Complete EDI X12 Reference Guide for Transaction Sets, Segments, and Elements

X12 Release Version

EDI 811 Consolidated Service Invoice Statement

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📄 What is this 811 EDI document?

📄 How is this 811 EDI document used?

  • ST (Transaction Set Header) [Min: 0, Max: 1]
  • BIG (Beginning Segment for Invoice) M
  • NTE (Note/Special Instruction) [Min: 0, Max: 100]
  • CUR (Currency) [Min: 0, Max: 1]
  • REF (Reference Identification) [Min: 0, Max: 999]
  • PER (Administrative Communications Contact) [Min: 0, Max: 3]
  • ITD (Terms of Sale/Deferred Terms of Sale) [Min: 0, Max: 5]
  • DTM (Date/Time Reference) [Min: 0, Max: 10]
  • TXI (Tax Information) [Min: 0, Max: 999]
  • ▶
    N1Loop1 () [Min: 0, Max: 999]
      • N1 (Name) M
      • N2 (Additional Name Information) [Min: 0, Max: 2]
      • N3 (Address Information) [Min: 0, Max: 2]
      • N4 (Geographic Location) [Min: 0, Max: 1]
      • REF (Reference Identification) [Min: 0, Max: 12]
      • PER (Administrative Communications Contact) [Min: 0, Max: 3]
  • ▶
    HLLoop1 () M [Max: 999]
      • HL (Hierarchical Level) M
      • ▶
        LXLoop1 () [Min: 0, Max: 999]
          • LX (Assigned Number) M
          • VEH (Vehicle Information) [Min: 0, Max: 1]
          • SI (Service Characteristic Identification) [Min: 0, Max: 2]
          • PID (Product/Item Description) [Min: 0, Max: 200]
          • MEA (Measurements) [Min: 0, Max: 20]
          • REF (Reference Identification) [Min: 0, Max: 999]
          • AMT (Monetary Amount) [Min: 0, Max: 5]
          • DTM (Date/Time Reference) [Min: 0, Max: 4]
          • TXI (Tax Information) [Min: 0, Max: 999]
          • ▶
            QTYLoop1 () [Min: 0, Max: 10]
              • QTY (Quantity) M
              • SI (Service Characteristic Identification) [Min: 0, Max: 1]
      • ▶
        N1Loop2 () [Min: 0, Max: 1]
          • N1 (Name) M
          • N2 (Additional Name Information) [Min: 0, Max: 2]
          • N3 (Address Information) [Min: 0, Max: 2]
          • N4 (Geographic Location) [Min: 0, Max: 1]
          • REF (Reference Identification) [Min: 0, Max: 2]
          • PER (Administrative Communications Contact) [Min: 0, Max: 999]
          • TXI (Tax Information) [Min: 0, Max: 999]
      • ▶
        ITALoop1 () [Min: 0, Max: 999]
          • ITA (Allowance, Charge or Service) M
          • DTM (Date/Time Reference) [Min: 0, Max: 1]
          • TXI (Tax Information) [Min: 0, Max: 999]
      • ▶
        IT1Loop1 () [Min: 0, Max: 999999]
          • IT1 (Baseline Item Data (Invoice)) M
          • SI (Service Characteristic Identification) [Min: 0, Max: 2]
          • PID (Product/Item Description) [Min: 0, Max: 200]
          • MEA (Measurements) [Min: 0, Max: 20]
          • INC (Installment Information) [Min: 0, Max: 1]
          • TXI (Tax Information) [Min: 0, Max: 999]
          • REF (Reference Identification) [Min: 0, Max: 1]
          • DTM (Date/Time Reference) [Min: 0, Max: 10]
          • MSG (Message Text) [Min: 0, Max: 999]
          • AMT (Monetary Amount) [Min: 0, Max: 1]
          • ▶
            QTYLoop2 () [Min: 0, Max: 999]
              • QTY (Quantity) M
              • SI (Service Characteristic Identification) [Min: 0, Max: 1]
          • ▶
            ITALoop2 () [Min: 0, Max: 10]
              • ITA (Allowance, Charge or Service) M
              • DTM (Date/Time Reference) [Min: 0, Max: 1]
              • TXI (Tax Information) [Min: 0, Max: 999]
          • ▶
            N1Loop3 () [Min: 0, Max: 999]
              • N1 (Name) M
              • N2 (Additional Name Information) [Min: 0, Max: 2]
              • N3 (Address Information) [Min: 0, Max: 2]
              • N4 (Geographic Location) [Min: 0, Max: 1]
              • PER (Administrative Communications Contact) [Min: 0, Max: 3]
      • ▶
        SLNLoop1 () [Min: 0, Max: 999]
          • SLN (Subline Item Detail) M
          • SI (Service Characteristic Identification) [Min: 0, Max: 2]
          • PID (Product/Item Description) [Min: 0, Max: 200]
          • MEA (Measurements) [Min: 0, Max: 20]
          • CUR (Currency) [Min: 0, Max: 1]
          • INC (Installment Information) [Min: 0, Max: 1]
          • ITA (Allowance, Charge or Service) [Min: 0, Max: 10]
          • TXI (Tax Information) [Min: 0, Max: 999]
          • REF (Reference Identification) [Min: 0, Max: 999]
          • PER (Administrative Communications Contact) [Min: 0, Max: 3]
          • DTM (Date/Time Reference) [Min: 0, Max: 10]
          • AMT (Monetary Amount) [Min: 0, Max: 10]
          • MSG (Message Text) [Min: 0, Max: 999]
          • ▶
            QTYLoop3 () [Min: 0, Max: 999]
              • QTY (Quantity) M
              • SI (Service Characteristic Identification) [Min: 0, Max: 1]
          • ▶
            N1Loop4 () [Min: 0, Max: 999]
              • N1 (Name) M
              • N2 (Additional Name Information) [Min: 0, Max: 2]
              • N3 (Address Information) [Min: 0, Max: 2]
              • N4 (Geographic Location) [Min: 0, Max: 1]
              • REF (Reference Identification) [Min: 0, Max: 2]
              • PER (Administrative Communications Contact) [Min: 0, Max: 3]
      • ▶
        TCDLoop1 () [Min: 0, Max: 999]
          • TCD (Itemized Call Detail) M
          • SI (Service Characteristic Identification) [Min: 0, Max: 2]
          • TXI (Tax Information) [Min: 0, Max: 999]
      • ▶
        USDLoop1 () [Min: 0, Max: 999]
          • USD (Usage-Sensitive Detail) M
          • ITA (Allowance, Charge or Service) [Min: 0, Max: 2]
          • TRF (Rating Factors) [Min: 0, Max: 18]
          • ▶
            QTYLoop4 () [Min: 0, Max: 999]
              • QTY (Quantity) M
              • SI (Service Characteristic Identification) [Min: 0, Max: 1]
  • TDS (Total Monetary Value Summary) M
  • ▶
    ITALoop3 () [Min: 0, Max: 999]
      • ITA (Allowance, Charge or Service) M
      • DTM (Date/Time Reference) [Min: 0, Max: 1]
  • ▶
    BALLoop1 () [Min: 0, Max: 999]
      • BAL (Balance Detail) M
      • DTM (Date/Time Reference) [Min: 0, Max: 1]
  • ