for the transaction.
2 TRN03 identifies an organization.
3 TRN04 identifies a further subdivision within the organization.
Comments:

Data Element Summary

Ref. Data
MY4010 (004010) 20 August 4, 2000
 Des. Element Name Attributes
M TRN01 481 Trace Type Code M ID 1/2
Code identifying which transaction is being referenced
Refer to 004010 Data Element Dictionary for acceptable code values.
M TRN02 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
TRN03 509 Originating Company Identifier O AN 10/10
A unique identifier designating the company initiating the funds transfer
instructions. The first character is one-digit ANSI identification code
designation (ICD) followed by the nine-digit identification number which
may be an IRS employer identification number (EIN), data universal
numbering system (DUNS), or a user assigned number; the ICD for an
EIN is 1, DUNS is 3, user assigned number is 9
TRN04 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: CUR Currency

Position: 040
Loop:
Level: Heading
Usage: Optional
Max Use: 1
Purpose: To specify the currency (dollars, pounds, francs, etc.) used in a transaction
Syntax Notes: 1 If CUR08 is present, then CUR07 is required.
2 If CUR09 is present, then CUR07 is required.
3 If CUR10 is present, then at least one of CUR11 or CUR12 is required.
4 If CUR11 is present, then CUR10 is required.
5 If CUR12 is present, then CUR10 is required.
6 If CUR13 is present, then at least one of CUR14 or CUR15 is required.
7 If CUR14 is present, then CUR13 is required.
8 If CUR15 is present, then CUR13 is required.
9 If CUR16 is present, then at least one of CUR17 or CUR18 is required.
10 If CUR17 is present, then CUR16 is required.
11 If CUR18 is present, then CUR16 is required.
12 If CUR19 is present, then at least one of CUR20 or CUR21 is required.
13 If CUR20 is present, then CUR19 is required.
14 If CUR21 is present, then CUR19 is required.
Semantic Notes:
Comments: 1 See Figures Appendix for examples detailing the use of the CUR segment.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M CUR01 98 Entity Identifier Code M ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
M CUR02 100 Currency Code M ID 3/3
Code (Standard ISO) for country in whose currency the charges are
specified
CUR03 280 Exchange Rate O R 4/10
Value to be used as a multiplier conversion factor to convert monetary
value from one currency to another
CUR04 98 Entity Identifier Code O ID 2/3
Code identifying an organizational entity, a physical location, property or
MY4010 (004010) 21 August 4, 2000
 an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
CUR05 100 Currency Code O ID 3/3
Code (Standard ISO) for country in whose currency the charges are
specified
CUR06 669 Currency Market/Exchange Code O ID 3/3
Code identifying the market upon which the currency exchange rate is
based
Refer to 004010 Data Element Dictionary for acceptable code values.
CUR07 374 Date/Time Qualifier X ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
CUR08 373 Date O DT 8/8
Date expressed as CCYYMMDD
CUR09 337 Time O TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
CUR10 374 Date/Time Qualifier X ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
CUR11 373 Date X DT 8/8
Date expressed as CCYYMMDD
CUR12 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
CUR13 374 Date/Time Qualifier X ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
CUR14 373 Date X DT 8/8
Date expressed as CCYYMMDD
CUR15 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
CUR16 374 Date/Time Qualifier X ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
CUR17 373 Date X DT 8/8
Date expressed as CCYYMMDD
CUR18 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
CUR19 374 Date/Time Qualifier X ID 3/3
Code specifying type of date or time, or both date and time
MY4010 (004010) 22 August 4, 2000
 Refer to 004010 Data Element Dictionary for acceptable code values.
CUR20 373 Date X DT 8/8
Date expressed as CCYYMMDD
CUR21 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)

Segment: REF Reference Identification

Position: 050
Loop:
Level: Heading
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30

MY4010 (004010) 23 August 4, 2000

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

Segment: DTM Date/Time Reference

Position: 060
Loop:
Level: Heading
Usage: Optional
Max Use: >1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: N1 Name
Position: 070
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: 1
Purpose: To identify a party by type of organization, name, and code
Syntax Notes: 1 At least one of N102 or N103 is required.
2 If either N103 or N104 is present, then the other is required.
Semantic Notes:

MY4010 (004010) 24 August 4, 2000

 Comments: 1 This segment, used alone, provides the most efficient method of providing
organizational identification. To obtain this efficiency the "ID Code" (N104) must
provide a key to the table maintained by the transaction processing party.
2 N105 and N106 further define the type of entity in N101.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M N101 98 Entity Identifier Code M ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
N102 93 Name X AN 1/60
Free-form name
N103 66 Identification Code Qualifier X ID 1/2
Code designating the system/method of code structure used for
Identification Code (67)
Refer to 004010 Data Element Dictionary for acceptable code values.
N104 67 Identification Code X AN 2/80
Code identifying a party or other code
N105 706 Entity Relationship Code O ID 2/2
Code describing entity relationship
Refer to 004010 Data Element Dictionary for acceptable code values.
N106 98 Entity Identifier Code O ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: N2 Additional Name Information

Position: 080
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: >1
Purpose: To specify additional names or those longer than 35 characters in length
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M N201 93 Name M AN 1/60
Free-form name
N202 93 Name O AN 1/60
Free-form name

Segment: N3 Address Information

Position: 090
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: >1
Purpose: To specify the location of the named party
MY4010 (004010) 25 August 4, 2000
 Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M N301 166 Address Information M AN 1/55
Address information
N302 166 Address Information O AN 1/55
Address information

Segment: N4 Geographic Location

Position: 100
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: 1
Purpose: To specify the geographic place of the named party
Syntax Notes: 1 If N406 is present, then N405 is required.
Semantic Notes:
Comments: 1 A combination of either N401 through N404, or N405 and N406 may be adequate to
specify a location.
2 N402 is required only if city name (N401) is in the U.S. or Canada.

Data Element Summary

Ref. Data
Des. Element Name Attributes
N401 19 City Name O AN 2/30
Free-form text for city name
N402 156 State or Province Code O ID 2/2
Code (Standard State/Province) as defined by appropriate government
agency
N403 116 Postal Code O ID 3/15
Code defining international postal zone code excluding punctuation and
blanks (zip code for United States)
N404 26 Country Code O ID 2/3
Code identifying the country
N405 309 Location Qualifier X ID 1/2
Code identifying type of location
Refer to 004010 Data Element Dictionary for acceptable code values.
N406 310 Location Identifier O AN 1/30
Code which identifies a specific location

Segment: REF Reference Identification

Position: 110
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
MY4010 (004010) 26 August 4, 2000
 Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: PER Administrative Communications Contact

Position: 120
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: >1
Purpose: To identify a person or office to whom administrative communications should be directed
Syntax Notes: 1 If either PER03 or PER04 is present, then the other is required.
2 If either PER05 or PER06 is present, then the other is required.
3 If either PER07 or PER08 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M PER01 366 Contact Function Code M ID 2/2

MY4010 (004010) 27 August 4, 2000

 Code identifying the major duty or responsibility of the person or group
named
Refer to 004010 Data Element Dictionary for acceptable code values.
PER02 93 Name O AN 1/60
Free-form name
PER03 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER04 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER05 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER06 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER07 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER08 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER09 443 Contact Inquiry Reference O AN 1/20
Additional reference number or description to clarify a contact number

Segment: RDM Remittance Delivery Method

Position: 130
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: 1
Purpose: To identify remittance delivery when remittance is separate from payment
Syntax Notes: 1 If either C04003 or C04004 is present, then the other is required.
2 If either C04005 or C04006 is present, then the other is required.
3 If either C04003 or C04004 is present, then the other is required.
4 If either C04005 or C04006 is present, then the other is required.
Semantic Notes:
Comments: 1 RDM02 is used to contain the name of a third party processor if needed, who would
be the first recipient of the remittance.
2 RDM03 contains the operative communication number for the delivery method
specified in RDM01 (i.e. fax phone number and mail address).
3 RDM04 and RDM05 allow for additional room to convey further routing
information beyond what is given in RDM03.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M RDM01 756 Report Transmission Code M ID 1/2
Code defining timing, transmission method or format by which reports are
to be sent
Refer to 004010 Data Element Dictionary for acceptable code values.
RDM02 93 Name O AN 1/60
Free-form name
RDM03 364 Communication Number O AN 1/80
MY4010 (004010) 28 August 4, 2000
 Complete communications number including country or area code when
applicable
RDM04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
RDM05 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 140
Loop: N1 Optional
Level: Heading
Usage: Optional
Max Use: 1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
MY4010 (004010) 29 August 4, 2000
 Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: ENT Entity

Position: 010
Loop: ENT Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To designate the entities which are parties to a transaction and specify a reference
meaningful to those entities
Syntax Notes: 1 If any of ENT02 ENT03 or ENT04 is present, then all are required.
2 If any of ENT05 ENT06 or ENT07 is present, then all are required.
3 If either ENT08 or ENT09 is present, then the other is required.
Semantic Notes:
Comments: 1 This segment allows for the grouping of data by entity/entities at or within a
master/masters. A master (e.g., an organization) can be comprised of numerous
subgroups (e.g., entities). This master may send grouped data to another master (e.g.,
an organization) which is comprised of one or more entities. Groupings are as
follows:
(1) Single/Single: Only ENT01 is necessary, because there is a single entity (the
sending master) communicating with a single entity (the receiving master).
(2) Single/Multiple: ENT05, ENT06, and ENT07 would be used to identify the
entities within the receiving master. The sending master is a single entity, so no other
data elements need be used.
(3) Multiple/Single: ENT02, ENT03, and ENT04 would be used to identify the
entities within the sending master. The receiving master is a single entity, so no other
data elements need be used.

MY4010 (004010) 30 August 4, 2000

 (4) Multiple/Multiple: ENT02, ENT03, and ENT04 would be used to identify the
entities within the sending master. ENT05, ENT06, and ENT07 would be used to
identify the entities within the receiving master.
This segment also allows for the transmission of a unique reference number that is
meaningful between the entities.

Data Element Summary

Ref. Data
Des. Element Name Attributes
ENT01 554 Assigned Number O N0 1/6
Number assigned for differentiation within a transaction set
ENT02 98 Entity Identifier Code X ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
ENT03 66 Identification Code Qualifier X ID 1/2
Code designating the system/method of code structure used for
Identification Code (67)
Refer to 004010 Data Element Dictionary for acceptable code values.
ENT04 67 Identification Code X AN 2/80
Code identifying a party or other code
ENT05 98 Entity Identifier Code X ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
ENT06 66 Identification Code Qualifier X ID 1/2
Code designating the system/method of code structure used for
Identification Code (67)
Refer to 004010 Data Element Dictionary for acceptable code values.
ENT07 67 Identification Code X AN 2/80
Code identifying a party or other code
ENT08 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
ENT09 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: NM1 Individual or Organizational Name

Position: 020
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To supply the full name of an individual or organizational entity
Syntax Notes: 1 If either NM108 or NM109 is present, then the other is required.
2 If NM111 is present, then NM110 is required.
Semantic Notes: 1 NM102 qualifies NM103.
Comments: 1 NM110 and NM111 further define the type of entity in NM101.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M NM101 98 Entity Identifier Code M ID 2/3

MY4010 (004010) 31 August 4, 2000

 Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
M NM102 1065 Entity Type Qualifier M ID 1/1
Code qualifying the type of entity
Refer to 004010 Data Element Dictionary for acceptable code values.
NM103 1035 Name Last or Organization Name O AN 1/35
Individual last name or organizational name
NM104 1036 Name First O AN 1/25
Individual first name
NM105 1037 Name Middle O AN 1/25
Individual middle name or initial
NM106 1038 Name Prefix O AN 1/10
Prefix to individual name
NM107 1039 Name Suffix O AN 1/10
Suffix to individual name
NM108 66 Identification Code Qualifier X ID 1/2
Code designating the system/method of code structure used for
Identification Code (67)
Refer to 004010 Data Element Dictionary for acceptable code values.
NM109 67 Identification Code X AN 2/80
Code identifying a party or other code
NM110 706 Entity Relationship Code X ID 2/2
Code describing entity relationship
Refer to 004010 Data Element Dictionary for acceptable code values.
NM111 98 Entity Identifier Code O ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: N2 Additional Name Information

Position: 030
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify additional names or those longer than 35 characters in length
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M N201 93 Name M AN 1/60
Free-form name
N202 93 Name O AN 1/60
Free-form name

Segment: N3 Address Information

Position: 040
Loop: NM1 Optional
Level: Detail
MY4010 (004010) 32 August 4, 2000
 Usage: Optional
Max Use: >1
Purpose: To specify the location of the named party
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M N301 166 Address Information M AN 1/55
Address information
N302 166 Address Information O AN 1/55
Address information

Segment: N4 Geographic Location

Position: 050
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify the geographic place of the named party
Syntax Notes: 1 If N406 is present, then N405 is required.
Semantic Notes:
Comments: 1 A combination of either N401 through N404, or N405 and N406 may be adequate to
specify a location.
2 N402 is required only if city name (N401) is in the U.S. or Canada.

