Orderful

CVS X12 812 Credit/Debit Adjustment

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Guideline Overview

A high-level outline of segments, elements, and structure. Full implementation details and code lists are available when you sign up.
ISAInterchange Control Header
16 elements

To start and identify an interchange of zero or more functional groups and interchange-related control segments

GSFunctional Group Header
8 elements

To indicate the beginning of a functional group and to provide control information

transactionSets

8 seg
STTransaction Set Header
2 elements

To indicate the start of a transaction set and to assign a control number

BCDBeginning Credit/Debit Adjustment
10 elements

To transmit identifying dates and numbers for the transaction set and indicate the monetary value to the receiver of the transaction

N9Reference Identification
2 elements

To transmit identifying information as specified by the Reference Identification Qualifier

DTMDate/Time Reference
2 elements

To specify pertinent dates and times

SACService, Promotion, Allowance, or Charge Information
3 elements

To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge

N1_loop

200x2 seg
N1Name
4 elements

To identify a party by type of organization, name, and code

AMTMonetary Amount
2 elements

To indicate the total monetary amount

CDD_loop

>1x5 seg
CDDCredit/Debit Adjustment Detail
10 elements

To provide information relative to a line item adjustment

LINItem Identification
4 elements

To specify basic item identification data

PO4Item Physical Details
1 element

To specify the physical qualities, packaging, weights, and dimensions relating to the item

SACService, Promotion, Allowance, or Charge Information
3 elements

To request or identify a service, promotion, allowance, or charge; to specify the amount or percentage for the service, promotion, allowance, or charge

N9Reference Identification
2 elements

To transmit identifying information as specified by the Reference Identification Qualifier

SETransaction Set Trailer
2 elements

To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

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