Walgreens X12 820 Payment Order/Remittance Advice

Code to identify the type of information in the Authorization Information

Information used for additional identification or authorization of the interchange sender or the data in the interchange; the type of information is set by the Authorization Information Qualifier (I01)

Code to identify the type of information in the Security Information

This is used for identifying the security information about the interchange sender or the data in the interchange; the type of information is set by the Security Information Qualifier (I03)

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

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 value in the sender ID element

Qualifier to designate the system/method of code structure used to designate the sender or receiver ID element being qualified

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

Date of the interchange

Time of the interchange

Code to identify the agency responsible for the control standard used by the message that is enclosed by the interchange header and trailer

This version number covers the interchange control segments

A control number assigned by the interchange sender

Code sent by the sender to request an interchange acknowledgment (TA1)

Code to indicate whether data enclosed by this interchange envelope is test, production or information

Type is not applicable; the component element separator is a delimiter and not a data element; this field provides the delimiter used to separate component data elements within a composite data structure; this value must be different than the data element separator and the segment terminator

Code identifying a group of application related transaction sets

Code identifying party sending transmission; codes agreed to by trading partners

Code identifying party receiving transmission. Codes agreed to by trading partners

Date expressed as CCYYMMDD

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)

Assigned number originated and maintained by the sender

Code used in conjunction with Data Element 480 to identify the issuer of the standard

Code indicating the version, release, subrelease, and industry identifier of the EDI standard being used, including the GS and GE segments; if code in DE455 in GS segment is X, then in DE 480 positions 1-3 are the version number; positions 4-6 are the release and subrelease, level of the version; and positions 7-12 are the industry or trade association identifiers (optionally assigned by user); if code in DE455 in GS segment is T, then other formats are allowed