Data Element Summary

Ref. Data
Des. Element Name Attributes
N401 19 City Name O AN 2/30
Free-form text for city name
N402 156 State or Province Code O ID 2/2
Code (Standard State/Province) as defined by appropriate government
agency
N403 116 Postal Code O ID 3/15
Code defining international postal zone code excluding punctuation and
blanks (zip code for United States)
N404 26 Country Code O ID 2/3
Code identifying the country
N405 309 Location Qualifier X ID 1/2
Code identifying type of location
Refer to 004010 Data Element Dictionary for acceptable code values.
N406 310 Location Identifier O AN 1/30
Code which identifies a specific location

Segment: REF Reference Identification

Position: 060
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
MY4010 (004010) 33 August 4, 2000
 Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: PER Administrative Communications Contact

Position: 070
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To identify a person or office to whom administrative communications should be directed
Syntax Notes: 1 If either PER03 or PER04 is present, then the other is required.
2 If either PER05 or PER06 is present, then the other is required.
3 If either PER07 or PER08 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

MY4010 (004010) 34 August 4, 2000

 Ref. Data
Des. Element Name Attributes
M PER01 366 Contact Function Code M ID 2/2
Code identifying the major duty or responsibility of the person or group
named
Refer to 004010 Data Element Dictionary for acceptable code values.
PER02 93 Name O AN 1/60
Free-form name
PER03 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER04 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER05 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER06 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER07 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER08 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER09 443 Contact Inquiry Reference O AN 1/20
Additional reference number or description to clarify a contact number

Segment: ADX Adjustment

Position: 080
Loop: ADX Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To convey accounts-payable adjustment information for the purpose of cash application,
including payer-generated debit/credit memos
Syntax Notes: 1 If either ADX03 or ADX04 is present, then the other is required.
Semantic Notes: 1 ADX01 specifies the amount of the adjustment and must be signed if negative. If
negative, it reduces the payment amount; if positive, it increases the payment
amount.
2 ADX02 specifies the reason for claiming the adjustment.
3 ADX03 and ADX04 specify the identification of the adjustment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M ADX01 782 Monetary Amount M R 1/18
Monetary amount
M ADX02 426 Adjustment Reason Code M ID 2/2
Code indicating reason for debit or credit memo or adjustment to invoice,
debit or credit memo, or payment
Refer to 004010 Data Element Dictionary for acceptable code values.

MY4010 (004010) 35 August 4, 2000

 ADX03 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
ADX04 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: NTE Note/Special Instruction

Position: 090
Loop: ADX Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To transmit information in a free-form format, if necessary, for comment or special
instruction
Syntax Notes:
Semantic Notes:
Comments: 1 The NTE segment permits free-form information/data which, under ANSI X12
standard implementations, is not machine processable. The use of the NTE segment
should therefore be avoided, if at all possible, in an automated environment.

Data Element Summary

Ref. Data
Des. Element Name Attributes
NTE01 363 Note Reference Code O ID 3/3
Code identifying the functional area or purpose for which the note applies
Refer to 004010 Data Element Dictionary for acceptable code values.
M NTE02 352 Description M AN 1/80
A free-form description to clarify the related data elements and their
content

Segment: PER Administrative Communications Contact

Position: 100
Loop: ADX Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To identify a person or office to whom administrative communications should be directed
Syntax Notes: 1 If either PER03 or PER04 is present, then the other is required.
2 If either PER05 or PER06 is present, then the other is required.
3 If either PER07 or PER08 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M PER01 366 Contact Function Code M ID 2/2
Code identifying the major duty or responsibility of the person or group
named
Refer to 004010 Data Element Dictionary for acceptable code values.
PER02 93 Name O AN 1/60
Free-form name
PER03 365 Communication Number Qualifier X ID 2/2

MY4010 (004010) 36 August 4, 2000

 Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER04 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER05 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER06 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER07 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER08 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER09 443 Contact Inquiry Reference O AN 1/20
Additional reference number or description to clarify a contact number

Segment: DTM Date/Time Reference

Position: 105
Loop: ADX Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
MY4010 (004010) 37 August 4, 2000
 Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: REF Reference Identification

Position: 110
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 120
MY4010 (004010) 38 August 4, 2000
 Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: IT1 Baseline Item Data (Invoice)

Position: 130
Loop: IT1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify the basic and most frequently used line item data for the invoice and related
transactions
Syntax Notes: 1 If any of IT102 IT103 or IT104 is present, then all are required.
2 If either IT106 or IT107 is present, then the other is required.
3 If either IT108 or IT109 is present, then the other is required.
4 If either IT110 or IT111 is present, then the other is required.
5 If either IT112 or IT113 is present, then the other is required.
6 If either IT114 or IT115 is present, then the other is required.
7 If either IT116 or IT117 is present, then the other is required.
8 If either IT118 or IT119 is present, then the other is required.
9 If either IT120 or IT121 is present, then the other is required.
10 If either IT122 or IT123 is present, then the other is required.

MY4010 (004010) 39 August 4, 2000

 11 If either IT124 or IT125 is present, then the other is required.
Semantic Notes: 1 IT101 is the purchase order line item identification.
Comments: 1 Element 235/234 combinations should be interpreted to include products and/or
services. See the Data Dictionary for a complete list of IDs.
2 IT106 through IT125 provide for ten different product/service IDs for each item. For
example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

Data Element Summary

Ref. Data
Des. Element Name Attributes
IT101 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
IT102 358 Quantity Invoiced X R 1/10
Number of units invoiced (supplier units)
IT103 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
IT104 212 Unit Price X R 1/17
Price per unit of product, service, commodity, etc.
IT105 639 Basis of Unit Price Code O ID 2/2
Code identifying the type of unit price for an item
Refer to 004010 Data Element Dictionary for acceptable code values.
IT106 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT107 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT108 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT109 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT110 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT111 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT112 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT113 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT114 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT115 234 Product/Service ID X AN 1/48
Identifying number for a product or service
MY4010 (004010) 40 August 4, 2000
 IT116 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT117 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT118 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT119 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT120 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT121 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT122 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT123 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT124 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT125 234 Product/Service ID X AN 1/48
Identifying number for a product or service

Segment: REF Reference Identification

Position: 140
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
MY4010 (004010) 41 August 4, 2000
 A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 141
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
MY4010 (004010) 42 August 4, 2000
 since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: SAC Service, Promotion, Allowance, or Charge Information

Position: 142
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount
or percentage for the service, promotion, allowance, or charge
Syntax Notes: 1 At least one of SAC02 or SAC03 is required.
2 If either SAC03 or SAC04 is present, then the other is required.
3 If either SAC06 or SAC07 is present, then the other is required.
4 If either SAC09 or SAC10 is present, then the other is required.
5 If SAC11 is present, then SAC10 is required.
6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.
7 If SAC14 is present, then SAC13 is required.
8 If SAC16 is present, then SAC15 is required.
Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.
2 SAC05 is the total amount for the service, promotion, allowance, or charge.
If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.
3 SAC08 is the allowance or charge rate per unit.
4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is
different from the purchase order or invoice quantity.
SAC10 and SAC11 used together indicate a quantity range, which could be a dollar
amount, that is applicable to service, promotion, allowance, or charge.
5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference
number as identified by the code used.
6 SAC14 is used in conjunction with SAC13 to identify an option when there is more
than one option of the promotion.
7 SAC16 is used to identify the language being used in SAC15.
Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or
charge. In addition, it may be used in conjunction to further the code in SAC02.
2 In some business applications, it is necessary to advise the trading partner of the
actual dollar amount that a particular allowance, charge, or promotion was based on
to reduce ambiguity. This amount is commonly referred to as "Dollar Basis Amount".
It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in
SAC09.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SAC01 248 Allowance or Charge Indicator M ID 1/1
Code which indicates an allowance or charge for the service specified
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4
Code identifying the service, promotion, allowance, or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC03 559 Agency Qualifier Code X ID 2/2

MY4010 (004010) 43 August 4, 2000

 Code identifying the agency assigning the code values
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC04 1301 Agency Service, Promotion, Allowance, or Charge X AN 1/10
Code
Agency maintained code identifying the service, promotion, allowance, or
charge
SAC05 610 Amount O N2 1/15
Monetary amount
SAC06 378 Allowance/Charge Percent Qualifier X ID 1/1
Code indicating on what basis allowance or charge percent is calculated
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC07 332 Percent X R 1/6
Percent expressed as a percent
SAC08 118 Rate O R 1/9
Rate expressed in the standard monetary denomination for the currency
specified
SAC09 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC10 380 Quantity X R 1/15
Numeric value of quantity
SAC11 380 Quantity O R 1/15
Numeric value of quantity
SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2
Code indicating method of handling for an allowance or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC13 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
SAC14 770 Option Number O AN 1/20
A unique number identifying available promotion or allowance options
when more than one is offered
SAC15 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
SAC16 819 Language Code O ID 2/3
Code designating the language used in text, from a standard code list
maintained by the International Standards Organization (ISO 639)

Segment: TXI Tax Information

Position: 143
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify tax information
Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.
2 If either TXI04 or TXI05 is present, then the other is required.
3 If TXI08 is present, then TXI03 is required.
Semantic Notes: 1 TXI02 is the monetary amount of the tax.
2 TXI03 is the tax percent expressed as a decimal.
3 TXI07 is a code indicating the relationship of the price or amount to the associated
segment.
Comments:

MY4010 (004010) 44 August 4, 2000

 Data Element Summary
Ref. Data
Des. Element Name Attributes
M TXI01 963 Tax Type Code M ID 2/2
Code specifying the type of tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI02 782 Monetary Amount X R 1/18
Monetary amount
TXI03 954 Percent X R 1/10
Percentage expressed as a decimal
TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2
Code identifying the source of the data used in tax jurisdiction code
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI05 956 Tax Jurisdiction Code X AN 1/10
Code identifying the taxing jurisdiction
TXI06 441 Tax Exempt Code X ID 1/1
Code identifying exemption status from sales and use tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI07 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI08 828 Dollar Basis For Percent O R 1/9
Dollar basis to be used in the percent calculation of the allowance, charge
or tax
TXI09 325 Tax Identification Number O AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
TXI10 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set

Segment: SLN Subline Item Detail

Position: 144
Loop: SLN Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify product subline detail item data
Syntax Notes: 1 If either SLN04 or SLN05 is present, then the other is required.
2 If SLN07 is present, then SLN06 is required.
3 If SLN08 is present, then SLN06 is required.
4 If either SLN09 or SLN10 is present, then the other is required.
5 If either SLN11 or SLN12 is present, then the other is required.
6 If either SLN13 or SLN14 is present, then the other is required.
7 If either SLN15 or SLN16 is present, then the other is required.
8 If either SLN17 or SLN18 is present, then the other is required.
9 If either SLN19 or SLN20 is present, then the other is required.
10 If either SLN21 or SLN22 is present, then the other is required.
11 If either SLN23 or SLN24 is present, then the other is required.
12 If either SLN25 or SLN26 is present, then the other is required.
13 If either SLN27 or SLN28 is present, then the other is required.
Semantic Notes: 1 SLN01 is the identifying number for the subline item.

MY4010 (004010) 45 August 4, 2000

 2 SLN02 is the identifying number for the subline level. The subline level is analogous
to the level code used in a bill of materials.
3 SLN03 is the configuration code indicating the relationship of the subline item to the
baseline item.
4 SLN08 is a code indicating the relationship of the price or amount to the associated
segment.
Comments: 1 See the Data Element Dictionary for a complete list of IDs.
2 SLN01 is related to (but not necessarily equivalent to) the baseline item number.
Example: 1.1 or 1A might be used as a subline number to relate to baseline number
1.
3 SLN09 through SLN28 provide for ten different product/service IDs for each item.
For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SLN01 350 Assigned Identification M AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
SLN02 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
M SLN03 662 Relationship Code M ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN04 380 Quantity X R 1/15
Numeric value of quantity
SLN05 C001 Composite Unit of Measure X
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
MY4010 (004010) 46 August 4, 2000
 Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
SLN06 212 Unit Price X R 1/17
Price per unit of product, service, commodity, etc.
SLN07 639 Basis of Unit Price Code O ID 2/2
Code identifying the type of unit price for an item
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN08 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN09 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN10 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN11 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN12 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN13 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN14 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN15 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN16 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN17 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN18 234 Product/Service ID X AN 1/48
Identifying number for a product or service

MY4010 (004010) 47 August 4, 2000

 SLN19 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN20 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN21 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN22 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN23 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN24 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN25 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN26 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN27 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN28 234 Product/Service ID X AN 1/48
Identifying number for a product or service

Segment: REF Reference Identification

Position: 145
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
MY4010 (004010) 48 August 4, 2000
 A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 146
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
MY4010 (004010) 49 August 4, 2000
 since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: SAC Service, Promotion, Allowance, or Charge Information

Position: 147
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount
or percentage for the service, promotion, allowance, or charge
Syntax Notes: 1 At least one of SAC02 or SAC03 is required.
2 If either SAC03 or SAC04 is present, then the other is required.
3 If either SAC06 or SAC07 is present, then the other is required.
4 If either SAC09 or SAC10 is present, then the other is required.
5 If SAC11 is present, then SAC10 is required.
6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.
7 If SAC14 is present, then SAC13 is required.
8 If SAC16 is present, then SAC15 is required.
Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.
2 SAC05 is the total amount for the service, promotion, allowance, or charge.
If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.
3 SAC08 is the allowance or charge rate per unit.
4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is
different from the purchase order or invoice quantity.
SAC10 and SAC11 used together indicate a quantity range, which could be a dollar
amount, that is applicable to service, promotion, allowance, or charge.
5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference
number as identified by the code used.
6 SAC14 is used in conjunction with SAC13 to identify an option when there is more
than one option of the promotion.
7 SAC16 is used to identify the language being used in SAC15.
Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or
charge. In addition, it may be used in conjunction to further the code in SAC02.
2 In some business applications, it is necessary to advise the trading partner of the
actual dollar amount that a particular allowance, charge, or promotion was based on
to reduce ambiguity. This amount is commonly referred to as "Dollar Basis Amount".
It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in
SAC09.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SAC01 248 Allowance or Charge Indicator M ID 1/1
Code which indicates an allowance or charge for the service specified
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4
Code identifying the service, promotion, allowance, or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC03 559 Agency Qualifier Code X ID 2/2

MY4010 (004010) 50 August 4, 2000

 Code identifying the agency assigning the code values
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC04 1301 Agency Service, Promotion, Allowance, or Charge X AN 1/10
Code
Agency maintained code identifying the service, promotion, allowance, or
charge
SAC05 610 Amount O N2 1/15
Monetary amount
SAC06 378 Allowance/Charge Percent Qualifier X ID 1/1
Code indicating on what basis allowance or charge percent is calculated
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC07 332 Percent X R 1/6
Percent expressed as a percent
SAC08 118 Rate O R 1/9
Rate expressed in the standard monetary denomination for the currency
specified
SAC09 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC10 380 Quantity X R 1/15
Numeric value of quantity
SAC11 380 Quantity O R 1/15
Numeric value of quantity
SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2
Code indicating method of handling for an allowance or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC13 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
SAC14 770 Option Number O AN 1/20
A unique number identifying available promotion or allowance options
when more than one is offered
SAC15 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
SAC16 819 Language Code O ID 2/3
Code designating the language used in text, from a standard code list
maintained by the International Standards Organization (ISO 639)

Segment: TXI Tax Information

Position: 148
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify tax information
Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.
2 If either TXI04 or TXI05 is present, then the other is required.
3 If TXI08 is present, then TXI03 is required.
Semantic Notes: 1 TXI02 is the monetary amount of the tax.
2 TXI03 is the tax percent expressed as a decimal.
3 TXI07 is a code indicating the relationship of the price or amount to the associated
segment.
Comments:

MY4010 (004010) 51 August 4, 2000

 Data Element Summary
Ref. Data
Des. Element Name Attributes
M TXI01 963 Tax Type Code M ID 2/2
Code specifying the type of tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI02 782 Monetary Amount X R 1/18
Monetary amount
TXI03 954 Percent X R 1/10
Percentage expressed as a decimal
TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2
Code identifying the source of the data used in tax jurisdiction code
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI05 956 Tax Jurisdiction Code X AN 1/10
Code identifying the taxing jurisdiction
TXI06 441 Tax Exempt Code X ID 1/1
Code identifying exemption status from sales and use tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI07 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI08 828 Dollar Basis For Percent O R 1/9
Dollar basis to be used in the percent calculation of the allowance, charge
or tax
TXI09 325 Tax Identification Number O AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
TXI10 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set

Segment: RMR Remittance Advice Accounts Receivable Open Item Reference

Position: 150
Loop: RMR Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify the accounts receivable open item(s) to be included in the cash application and
to convey the appropriate detail
Syntax Notes: 1 If either RMR01 or RMR02 is present, then the other is required.
2 If either RMR07 or RMR08 is present, then the other is required.
Semantic Notes: 1 If RMR03 is present, it specifies how the cash is to be applied.
2 RMR04 is the amount paid.
3 RMR05 is the amount of invoice (including charges, less allowance) before terms
discount (if discount is applicable) or debit amount or credit amount of referenced
items.
4 RMR06 is the amount of discount taken.
5 RMR08, if present, represents an interest penalty payment, amount late interest paid,
or amount anticipation.
Comments: 1 Parties using this segment should agree on the content of RMR01 and RMR02 prior
to initiating communication.
2 If RMR03 is not present, this is a payment for an open item. If paying an open item,
RMR02 must be present. If not paying a specific open item, RMR04 must be present.
MY4010 (004010) 52 August 4, 2000
 3 RMR05 may be needed by some payees to distinguish between duplicate reference
numbers.

Data Element Summary

Ref. Data
Des. Element Name Attributes
RMR01 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
RMR02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
RMR03 482 Payment Action Code O ID 2/2
Code specifying the accounts receivable open item(s), if any, to be
included in the cash application.
Refer to 004010 Data Element Dictionary for acceptable code values.
RMR04 782 Monetary Amount O R 1/18
Monetary amount
RMR05 782 Monetary Amount O R 1/18
Monetary amount
RMR06 782 Monetary Amount O R 1/18
Monetary amount
RMR07 426 Adjustment Reason Code X ID 2/2
Code indicating reason for debit or credit memo or adjustment to invoice,
debit or credit memo, or payment
Refer to 004010 Data Element Dictionary for acceptable code values.
RMR08 782 Monetary Amount X R 1/18
Monetary amount

Segment: NTE Note/Special Instruction

Position: 160
Loop: RMR Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To transmit information in a free-form format, if necessary, for comment or special
instruction
Syntax Notes:
Semantic Notes:
Comments: 1 The NTE segment permits free-form information/data which, under ANSI X12
standard implementations, is not machine processable. The use of the NTE segment
should therefore be avoided, if at all possible, in an automated environment.

Data Element Summary

Ref. Data
Des. Element Name Attributes
NTE01 363 Note Reference Code O ID 3/3
Code identifying the functional area or purpose for which the note applies
Refer to 004010 Data Element Dictionary for acceptable code values.
M NTE02 352 Description M AN 1/80
A free-form description to clarify the related data elements and their
content

MY4010 (004010) 53 August 4, 2000

 Segment: REF Reference Identification
Position: 170
Loop: RMR Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 180
Loop: RMR Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify pertinent dates and times

MY4010 (004010) 54 August 4, 2000

 Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: IT1 Baseline Item Data (Invoice)

Position: 190
Loop: IT1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify the basic and most frequently used line item data for the invoice and related
transactions
Syntax Notes: 1 If any of IT102 IT103 or IT104 is present, then all are required.
2 If either IT106 or IT107 is present, then the other is required.
3 If either IT108 or IT109 is present, then the other is required.
4 If either IT110 or IT111 is present, then the other is required.
5 If either IT112 or IT113 is present, then the other is required.
6 If either IT114 or IT115 is present, then the other is required.
7 If either IT116 or IT117 is present, then the other is required.
8 If either IT118 or IT119 is present, then the other is required.
9 If either IT120 or IT121 is present, then the other is required.
10 If either IT122 or IT123 is present, then the other is required.
11 If either IT124 or IT125 is present, then the other is required.
Semantic Notes: 1 IT101 is the purchase order line item identification.
Comments: 1 Element 235/234 combinations should be interpreted to include products and/or
services. See the Data Dictionary for a complete list of IDs.

MY4010 (004010) 55 August 4, 2000

 2 IT106 through IT125 provide for ten different product/service IDs for each item. For
example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

Data Element Summary

Ref. Data
Des. Element Name Attributes
IT101 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
IT102 358 Quantity Invoiced X R 1/10
Number of units invoiced (supplier units)
IT103 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
IT104 212 Unit Price X R 1/17
Price per unit of product, service, commodity, etc.
IT105 639 Basis of Unit Price Code O ID 2/2
Code identifying the type of unit price for an item
Refer to 004010 Data Element Dictionary for acceptable code values.
IT106 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT107 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT108 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT109 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT110 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT111 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT112 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT113 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT114 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT115 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT116 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
MY4010 (004010) 56 August 4, 2000
 IT117 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT118 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT119 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT120 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT121 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT122 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT123 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT124 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT125 234 Product/Service ID X AN 1/48
Identifying number for a product or service

Segment: REF Reference Identification

Position: 200
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
MY4010 (004010) 57 August 4, 2000
 specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 201
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
MY4010 (004010) 58 August 4, 2000
 Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: SAC Service, Promotion, Allowance, or Charge Information

Position: 202
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount
or percentage for the service, promotion, allowance, or charge
Syntax Notes: 1 At least one of SAC02 or SAC03 is required.
2 If either SAC03 or SAC04 is present, then the other is required.
3 If either SAC06 or SAC07 is present, then the other is required.
4 If either SAC09 or SAC10 is present, then the other is required.
5 If SAC11 is present, then SAC10 is required.
6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.
7 If SAC14 is present, then SAC13 is required.
8 If SAC16 is present, then SAC15 is required.
Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.
2 SAC05 is the total amount for the service, promotion, allowance, or charge.
If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.
3 SAC08 is the allowance or charge rate per unit.
4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is
different from the purchase order or invoice quantity.
SAC10 and SAC11 used together indicate a quantity range, which could be a dollar
amount, that is applicable to service, promotion, allowance, or charge.
5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference
number as identified by the code used.
6 SAC14 is used in conjunction with SAC13 to identify an option when there is more
than one option of the promotion.
7 SAC16 is used to identify the language being used in SAC15.
Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or
charge. In addition, it may be used in conjunction to further the code in SAC02.
2 In some business applications, it is necessary to advise the trading partner of the
actual dollar amount that a particular allowance, charge, or promotion was based on
to reduce ambiguity. This amount is commonly referred to as "Dollar Basis Amount".
It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in
SAC09.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SAC01 248 Allowance or Charge Indicator M ID 1/1
Code which indicates an allowance or charge for the service specified
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4
Code identifying the service, promotion, allowance, or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC03 559 Agency Qualifier Code X ID 2/2
Code identifying the agency assigning the code values
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC04 1301 Agency Service, Promotion, Allowance, or Charge X AN 1/10
Code

MY4010 (004010) 59 August 4, 2000

 Agency maintained code identifying the service, promotion, allowance, or
charge
SAC05 610 Amount O N2 1/15
Monetary amount
SAC06 378 Allowance/Charge Percent Qualifier X ID 1/1
Code indicating on what basis allowance or charge percent is calculated
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC07 332 Percent X R 1/6
Percent expressed as a percent
SAC08 118 Rate O R 1/9
Rate expressed in the standard monetary denomination for the currency
specified
SAC09 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC10 380 Quantity X R 1/15
Numeric value of quantity
SAC11 380 Quantity O R 1/15
Numeric value of quantity
SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2
Code indicating method of handling for an allowance or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC13 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
SAC14 770 Option Number O AN 1/20
A unique number identifying available promotion or allowance options
when more than one is offered
SAC15 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
SAC16 819 Language Code O ID 2/3
Code designating the language used in text, from a standard code list
maintained by the International Standards Organization (ISO 639)

Segment: TXI Tax Information

Position: 203
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify tax information
Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.
2 If either TXI04 or TXI05 is present, then the other is required.
3 If TXI08 is present, then TXI03 is required.
Semantic Notes: 1 TXI02 is the monetary amount of the tax.
2 TXI03 is the tax percent expressed as a decimal.
3 TXI07 is a code indicating the relationship of the price or amount to the associated
segment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
MY4010 (004010) 60 August 4, 2000
M TXI01 963 Tax Type Code M ID 2/2
Code specifying the type of tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI02 782 Monetary Amount X R 1/18
Monetary amount
TXI03 954 Percent X R 1/10
Percentage expressed as a decimal
TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2
Code identifying the source of the data used in tax jurisdiction code
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI05 956 Tax Jurisdiction Code X AN 1/10
Code identifying the taxing jurisdiction
TXI06 441 Tax Exempt Code X ID 1/1
Code identifying exemption status from sales and use tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI07 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI08 828 Dollar Basis For Percent O R 1/9
Dollar basis to be used in the percent calculation of the allowance, charge
or tax
TXI09 325 Tax Identification Number O AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
TXI10 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set

Segment: SLN Subline Item Detail

Position: 204
Loop: SLN Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify product subline detail item data
Syntax Notes: 1 If either SLN04 or SLN05 is present, then the other is required.
2 If SLN07 is present, then SLN06 is required.
3 If SLN08 is present, then SLN06 is required.
4 If either SLN09 or SLN10 is present, then the other is required.
5 If either SLN11 or SLN12 is present, then the other is required.
6 If either SLN13 or SLN14 is present, then the other is required.
7 If either SLN15 or SLN16 is present, then the other is required.
8 If either SLN17 or SLN18 is present, then the other is required.
9 If either SLN19 or SLN20 is present, then the other is required.
10 If either SLN21 or SLN22 is present, then the other is required.
11 If either SLN23 or SLN24 is present, then the other is required.
12 If either SLN25 or SLN26 is present, then the other is required.
13 If either SLN27 or SLN28 is present, then the other is required.
Semantic Notes: 1 SLN01 is the identifying number for the subline item.
2 SLN02 is the identifying number for the subline level. The subline level is analogous
to the level code used in a bill of materials.
3 SLN03 is the configuration code indicating the relationship of the subline item to the
baseline item.
4 SLN08 is a code indicating the relationship of the price or amount to the associated
segment.
MY4010 (004010) 61 August 4, 2000
 Comments: 1 See the Data Element Dictionary for a complete list of IDs.
2 SLN01 is related to (but not necessarily equivalent to) the baseline item number.
Example: 1.1 or 1A might be used as a subline number to relate to baseline number
1.
3 SLN09 through SLN28 provide for ten different product/service IDs for each item.
For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SLN01 350 Assigned Identification M AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
SLN02 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
M SLN03 662 Relationship Code M ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN04 380 Quantity X R 1/15
Numeric value of quantity
SLN05 C001 Composite Unit of Measure X
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
MY4010 (004010) 62 August 4, 2000
 C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
SLN06 212 Unit Price X R 1/17
Price per unit of product, service, commodity, etc.
SLN07 639 Basis of Unit Price Code O ID 2/2
Code identifying the type of unit price for an item
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN08 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN09 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN10 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN11 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN12 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN13 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN14 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN15 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN16 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN17 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN18 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN19 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN20 234 Product/Service ID X AN 1/48

MY4010 (004010) 63 August 4, 2000

 Identifying number for a product or service
SLN21 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN22 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN23 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN24 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN25 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN26 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN27 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN28 234 Product/Service ID X AN 1/48
Identifying number for a product or service

Segment: REF Reference Identification

Position: 205
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier

MY4010 (004010) 64 August 4, 2000

M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 206
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
MY4010 (004010) 65 August 4, 2000
 Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: SAC Service, Promotion, Allowance, or Charge Information

Position: 207
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount
or percentage for the service, promotion, allowance, or charge
Syntax Notes: 1 At least one of SAC02 or SAC03 is required.
2 If either SAC03 or SAC04 is present, then the other is required.
3 If either SAC06 or SAC07 is present, then the other is required.
4 If either SAC09 or SAC10 is present, then the other is required.
5 If SAC11 is present, then SAC10 is required.
6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.
7 If SAC14 is present, then SAC13 is required.
8 If SAC16 is present, then SAC15 is required.
Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.
2 SAC05 is the total amount for the service, promotion, allowance, or charge.
If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.
3 SAC08 is the allowance or charge rate per unit.
4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is
different from the purchase order or invoice quantity.
SAC10 and SAC11 used together indicate a quantity range, which could be a dollar
amount, that is applicable to service, promotion, allowance, or charge.
5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference
number as identified by the code used.
6 SAC14 is used in conjunction with SAC13 to identify an option when there is more
than one option of the promotion.
7 SAC16 is used to identify the language being used in SAC15.
Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or
charge. In addition, it may be used in conjunction to further the code in SAC02.
2 In some business applications, it is necessary to advise the trading partner of the
actual dollar amount that a particular allowance, charge, or promotion was based on
to reduce ambiguity. This amount is commonly referred to as "Dollar Basis Amount".
It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in
SAC09.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SAC01 248 Allowance or Charge Indicator M ID 1/1
Code which indicates an allowance or charge for the service specified
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4
Code identifying the service, promotion, allowance, or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC03 559 Agency Qualifier Code X ID 2/2
Code identifying the agency assigning the code values
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC04 1301 Agency Service, Promotion, Allowance, or Charge X AN 1/10
Code
Agency maintained code identifying the service, promotion, allowance, or
charge
MY4010 (004010) 66 August 4, 2000
 SAC05 610 Amount O N2 1/15
Monetary amount
SAC06 378 Allowance/Charge Percent Qualifier X ID 1/1
Code indicating on what basis allowance or charge percent is calculated
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC07 332 Percent X R 1/6
Percent expressed as a percent
SAC08 118 Rate O R 1/9
Rate expressed in the standard monetary denomination for the currency
specified
SAC09 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC10 380 Quantity X R 1/15
Numeric value of quantity
SAC11 380 Quantity O R 1/15
Numeric value of quantity
SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2
Code indicating method of handling for an allowance or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC13 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
SAC14 770 Option Number O AN 1/20
A unique number identifying available promotion or allowance options
when more than one is offered
SAC15 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
SAC16 819 Language Code O ID 2/3
Code designating the language used in text, from a standard code list
maintained by the International Standards Organization (ISO 639)

Segment: TXI Tax Information

Position: 208
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify tax information
Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.
2 If either TXI04 or TXI05 is present, then the other is required.
3 If TXI08 is present, then TXI03 is required.
Semantic Notes: 1 TXI02 is the monetary amount of the tax.
2 TXI03 is the tax percent expressed as a decimal.
3 TXI07 is a code indicating the relationship of the price or amount to the associated
segment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M TXI01 963 Tax Type Code M ID 2/2

MY4010 (004010) 67 August 4, 2000

 Code specifying the type of tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI02 782 Monetary Amount X R 1/18
Monetary amount
TXI03 954 Percent X R 1/10
Percentage expressed as a decimal
TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2
Code identifying the source of the data used in tax jurisdiction code
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI05 956 Tax Jurisdiction Code X AN 1/10
Code identifying the taxing jurisdiction
TXI06 441 Tax Exempt Code X ID 1/1
Code identifying exemption status from sales and use tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI07 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI08 828 Dollar Basis For Percent O R 1/9
Dollar basis to be used in the percent calculation of the allowance, charge
or tax
TXI09 325 Tax Identification Number O AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
TXI10 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set

Segment: ADX Adjustment

Position: 210
Loop: ADX Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To convey accounts-payable adjustment information for the purpose of cash application,
including payer-generated debit/credit memos
Syntax Notes: 1 If either ADX03 or ADX04 is present, then the other is required.
Semantic Notes: 1 ADX01 specifies the amount of the adjustment and must be signed if negative. If
negative, it reduces the payment amount; if positive, it increases the payment
amount.
2 ADX02 specifies the reason for claiming the adjustment.
3 ADX03 and ADX04 specify the identification of the adjustment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M ADX01 782 Monetary Amount M R 1/18
Monetary amount
M ADX02 426 Adjustment Reason Code M ID 2/2
Code indicating reason for debit or credit memo or adjustment to invoice,
debit or credit memo, or payment
Refer to 004010 Data Element Dictionary for acceptable code values.
ADX03 128 Reference Identification Qualifier X ID 2/3
MY4010 (004010) 68 August 4, 2000
 Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
ADX04 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: NTE Note/Special Instruction

Position: 220
Loop: ADX Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To transmit information in a free-form format, if necessary, for comment or special
instruction
Syntax Notes:
Semantic Notes:
Comments: 1 The NTE segment permits free-form information/data which, under ANSI X12
standard implementations, is not machine processable. The use of the NTE segment
should therefore be avoided, if at all possible, in an automated environment.

Data Element Summary

Ref. Data
Des. Element Name Attributes
NTE01 363 Note Reference Code O ID 3/3
Code identifying the functional area or purpose for which the note applies
Refer to 004010 Data Element Dictionary for acceptable code values.
M NTE02 352 Description M AN 1/80
A free-form description to clarify the related data elements and their
content

Segment: PER Administrative Communications Contact

Position: 230
Loop: ADX Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To identify a person or office to whom administrative communications should be directed
Syntax Notes: 1 If either PER03 or PER04 is present, then the other is required.
2 If either PER05 or PER06 is present, then the other is required.
3 If either PER07 or PER08 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M PER01 366 Contact Function Code M ID 2/2
Code identifying the major duty or responsibility of the person or group
named
Refer to 004010 Data Element Dictionary for acceptable code values.
PER02 93 Name O AN 1/60
Free-form name
PER03 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number

MY4010 (004010) 69 August 4, 2000

 Refer to 004010 Data Element Dictionary for acceptable code values.
PER04 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER05 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER06 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER07 365 Communication Number Qualifier X ID 2/2
Code identifying the type of communication number
Refer to 004010 Data Element Dictionary for acceptable code values.
PER08 364 Communication Number X AN 1/80
Complete communications number including country or area code when
applicable
PER09 443 Contact Inquiry Reference O AN 1/20
Additional reference number or description to clarify a contact number

Segment: REF Reference Identification

Position: 240
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3

MY4010 (004010) 70 August 4, 2000

 Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 250
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: IT1 Baseline Item Data (Invoice)

Position: 260
MY4010 (004010) 71 August 4, 2000
 Loop: IT1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify the basic and most frequently used line item data for the invoice and related
transactions
Syntax Notes: 1 If any of IT102 IT103 or IT104 is present, then all are required.
2 If either IT106 or IT107 is present, then the other is required.
3 If either IT108 or IT109 is present, then the other is required.
4 If either IT110 or IT111 is present, then the other is required.
5 If either IT112 or IT113 is present, then the other is required.
6 If either IT114 or IT115 is present, then the other is required.
7 If either IT116 or IT117 is present, then the other is required.
8 If either IT118 or IT119 is present, then the other is required.
9 If either IT120 or IT121 is present, then the other is required.
10 If either IT122 or IT123 is present, then the other is required.
11 If either IT124 or IT125 is present, then the other is required.
Semantic Notes: 1 IT101 is the purchase order line item identification.
Comments: 1 Element 235/234 combinations should be interpreted to include products and/or
services. See the Data Dictionary for a complete list of IDs.
2 IT106 through IT125 provide for ten different product/service IDs for each item. For
example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

Data Element Summary

Ref. Data
Des. Element Name Attributes
IT101 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
IT102 358 Quantity Invoiced X R 1/10
Number of units invoiced (supplier units)
IT103 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
IT104 212 Unit Price X R 1/17
Price per unit of product, service, commodity, etc.
IT105 639 Basis of Unit Price Code O ID 2/2
Code identifying the type of unit price for an item
Refer to 004010 Data Element Dictionary for acceptable code values.
IT106 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT107 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT108 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT109 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT110 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
MY4010 (004010) 72 August 4, 2000
 IT111 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT112 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT113 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT114 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT115 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT116 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT117 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT118 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT119 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT120 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT121 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT122 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT123 234 Product/Service ID X AN 1/48
Identifying number for a product or service
IT124 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
IT125 234 Product/Service ID X AN 1/48
Identifying number for a product or service

Segment: REF Reference Identification

Position: 270
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
MY4010 (004010) 73 August 4, 2000
 3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 271
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes

MY4010 (004010) 74 August 4, 2000

M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: SAC Service, Promotion, Allowance, or Charge Information

Position: 272
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount
or percentage for the service, promotion, allowance, or charge
Syntax Notes: 1 At least one of SAC02 or SAC03 is required.
2 If either SAC03 or SAC04 is present, then the other is required.
3 If either SAC06 or SAC07 is present, then the other is required.
4 If either SAC09 or SAC10 is present, then the other is required.
5 If SAC11 is present, then SAC10 is required.
6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.
7 If SAC14 is present, then SAC13 is required.
8 If SAC16 is present, then SAC15 is required.
Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.
2 SAC05 is the total amount for the service, promotion, allowance, or charge.
If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.
3 SAC08 is the allowance or charge rate per unit.
4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is
different from the purchase order or invoice quantity.
SAC10 and SAC11 used together indicate a quantity range, which could be a dollar
amount, that is applicable to service, promotion, allowance, or charge.
5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference
number as identified by the code used.
6 SAC14 is used in conjunction with SAC13 to identify an option when there is more
than one option of the promotion.
7 SAC16 is used to identify the language being used in SAC15.
Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or
charge. In addition, it may be used in conjunction to further the code in SAC02.
2 In some business applications, it is necessary to advise the trading partner of the
actual dollar amount that a particular allowance, charge, or promotion was based on

MY4010 (004010) 75 August 4, 2000

 to reduce ambiguity. This amount is commonly referred to as "Dollar Basis Amount".
It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in
SAC09.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SAC01 248 Allowance or Charge Indicator M ID 1/1
Code which indicates an allowance or charge for the service specified
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4
Code identifying the service, promotion, allowance, or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC03 559 Agency Qualifier Code X ID 2/2
Code identifying the agency assigning the code values
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC04 1301 Agency Service, Promotion, Allowance, or Charge X AN 1/10
Code
Agency maintained code identifying the service, promotion, allowance, or
charge
SAC05 610 Amount O N2 1/15
Monetary amount
SAC06 378 Allowance/Charge Percent Qualifier X ID 1/1
Code indicating on what basis allowance or charge percent is calculated
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC07 332 Percent X R 1/6
Percent expressed as a percent
SAC08 118 Rate O R 1/9
Rate expressed in the standard monetary denomination for the currency
specified
SAC09 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC10 380 Quantity X R 1/15
Numeric value of quantity
SAC11 380 Quantity O R 1/15
Numeric value of quantity
SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2
Code indicating method of handling for an allowance or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC13 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
SAC14 770 Option Number O AN 1/20
A unique number identifying available promotion or allowance options
when more than one is offered
SAC15 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
SAC16 819 Language Code O ID 2/3
Code designating the language used in text, from a standard code list
maintained by the International Standards Organization (ISO 639)

MY4010 (004010) 76 August 4, 2000

 Segment: TXI Tax Information
Position: 273
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify tax information
Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.
2 If either TXI04 or TXI05 is present, then the other is required.
3 If TXI08 is present, then TXI03 is required.
Semantic Notes: 1 TXI02 is the monetary amount of the tax.
2 TXI03 is the tax percent expressed as a decimal.
3 TXI07 is a code indicating the relationship of the price or amount to the associated
segment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M TXI01 963 Tax Type Code M ID 2/2
Code specifying the type of tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI02 782 Monetary Amount X R 1/18
Monetary amount
TXI03 954 Percent X R 1/10
Percentage expressed as a decimal
TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2
Code identifying the source of the data used in tax jurisdiction code
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI05 956 Tax Jurisdiction Code X AN 1/10
Code identifying the taxing jurisdiction
TXI06 441 Tax Exempt Code X ID 1/1
Code identifying exemption status from sales and use tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI07 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI08 828 Dollar Basis For Percent O R 1/9
Dollar basis to be used in the percent calculation of the allowance, charge
or tax
TXI09 325 Tax Identification Number O AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
TXI10 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set

Segment: SLN Subline Item Detail

Position: 274
Loop: SLN Optional
Level: Detail
Usage: Optional
Max Use: 1
MY4010 (004010) 77 August 4, 2000
 Purpose: To specify product subline detail item data
Syntax Notes: 1 If either SLN04 or SLN05 is present, then the other is required.
2 If SLN07 is present, then SLN06 is required.
3 If SLN08 is present, then SLN06 is required.
4 If either SLN09 or SLN10 is present, then the other is required.
5 If either SLN11 or SLN12 is present, then the other is required.
6 If either SLN13 or SLN14 is present, then the other is required.
7 If either SLN15 or SLN16 is present, then the other is required.
8 If either SLN17 or SLN18 is present, then the other is required.
9 If either SLN19 or SLN20 is present, then the other is required.
10 If either SLN21 or SLN22 is present, then the other is required.
11 If either SLN23 or SLN24 is present, then the other is required.
12 If either SLN25 or SLN26 is present, then the other is required.
13 If either SLN27 or SLN28 is present, then the other is required.
Semantic Notes: 1 SLN01 is the identifying number for the subline item.
2 SLN02 is the identifying number for the subline level. The subline level is analogous
to the level code used in a bill of materials.
3 SLN03 is the configuration code indicating the relationship of the subline item to the
baseline item.
4 SLN08 is a code indicating the relationship of the price or amount to the associated
segment.
Comments: 1 See the Data Element Dictionary for a complete list of IDs.
2 SLN01 is related to (but not necessarily equivalent to) the baseline item number.
Example: 1.1 or 1A might be used as a subline number to relate to baseline number
1.
3 SLN09 through SLN28 provide for ten different product/service IDs for each item.
For example: Case, Color, Drawing No., U.P.C. No., ISBN No., Model No., or SKU.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SLN01 350 Assigned Identification M AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
SLN02 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set
M SLN03 662 Relationship Code M ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN04 380 Quantity X R 1/15
Numeric value of quantity
SLN05 C001 Composite Unit of Measure X
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
MY4010 (004010) 78 August 4, 2000
 C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
SLN06 212 Unit Price X R 1/17
Price per unit of product, service, commodity, etc.
SLN07 639 Basis of Unit Price Code O ID 2/2
Code identifying the type of unit price for an item
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN08 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN09 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN10 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN11 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN12 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN13 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN14 234 Product/Service ID X AN 1/48
MY4010 (004010) 79 August 4, 2000
 Identifying number for a product or service
SLN15 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN16 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN17 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN18 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN19 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN20 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN21 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN22 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN23 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN24 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN25 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN26 234 Product/Service ID X AN 1/48
Identifying number for a product or service
SLN27 235 Product/Service ID Qualifier X ID 2/2
Code identifying the type/source of the descriptive number used in
Product/Service ID (234)
Refer to 004010 Data Element Dictionary for acceptable code values.
SLN28 234 Product/Service ID X AN 1/48
Identifying number for a product or service

Segment: REF Reference Identification

Position: 275
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
MY4010 (004010) 80 August 4, 2000
 Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: DTM Date/Time Reference

Position: 276
Loop: REF Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3

MY4010 (004010) 81 August 4, 2000

 Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: SAC Service, Promotion, Allowance, or Charge Information

Position: 277
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To request or identify a service, promotion, allowance, or charge; to specify the amount
or percentage for the service, promotion, allowance, or charge
Syntax Notes: 1 At least one of SAC02 or SAC03 is required.
2 If either SAC03 or SAC04 is present, then the other is required.
3 If either SAC06 or SAC07 is present, then the other is required.
4 If either SAC09 or SAC10 is present, then the other is required.
5 If SAC11 is present, then SAC10 is required.
6 If SAC13 is present, then at least one of SAC02 or SAC04 is required.
7 If SAC14 is present, then SAC13 is required.
8 If SAC16 is present, then SAC15 is required.
Semantic Notes: 1 If SAC01 is "A" or "C", then at least one of SAC05, SAC07, or SAC08 is required.
2 SAC05 is the total amount for the service, promotion, allowance, or charge.
If SAC05 is present with SAC07 or SAC08, then SAC05 takes precedence.
3 SAC08 is the allowance or charge rate per unit.
4 SAC10 and SAC11 is the quantity basis when the allowance or charge quantity is
different from the purchase order or invoice quantity.
SAC10 and SAC11 used together indicate a quantity range, which could be a dollar
amount, that is applicable to service, promotion, allowance, or charge.
5 SAC13 is used in conjunction with SAC02 or SAC04 to provide a specific reference
number as identified by the code used.
6 SAC14 is used in conjunction with SAC13 to identify an option when there is more
than one option of the promotion.
7 SAC16 is used to identify the language being used in SAC15.
Comments: 1 SAC04 may be used to uniquely identify the service, promotion, allowance, or
charge. In addition, it may be used in conjunction to further the code in SAC02.
2 In some business applications, it is necessary to advise the trading partner of the
actual dollar amount that a particular allowance, charge, or promotion was based on
to reduce ambiguity. This amount is commonly referred to as "Dollar Basis Amount".

MY4010 (004010) 82 August 4, 2000

 It is represented in the SAC segment in SAC10 using the qualifier "DO" - Dollars in
SAC09.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SAC01 248 Allowance or Charge Indicator M ID 1/1
Code which indicates an allowance or charge for the service specified
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC02 1300 Service, Promotion, Allowance, or Charge Code X ID 4/4
Code identifying the service, promotion, allowance, or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC03 559 Agency Qualifier Code X ID 2/2
Code identifying the agency assigning the code values
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC04 1301 Agency Service, Promotion, Allowance, or Charge X AN 1/10
Code
Agency maintained code identifying the service, promotion, allowance, or
charge
SAC05 610 Amount O N2 1/15
Monetary amount
SAC06 378 Allowance/Charge Percent Qualifier X ID 1/1
Code indicating on what basis allowance or charge percent is calculated
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC07 332 Percent X R 1/6
Percent expressed as a percent
SAC08 118 Rate O R 1/9
Rate expressed in the standard monetary denomination for the currency
specified
SAC09 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC10 380 Quantity X R 1/15
Numeric value of quantity
SAC11 380 Quantity O R 1/15
Numeric value of quantity
SAC12 331 Allowance or Charge Method of Handling Code O ID 2/2
Code indicating method of handling for an allowance or charge
Refer to 004010 Data Element Dictionary for acceptable code values.
SAC13 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
SAC14 770 Option Number O AN 1/20
A unique number identifying available promotion or allowance options
when more than one is offered
SAC15 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
SAC16 819 Language Code O ID 2/3
Code designating the language used in text, from a standard code list
maintained by the International Standards Organization (ISO 639)

MY4010 (004010) 83 August 4, 2000

 Segment: TXI Tax Information
Position: 278
Loop: SAC Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify tax information
Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.
2 If either TXI04 or TXI05 is present, then the other is required.
3 If TXI08 is present, then TXI03 is required.
Semantic Notes: 1 TXI02 is the monetary amount of the tax.
2 TXI03 is the tax percent expressed as a decimal.
3 TXI07 is a code indicating the relationship of the price or amount to the associated
segment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M TXI01 963 Tax Type Code M ID 2/2
Code specifying the type of tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI02 782 Monetary Amount X R 1/18
Monetary amount
TXI03 954 Percent X R 1/10
Percentage expressed as a decimal
TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2
Code identifying the source of the data used in tax jurisdiction code
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI05 956 Tax Jurisdiction Code X AN 1/10
Code identifying the taxing jurisdiction
TXI06 441 Tax Exempt Code X ID 1/1
Code identifying exemption status from sales and use tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI07 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI08 828 Dollar Basis For Percent O R 1/9
Dollar basis to be used in the percent calculation of the allowance, charge
or tax
TXI09 325 Tax Identification Number O AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
TXI10 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set

Segment: TXP Tax Payment

Position: 280
Loop: TXP Optional
Level: Detail
Usage: Optional
Max Use: 1
MY4010 (004010) 84 August 4, 2000
 Purpose: To identify tax payment data
Syntax Notes: 1 If either TXP06 or TXP07 is present, then the other is required.
2 If either TXP08 or TXP09 is present, then the other is required.
Semantic Notes:
Comments: 1 The tax type code TXP02 is a code from a code list maintained by the Federation of
Tax Administrators (FTA).

Data Element Summary

Ref. Data
Des. Element Name Attributes
M TXP01 325 Tax Identification Number M AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
M TXP02 1049 Tax Payment Type Code M ID 1/5
Code identifying type of tax being paid
M TXP03 373 Date M DT 8/8
Date expressed as CCYYMMDD
M TXP04 817 Tax Information Identification Number M AN 1/30
Identifying number for Tax Information Field
M TXP05 1051 Tax Amount M N2 1/10
Amount of tax
TXP06 817 Tax Information Identification Number X AN 1/30
Identifying number for Tax Information Field
TXP07 1051 Tax Amount X N2 1/10
Amount of tax
TXP08 817 Tax Information Identification Number X AN 1/30
Identifying number for Tax Information Field
TXP09 1051 Tax Amount X N2 1/10
Amount of tax
TXP10 1050 Taxpayer Verification O AN 1/6
The taxpayer verification field may be used by the receiver to verify the
taxpayer's identity

Segment: TXI Tax Information

Position: 285
Loop: TXP Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify tax information
Syntax Notes: 1 At least one of TXI02 TXI03 or TXI06 is required.
2 If either TXI04 or TXI05 is present, then the other is required.
3 If TXI08 is present, then TXI03 is required.
Semantic Notes: 1 TXI02 is the monetary amount of the tax.
2 TXI03 is the tax percent expressed as a decimal.
3 TXI07 is a code indicating the relationship of the price or amount to the associated
segment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M TXI01 963 Tax Type Code M ID 2/2

MY4010 (004010) 85 August 4, 2000

 Code specifying the type of tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI02 782 Monetary Amount X R 1/18
Monetary amount
TXI03 954 Percent X R 1/10
Percentage expressed as a decimal
TXI04 955 Tax Jurisdiction Code Qualifier X ID 2/2
Code identifying the source of the data used in tax jurisdiction code
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI05 956 Tax Jurisdiction Code X AN 1/10
Code identifying the taxing jurisdiction
TXI06 441 Tax Exempt Code X ID 1/1
Code identifying exemption status from sales and use tax
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI07 662 Relationship Code O ID 1/1
Code indicating the relationship between entities
Refer to 004010 Data Element Dictionary for acceptable code values.
TXI08 828 Dollar Basis For Percent O R 1/9
Dollar basis to be used in the percent calculation of the allowance, charge
or tax
TXI09 325 Tax Identification Number O AN 1/20
Number assigned to a purchaser (buyer, orderer) by a taxing jurisdiction
(state, county, etc.); often called a tax exemption number or certificate
number
TXI10 350 Assigned Identification O AN 1/20
Alphanumeric characters assigned for differentiation within a transaction
set

Segment: DED Deductions

Position: 287
Loop: DED Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify payment related information for child support payment deductions
Syntax Notes:
Semantic Notes: 1 DED01 is the type of deduction.
2 DED02 is the code indicating the case identifier.
3 DED03 is the pay date.
4 DED04 is the payment amount.
5 DED05 is the social security number of the absent parent.
6 DED06 indicates if the obligor has family medical insurance coverage available
through their employer. A "Y" indicates medical coverage is available. An "N"
indicates there is no coverage. A "W" indicates that the disposition of medical
insurance is not applicable to the deduction.
7 DED07 is the name of the absent parent. The absent parent's name contains the first
seven letters of the obligor's last name followed by the first three letters of the
obligor's first name. A comma must be used to separate the last name from the first
name of the absent parent when the last name is less than seven characters.
8 DED08 contains the Federal Information Process Standard (FIPS) Code. The FIPS
code is 5 characters when indicating both the state and county codes. It is seven
characters when indicating state, county and local codes.
9 DED09 identifies to the child support enforcement agency that an individual's
employment has terminated. A "Y" is used if the employee has been terminated
otherwise the field is not used. DED04 may contain zero if this field is used.
Comments:
MY4010 (004010) 86 August 4, 2000
 Data Element Summary
Ref. Data
Des. Element Name Attributes
M DED01 1511 Type of Deduction M ID 2/2
Code specifying type of deduction being withheld from an employee's pay
Refer to 004010 Data Element Dictionary for acceptable code values.
M DED02 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
M DED03 373 Date M DT 8/8
Date expressed as CCYYMMDD
M DED04 610 Amount M N2 1/15
Monetary amount
M DED05 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
M DED06 1073 Yes/No Condition or Response Code M ID 1/1
Code indicating a Yes or No condition or response
Refer to 004010 Data Element Dictionary for acceptable code values.
DED07 93 Name O AN 1/60
Free-form name
DED08 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
DED09 1073 Yes/No Condition or Response Code O ID 1/1
Code indicating a Yes or No condition or response
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: LX Assigned Number

Position: 290
Loop: LX Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To reference a line number in a transaction set
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M LX01 554 Assigned Number M N0 1/6
Number assigned for differentiation within a transaction set

Segment: REF Reference Identification

Position: 295
Loop: LX Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
MY4010 (004010) 87 August 4, 2000
 Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: TRN Trace

Position: 300
Loop: LX Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To uniquely identify a transaction to an application
Syntax Notes:
Semantic Notes: 1 TRN02 provides unique identification for the transaction.
2 TRN03 identifies an organization.
3 TRN04 identifies a further subdivision within the organization.
Comments:

Data Element Summary

MY4010 (004010) 88 August 4, 2000

 Ref. Data
Des. Element Name Attributes
M TRN01 481 Trace Type Code M ID 1/2
Code identifying which transaction is being referenced
Refer to 004010 Data Element Dictionary for acceptable code values.
M TRN02 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
TRN03 509 Originating Company Identifier O AN 10/10
A unique identifier designating the company initiating the funds transfer
instructions. The first character is one-digit ANSI identification code
designation (ICD) followed by the nine-digit identification number which
may be an IRS employer identification number (EIN), data universal
numbering system (DUNS), or a user assigned number; the ICD for an
EIN is 1, DUNS is 3, user assigned number is 9
TRN04 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: NM1 Individual or Organizational Name

Position: 305
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To supply the full name of an individual or organizational entity
Syntax Notes: 1 If either NM108 or NM109 is present, then the other is required.
2 If NM111 is present, then NM110 is required.
Semantic Notes: 1 NM102 qualifies NM103.
Comments: 1 NM110 and NM111 further define the type of entity in NM101.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M NM101 98 Entity Identifier Code M ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
M NM102 1065 Entity Type Qualifier M ID 1/1
Code qualifying the type of entity
Refer to 004010 Data Element Dictionary for acceptable code values.
NM103 1035 Name Last or Organization Name O AN 1/35
Individual last name or organizational name
NM104 1036 Name First O AN 1/25
Individual first name
NM105 1037 Name Middle O AN 1/25
Individual middle name or initial
NM106 1038 Name Prefix O AN 1/10
Prefix to individual name
NM107 1039 Name Suffix O AN 1/10
Suffix to individual name
NM108 66 Identification Code Qualifier X ID 1/2
Code designating the system/method of code structure used for
Identification Code (67)

MY4010 (004010) 89 August 4, 2000

 Refer to 004010 Data Element Dictionary for acceptable code values.
NM109 67 Identification Code X AN 2/80
Code identifying a party or other code
NM110 706 Entity Relationship Code X ID 2/2
Code describing entity relationship
Refer to 004010 Data Element Dictionary for acceptable code values.
NM111 98 Entity Identifier Code O ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: REF Reference Identification

Position: 310
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
MY4010 (004010) 90 August 4, 2000
 C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: G53 Maintenance Type

Position: 315
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To identify the specific type of item maintenance
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M G5301 875 Maintenance Type Code M ID 3/3
Code identifying the specific type of item maintenance
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: AIN Income

Position: 320
Loop: AIN Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To provide type and amount of income obtained
Syntax Notes: 1 If either AIN09 or AIN10 is present, then the other is required.
Semantic Notes: 1 AIN01 defines the nature or source of income earned.
2 AIN02 defines the periodicity of the income amount.
3 AIN03 defines amount of income.
4 AIN04 specifies number of scheduled periods or year of income receipt.
5 AIN05 defines if the income will likely continue. A "Y" indicates the income is
expected to continue; an "N" indicates the income is not expected to continue.
6 AIN06 is used to identify an internal control number.
7 AIN07 indicates the income being identified in this segment is a net amount, a gross
amount, or other amount.
8 AIN08 identifies the tax status or treatment of the amount specified in AIN03.
9 AIN11 identifies the number of hours at which the rate specified in AIN09 applies.
10 AIN12 identifies the American Payroll Association Code to be used to identify the
specific income type for payroll payments.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M AIN01 1186 Type of Income Code M ID 2/2
Code defining the nature or source of income
Refer to 004010 Data Element Dictionary for acceptable code values.
M AIN02 594 Frequency Code M ID 1/1
Code indicating frequency or type of payment
Refer to 004010 Data Element Dictionary for acceptable code values.
M AIN03 782 Monetary Amount M R 1/18
MY4010 (004010) 91 August 4, 2000
 Monetary amount
AIN04 380 Quantity O R 1/15
Numeric value of quantity
AIN05 1073 Yes/No Condition or Response Code O ID 1/1
Code indicating a Yes or No condition or response
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN06 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
AIN07 522 Amount Qualifier Code O ID 1/3
Code to qualify amount
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN08 1685 Tax Treatment Code O ID 1/1
Code specifying whether a deduction should have pre- or post-tax status
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN09 1687 Earnings Rate of Pay X R 1/15
To specify rate of pay
AIN10 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN11 380 Quantity O R 1/15
Numeric value of quantity
AIN12 1271 Industry Code O AN 1/30
Code indicating a code from a specific industry code list

Segment: QTY Quantity

Position: 325
Loop: AIN Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify quantity information
Syntax Notes: 1 At least one of QTY02 or QTY04 is required.
2 Only one of QTY02 or QTY04 may be present.
Semantic Notes: 1 QTY04 is used when the quantity is non-numeric.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M QTY01 673 Quantity Qualifier M ID 2/2
Code specifying the type of quantity
Refer to 004010 Data Element Dictionary for acceptable code values.
QTY02 380 Quantity X R 1/15
Numeric value of quantity
QTY03 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.

MY4010 (004010) 92 August 4, 2000

 C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
QTY04 61 Free-Form Message X AN 1/30
Free-form information

Segment: DTP Date or Time or Period

Position: 330
Loop: AIN Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify any or all of a date, a time, or a time period
Syntax Notes:
Semantic Notes: 1 DTP02 is the date or time or period format that will appear in DTP03.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
MY4010 (004010) 93 August 4, 2000
M DTP01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
M DTP02 1250 Date Time Period Format Qualifier M ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
M DTP03 1251 Date Time Period M AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: PEN Pension Information

Position: 335
Loop: PEN Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify financial activity for a pension plan
Syntax Notes: 1 At least one of PEN02 or PEN04 is required.
Semantic Notes: 1 PEN02 is the total dollar amount for the transaction identified by the transaction type
code.
2 PEN04 is the percent of salary an employee elected to contribute to a benefit plan.
3 PEN05 is a code, defined by trading partners, indicating special application
processing.
4 PEN06 is the loan identification number.
5 PEN07 is the number of loan repayments represented.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M PEN01 640 Transaction Type Code M ID 2/2
Code specifying the type of transaction
Refer to 004010 Data Element Dictionary for acceptable code values.
PEN02 782 Monetary Amount X R 1/18
Monetary amount
PEN03 1224 Contribution Code O ID 2/2
Code indicating the category of contribution
Refer to 004010 Data Element Dictionary for acceptable code values.
PEN04 954 Percent X R 1/10
Percentage expressed as a decimal
PEN05 1296 Special Processing Type O AN 1/6
Type of special processing that is required
PEN06 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
PEN07 1470 Number O N0 1/9
A generic number
PEN08 1262 Loan Type Code O ID 1/2
This code identifies the loan program or type
Refer to 004010 Data Element Dictionary for acceptable code values.
PEN09 875 Maintenance Type Code O ID 3/3
Code identifying the specific type of item maintenance
Refer to 004010 Data Element Dictionary for acceptable code values.

MY4010 (004010) 94 August 4, 2000

 Segment: AMT Monetary Amount
Position: 340
Loop: PEN Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To indicate the total monetary amount
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M AMT01 522 Amount Qualifier Code M ID 1/3
Code to qualify amount
Refer to 004010 Data Element Dictionary for acceptable code values.
M AMT02 782 Monetary Amount M R 1/18
Monetary amount
AMT03 478 Credit/Debit Flag Code O ID 1/1
Code indicating whether amount is a credit or debit
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: DTP Date or Time or Period

Position: 345
Loop: PEN Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify any or all of a date, a time, or a time period
Syntax Notes:
Semantic Notes: 1 DTP02 is the date or time or period format that will appear in DTP03.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTP01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
M DTP02 1250 Date Time Period Format Qualifier M ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
M DTP03 1251 Date Time Period M AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: INV Investment Vehicle Selection

Position: 350
Loop: INV Optional
Level: Detail
Usage: Optional
Max Use: 1

MY4010 (004010) 95 August 4, 2000

 Purpose: To specify type of investment vehicle or account and other basic data about the
investment
Syntax Notes: 1 Only one of INV02 INV03 or INV04 may be present.
Semantic Notes: 1 INV01 is the investment fund description of the "receiving" or "to" investment fund.
2 INV02 is the percent of contribution amount to be deposited into the investment fund
described in INV01.
3 INV03 is the dollar amount to be deposited into the investment fund described in
INV01.
4 INV04 is the number of units or shares to be invested in the investment fund
described in INV01.
5 INV05 is the state of sale for the investment fund described in INV01.
6 INV06 is the "originating" or "from" investment fund description for an interfund
transfer.
7 INV07 is the current balance of the investment fund described in INV01.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M INV01 352 Description M AN 1/80
A free-form description to clarify the related data elements and their
content
INV02 954 Percent X R 1/10
Percentage expressed as a decimal
INV03 782 Monetary Amount X R 1/18
Monetary amount
INV04 380 Quantity X R 1/15
Numeric value of quantity
INV05 156 State or Province Code O ID 2/2
Code (Standard State/Province) as defined by appropriate government
agency
INV06 352 Description O AN 1/80
A free-form description to clarify the related data elements and their
content
INV07 782 Monetary Amount O R 1/18
Monetary amount

Segment: DTP Date or Time or Period

Position: 355
Loop: INV Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify any or all of a date, a time, or a time period
Syntax Notes:
Semantic Notes: 1 DTP02 is the date or time or period format that will appear in DTP03.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTP01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
M DTP02 1250 Date Time Period Format Qualifier M ID 2/3
MY4010 (004010) 96 August 4, 2000
 Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
M DTP03 1251 Date Time Period M AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: N9 Reference Identification

Position: 360
Loop: N9 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To transmit identifying information as specified by the Reference Identification Qualifier
Syntax Notes: 1 At least one of N902 or N903 is required.
2 If N906 is present, then N905 is required.
3 If either C04003 or C04004 is present, then the other is required.
4 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 N906 reflects the time zone which the time reflects.
2 N907 contains data relating to the value cited in N902.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M N901 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
N902 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
N903 369 Free-form Description X AN 1/45
Free-form descriptive text
N904 373 Date O DT 8/8
Date expressed as CCYYMMDD
N905 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
N906 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
N907 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
MY4010 (004010) 97 August 4, 2000
 C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: AMT Monetary Amount

Position: 370
Loop: AMT Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To indicate the total monetary amount
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M AMT01 522 Amount Qualifier Code M ID 1/3
Code to qualify amount
Refer to 004010 Data Element Dictionary for acceptable code values.
M AMT02 782 Monetary Amount M R 1/18
Monetary amount
AMT03 478 Credit/Debit Flag Code O ID 1/1
Code indicating whether amount is a credit or debit
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: REF Reference Identification

Position: 380
Loop: AMT Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3

MY4010 (004010) 98 August 4, 2000

 Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: N1 Name
Position: 390
Loop: N1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To identify a party by type of organization, name, and code
Syntax Notes: 1 At least one of N102 or N103 is required.
2 If either N103 or N104 is present, then the other is required.
Semantic Notes:
Comments: 1 This segment, used alone, provides the most efficient method of providing
organizational identification. To obtain this efficiency the "ID Code" (N104) must
provide a key to the table maintained by the transaction processing party.
2 N105 and N106 further define the type of entity in N101.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M N101 98 Entity Identifier Code M ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
N102 93 Name X AN 1/60
Free-form name
N103 66 Identification Code Qualifier X ID 1/2
MY4010 (004010) 99 August 4, 2000
 Code designating the system/method of code structure used for
Identification Code (67)
Refer to 004010 Data Element Dictionary for acceptable code values.
N104 67 Identification Code X AN 2/80
Code identifying a party or other code
N105 706 Entity Relationship Code O ID 2/2
Code describing entity relationship
Refer to 004010 Data Element Dictionary for acceptable code values.
N106 98 Entity Identifier Code O ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: REF Reference Identification

Position: 400
Loop: N1 Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify identifying information
Syntax Notes: 1 At least one of REF02 or REF03 is required.
2 If either C04003 or C04004 is present, then the other is required.
3 If either C04005 or C04006 is present, then the other is required.
Semantic Notes: 1 REF04 contains data relating to the value cited in REF02.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M REF01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
REF02 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
REF03 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
REF04 C040 Reference Identifier O
To identify one or more reference numbers or identification numbers as
specified by the Reference Qualifier
M C04001 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M C04002 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04003 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04004 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
C04005 128 Reference Identification Qualifier X ID 2/3

MY4010 (004010) 100 August 4, 2000

 Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
C04006 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: EMS Employment Position

Position: 410
Loop: EMS Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To describe employment position
Syntax Notes: 1 If either EMS05 or EMS06 is present, then the other is required.
Semantic Notes: 1 EMS01 describes the employee's title or position in text.
2 EMS02 defines the employment position relationship.
3 EMS03 defines the occupation category.
4 EMS04 defines the status of employment.
5 EMS05 identifies EMS06 as pay grade.
6 EMS06 defines pay grade for employee, if available.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
EMS01 352 Description O AN 1/80
A free-form description to clarify the related data elements and their
content
EMS02 1176 Employment Class Code O ID 2/3
Code indicating category of employee
Refer to 004010 Data Element Dictionary for acceptable code values.
EMS03 1149 Occupation Code O ID 4/6
Code identifying the occupation of an individual
EMS04 584 Employment Status Code O ID 2/2
Code showing the general employment status of an employee/claimant
Refer to 004010 Data Element Dictionary for acceptable code values.
EMS05 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
EMS06 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
EMS07 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: ATN Attendance

Position: 420
Loop: EMS Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify attendance information
Syntax Notes:
Semantic Notes: 1 ATN01 is a measure of attendance time.
MY4010 (004010) 101 August 4, 2000
 2 ATN03 identifies the period for which the quantity in ATN01 is being reported.
3 ATN05 identifies the type of attendance for which the quantity in ATN01 is being
reported.
4 ATN06 is used to clarify the attendance type describing the quantity being reported
in ATN01.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M ATN01 380 Quantity M R 1/15
Numeric value of quantity
ATN02 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
ATN03 673 Quantity Qualifier O ID 2/2
Code specifying the type of quantity
Refer to 004010 Data Element Dictionary for acceptable code values.
ATN04 594 Frequency Code O ID 1/1
Code indicating frequency or type of payment
Refer to 004010 Data Element Dictionary for acceptable code values.
ATN05 1684 Attendance Type Code O ID 1/4
Code specifying the type of attendance information being reported
ATN06 352 Description O AN 1/80
A free-form description to clarify the related data elements and their
content

Segment: AIN Income

Position: 430
Loop: EMS Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To provide type and amount of income obtained
Syntax Notes: 1 If either AIN09 or AIN10 is present, then the other is required.
Semantic Notes: 1 AIN01 defines the nature or source of income earned.
2 AIN02 defines the periodicity of the income amount.
3 AIN03 defines amount of income.
4 AIN04 specifies number of scheduled periods or year of income receipt.
5 AIN05 defines if the income will likely continue. A "Y" indicates the income is
expected to continue; an "N" indicates the income is not expected to continue.
6 AIN06 is used to identify an internal control number.
7 AIN07 indicates the income being identified in this segment is a net amount, a gross
amount, or other amount.
8 AIN08 identifies the tax status or treatment of the amount specified in AIN03.
9 AIN11 identifies the number of hours at which the rate specified in AIN09 applies.
10 AIN12 identifies the American Payroll Association Code to be used to identify the
specific income type for payroll payments.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M AIN01 1186 Type of Income Code M ID 2/2

MY4010 (004010) 102 August 4, 2000

 Code defining the nature or source of income
Refer to 004010 Data Element Dictionary for acceptable code values.
M AIN02 594 Frequency Code M ID 1/1
Code indicating frequency or type of payment
Refer to 004010 Data Element Dictionary for acceptable code values.
M AIN03 782 Monetary Amount M R 1/18
Monetary amount
AIN04 380 Quantity O R 1/15
Numeric value of quantity
AIN05 1073 Yes/No Condition or Response Code O ID 1/1
Code indicating a Yes or No condition or response
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN06 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
AIN07 522 Amount Qualifier Code O ID 1/3
Code to qualify amount
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN08 1685 Tax Treatment Code O ID 1/1
Code specifying whether a deduction should have pre- or post-tax status
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN09 1687 Earnings Rate of Pay X R 1/15
To specify rate of pay
AIN10 355 Unit or Basis for Measurement Code X ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
AIN11 380 Quantity O R 1/15
Numeric value of quantity
AIN12 1271 Industry Code O AN 1/30
Code indicating a code from a specific industry code list

Segment: PYD Payroll Deduction

Position: 440
Loop: EMS Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To specify payroll deduction information
Syntax Notes:
Semantic Notes: 1 PYD05 is used to clarify the deduction type to which the amount specified in PYD01
applies.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M PYD01 782 Monetary Amount M R 1/18
Monetary amount
PYD02 594 Frequency Code O ID 1/1
Code indicating frequency or type of payment
Refer to 004010 Data Element Dictionary for acceptable code values.
PYD03 1685 Tax Treatment Code O ID 1/1
MY4010 (004010) 103 August 4, 2000
 Code specifying whether a deduction should have pre- or post-tax status
Refer to 004010 Data Element Dictionary for acceptable code values.
PYD04 1688 Deduction Type Code O ID 1/4
Code indicating the type of deduction being reported
PYD05 352 Description O AN 1/80
A free-form description to clarify the related data elements and their
content

Segment: RYL Royalty Payment

Position: 450
Loop: RYL Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify remittance information about royalty payments
Syntax Notes: 1 If either RYL03 or RYL04 is present, then the other is required.
Semantic Notes: 1 RYL01 is a unique identifier of a specific occurrence of the RYL loop.
2 RYL02, RYL03, and RYL04 identify the legal entity paying the royalty.
Comments: 1 This segment is used to group the data for the payer of a royalty.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M RYL01 554 Assigned Number M N0 1/6
Number assigned for differentiation within a transaction set
RYL02 1035 Name Last or Organization Name O AN 1/35
Individual last name or organizational name
RYL03 66 Identification Code Qualifier X ID 1/2
Code designating the system/method of code structure used for
Identification Code (67)
Refer to 004010 Data Element Dictionary for acceptable code values.
RYL04 67 Identification Code X AN 2/80
Code identifying a party or other code

Segment: NM1 Individual or Organizational Name

Position: 460
Loop: NM1 Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To supply the full name of an individual or organizational entity
Syntax Notes: 1 If either NM108 or NM109 is present, then the other is required.
2 If NM111 is present, then NM110 is required.
Semantic Notes: 1 NM102 qualifies NM103.
Comments: 1 NM110 and NM111 further define the type of entity in NM101.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M NM101 98 Entity Identifier Code M ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.
M NM102 1065 Entity Type Qualifier M ID 1/1
MY4010 (004010) 104 August 4, 2000
 Code qualifying the type of entity
Refer to 004010 Data Element Dictionary for acceptable code values.
NM103 1035 Name Last or Organization Name O AN 1/35
Individual last name or organizational name
NM104 1036 Name First O AN 1/25
Individual first name
NM105 1037 Name Middle O AN 1/25
Individual middle name or initial
NM106 1038 Name Prefix O AN 1/10
Prefix to individual name
NM107 1039 Name Suffix O AN 1/10
Suffix to individual name
NM108 66 Identification Code Qualifier X ID 1/2
Code designating the system/method of code structure used for
Identification Code (67)
Refer to 004010 Data Element Dictionary for acceptable code values.
NM109 67 Identification Code X AN 2/80
Code identifying a party or other code
NM110 706 Entity Relationship Code X ID 2/2
Code describing entity relationship
Refer to 004010 Data Element Dictionary for acceptable code values.
NM111 98 Entity Identifier Code O ID 2/3
Code identifying an organizational entity, a physical location, property or
an individual
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: LOC Location

Position: 470
Loop: LOC Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To describe the location in space and time of the axis of an item relative to an origin axis
Euclidean geometry has been assumed with orthogonal axes; the sequence of axes has
been chosen in the customary sequence of X, Y, and Z, however, it is possible to just use
two-dimensional space rather than three-dimensional space
Syntax Notes: 1 If either LOC06 or LOC07 is present, then the other is required.
2 If LOC11 is present, then LOC10 is required.
3 If LOC13 is present, then LOC12 is required.
4 If LOC15 is present, then LOC14 is required.
5 If LOC17 is present, then LOC16 is required.
6 If LOC19 is present, then LOC18 is required.
7 If LOC21 is present, then LOC20 is required.
8 If either LOC22 or LOC23 is present, then the other is required.
Semantic Notes: 1 LOC01 through LOC03 describe the item.
2 LOC04 is a description of the positional reference point on the item.
3 LOC05 through LOC08 describe the environment in which the item is placed.
4 LOC09 is a description of the positional reference point in the environment. This is
the origin of the original axes.
5 LOC10 through LOC15 describe the translation in the three-dimensional space of the
axes with respect to the original axes.
LOC10 is the principal X axis of the item.
LOC10 through LOC14 describe the principal XY plane of the item.
6 LOC16 is measured with respect to the XY plane around the X axis.
7 LOC18 is measured with respect to the YZ plane around the Y axis.
8 LOC20 is measured with respect to the ZX plane around the Z axis.
MY4010 (004010) 105 August 4, 2000
 Comments: 1 It is possible to translate the axis system in zero, one, two, or three axial directions.
The temporal measurements would be used, for example, to describe the positions of
a robot head. They may be specified as t1, t2... or n1, n2...etc. Or, they may be
specified in time units such as 0, 0.8, 1.6, etc. They may also represent positions
where they would be specified as p1, p2, etc.
2 All angular positions of an axis vector are measured in a counter-clockwise rotation
around the original axis vector, looking from the positive direction of the vector
towards the origin. The angular unit is specified by the corresponding unit of
measurement, as in LOC17, LOC19, and LOC21.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M LOC01 128 Reference Identification Qualifier M ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
M LOC02 127 Reference Identification M AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
LOC03 352 Description O AN 1/80
A free-form description to clarify the related data elements and their
content
LOC04 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
LOC05 729 Category O AN 1/6
An alphanumeric identifier to represent the category to which the item
belongs
LOC06 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
LOC07 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
LOC08 352 Description O AN 1/80
A free-form description to clarify the related data elements and their
content
LOC09 127 Reference Identification O AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
LOC10 739 Measurement Value X R 1/20
The value of the measurement
LOC11 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner

MY4010 (004010) 106 August 4, 2000

 in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
LOC12 739 Measurement Value X R 1/20
The value of the measurement
LOC13 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner

MY4010 (004010) 107 August 4, 2000

 in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
LOC14 739 Measurement Value X R 1/20
The value of the measurement
LOC15 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner

MY4010 (004010) 108 August 4, 2000

 in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
LOC16 739 Measurement Value X R 1/20
The value of the measurement
LOC17 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner

MY4010 (004010) 109 August 4, 2000

 in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
LOC18 739 Measurement Value X R 1/20
The value of the measurement
LOC19 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
LOC20 739 Measurement Value X R 1/20
The value of the measurement

MY4010 (004010) 110 August 4, 2000

 LOC21 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
LOC22 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
LOC23 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier
LOC24 352 Description O AN 1/80
A free-form description to clarify the related data elements and their
content

MY4010 (004010) 111 August 4, 2000

 Segment: PID Product/Item Description
Position: 480
Loop: PID Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To describe a product or process in coded or free-form format
Syntax Notes: 1 If PID04 is present, then PID03 is required.
2 At least one of PID04 or PID05 is required.
3 If PID07 is present, then PID03 is required.
4 If PID08 is present, then PID04 is required.
5 If PID09 is present, then PID05 is required.
Semantic Notes: 1 Use PID03 to indicate the organization that publishes the code list being referred to.
2 PID04 should be used for industry-specific product description codes.
3 PID08 describes the physical characteristics of the product identified in PID04. A
"Y" indicates that the specified attribute applies to this item; an "N" indicates it does
not apply. Any other value is indeterminate.
4 PID09 is used to identify the language being used in PID05.
Comments: 1 If PID01 equals "F", then PID05 is used. If PID01 equals "S", then PID04 is used. If
PID01 equals "X", then both PID04 and PID05 are used.
2 Use PID06 when necessary to refer to the product surface or layer being described in
the segment.
3 PID07 specifies the individual code list of the agency specified in PID03.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M PID01 349 Item Description Type M ID 1/1
Code indicating the format of a description
Refer to 004010 Data Element Dictionary for acceptable code values.
PID02 750 Product/Process Characteristic Code O ID 2/3
Code identifying the general class of a product or process characteristic
Refer to 004010 Data Element Dictionary for acceptable code values.
PID03 559 Agency Qualifier Code X ID 2/2
Code identifying the agency assigning the code values
Refer to 004010 Data Element Dictionary for acceptable code values.
PID04 751 Product Description Code X AN 1/12
A code from an industry code list which provides specific data about a
product characteristic
PID05 352 Description X AN 1/80
A free-form description to clarify the related data elements and their
content
PID06 752 Surface/Layer/Position Code O ID 2/2
Code indicating the product surface, layer or position that is being
described
Refer to 004010 Data Element Dictionary for acceptable code values.
PID07 822 Source Subqualifier O AN 1/15
A reference that indicates the table or text maintained by the Source
Qualifier
PID08 1073 Yes/No Condition or Response Code O ID 1/1
Code indicating a Yes or No condition or response
Refer to 004010 Data Element Dictionary for acceptable code values.
PID09 819 Language Code O ID 2/3
Code designating the language used in text, from a standard code list
maintained by the International Standards Organization (ISO 639)

MY4010 (004010) 112 August 4, 2000

 Segment: DTM Date/Time Reference
Position: 490
Loop: PID Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify pertinent dates and times
Syntax Notes: 1 At least one of DTM02 DTM03 or DTM05 is required.
2 If DTM04 is present, then DTM03 is required.
3 If either DTM05 or DTM06 is present, then the other is required.
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M DTM01 374 Date/Time Qualifier M ID 3/3
Code specifying type of date or time, or both date and time
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM02 373 Date X DT 8/8
Date expressed as CCYYMMDD
DTM03 337 Time X TM 4/8
Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS,
or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes
(00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal
seconds are expressed as follows: D = tenths (0-9) and DD = hundredths
(00-99)
DTM04 623 Time Code O ID 2/2
Code identifying the time. In accordance with International Standards
Organization standard 8601, time can be specified by a + or - and an
indication in hours in relation to Universal Time Coordinate (UTC) time;
since + is a restricted character, + and - are substituted by P and M in the
codes that follow
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM05 1250 Date Time Period Format Qualifier X ID 2/3
Code indicating the date format, time format, or date and time format
Refer to 004010 Data Element Dictionary for acceptable code values.
DTM06 1251 Date Time Period X AN 1/35
Expression of a date, a time, or range of dates, times or dates and times

Segment: PCT Percent Amounts

Position: 500
Loop: PCT Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To qualify percent amounts and supply percent amounts
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data

MY4010 (004010) 113 August 4, 2000

 Des. Element Name Attributes
M PCT01 1004 Percent Qualifier M ID 1/2
Code to qualify percent
Refer to 004010 Data Element Dictionary for acceptable code values.
M PCT02 954 Percent M R 1/10
Percentage expressed as a decimal

Segment: QTY Quantity

Position: 510
Loop: PCT Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To specify quantity information
Syntax Notes: 1 At least one of QTY02 or QTY04 is required.
2 Only one of QTY02 or QTY04 may be present.
Semantic Notes: 1 QTY04 is used when the quantity is non-numeric.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M QTY01 673 Quantity Qualifier M ID 2/2
Code specifying the type of quantity
Refer to 004010 Data Element Dictionary for acceptable code values.
QTY02 380 Quantity X R 1/15
Numeric value of quantity
QTY03 C001 Composite Unit of Measure O
To identify a composite unit of measure (See Figures Appendix for
examples of use)
M C00101 355 Unit or Basis for Measurement Code M ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00102 1018 Exponent O R 1/15
Power to which a unit is raised
C00103 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00104 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00105 1018 Exponent O R 1/15
Power to which a unit is raised
C00106 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00107 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00108 1018 Exponent O R 1/15
Power to which a unit is raised
C00109 649 Multiplier O R 1/10

MY4010 (004010) 114 August 4, 2000

 Value to be used as a multiplier to obtain a new value
C00110 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00111 1018 Exponent O R 1/15
Power to which a unit is raised
C00112 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
C00113 355 Unit or Basis for Measurement Code O ID 2/2
Code specifying the units in which a value is being expressed, or manner
in which a measurement has been taken
Refer to 004010 Data Element Dictionary for acceptable code values.
C00114 1018 Exponent O R 1/15
Power to which a unit is raised
C00115 649 Multiplier O R 1/10
Value to be used as a multiplier to obtain a new value
QTY04 61 Free-Form Message X AN 1/30
Free-form information

Segment: AMT Monetary Amount

Position: 520
Loop: AMT Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To indicate the total monetary amount
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M AMT01 522 Amount Qualifier Code M ID 1/3
Code to qualify amount
Refer to 004010 Data Element Dictionary for acceptable code values.
M AMT02 782 Monetary Amount M R 1/18
Monetary amount
AMT03 478 Credit/Debit Flag Code O ID 1/1
Code indicating whether amount is a credit or debit
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: ADX Adjustment

Position: 530
Loop: AMT Optional
Level: Detail
Usage: Optional
Max Use: >1
Purpose: To convey accounts-payable adjustment information for the purpose of cash application,
including payer-generated debit/credit memos
Syntax Notes: 1 If either ADX03 or ADX04 is present, then the other is required.

MY4010 (004010) 115 August 4, 2000

 Semantic Notes: 1 ADX01 specifies the amount of the adjustment and must be signed if negative. If
negative, it reduces the payment amount; if positive, it increases the payment
amount.
2 ADX02 specifies the reason for claiming the adjustment.
3 ADX03 and ADX04 specify the identification of the adjustment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M ADX01 782 Monetary Amount M R 1/18
Monetary amount
M ADX02 426 Adjustment Reason Code M ID 2/2
Code indicating reason for debit or credit memo or adjustment to invoice,
debit or credit memo, or payment
Refer to 004010 Data Element Dictionary for acceptable code values.
ADX03 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
ADX04 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: ASM Amount and Settlement Method

Position: 540
Loop: ASM Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: Defines a participant's monetary commitment and settlement method
Syntax Notes:
Semantic Notes:
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M ASM01 610 Amount M N2 1/15
Monetary amount
ASM02 107 Payment Method Code O ID 1/2
Code identifying type of payment procedures
Refer to 004010 Data Element Dictionary for acceptable code values.
ASM03 522 Amount Qualifier Code O ID 1/3
Code to qualify amount
Refer to 004010 Data Element Dictionary for acceptable code values.

Segment: ADX Adjustment

Position: 550
Loop: ASM Optional
Level: Detail
Usage: Optional
Max Use: 1
Purpose: To convey accounts-payable adjustment information for the purpose of cash application,
including payer-generated debit/credit memos
MY4010 (004010) 116 August 4, 2000
 Syntax Notes: 1 If either ADX03 or ADX04 is present, then the other is required.
Semantic Notes: 1 ADX01 specifies the amount of the adjustment and must be signed if negative. If
negative, it reduces the payment amount; if positive, it increases the payment
amount.
2 ADX02 specifies the reason for claiming the adjustment.
3 ADX03 and ADX04 specify the identification of the adjustment.
Comments:

Data Element Summary

Ref. Data
Des. Element Name Attributes
M ADX01 782 Monetary Amount M R 1/18
Monetary amount
M ADX02 426 Adjustment Reason Code M ID 2/2
Code indicating reason for debit or credit memo or adjustment to invoice,
debit or credit memo, or payment
Refer to 004010 Data Element Dictionary for acceptable code values.
ADX03 128 Reference Identification Qualifier X ID 2/3
Code qualifying the Reference Identification
Refer to 004010 Data Element Dictionary for acceptable code values.
ADX04 127 Reference Identification X AN 1/30
Reference information as defined for a particular Transaction Set or as
specified by the Reference Identification Qualifier

Segment: SE Transaction Set Trailer

Position: 010
Loop:
Level: Summary
Usage: Mandatory
Max Use: 1
Purpose: To indicate the end of the transaction set and provide the count of the transmitted
segments (including the beginning (ST) and ending (SE) segments)
Syntax Notes:
Semantic Notes:
Comments: 1 SE is the last segment of each transaction set.

Data Element Summary

Ref. Data
Des. Element Name Attributes
M SE01 96 Number of Included Segments M N0 1/10
Total number of segments included in a transaction set including ST and
SE segments
M SE02 329 Transaction Set Control Number M AN 4/9
Identifying control number that must be unique within the transaction set
functional group assigned by the originator for a transaction set

Revision History
REV # Date Modification TSAG # Author
1.00 March 11, Added Revision History to all existing N/A TSAG
2007 specifications

MY4010 (004010) 117 August 4, 2000

MY4010 (004010) 118 August 4, 2000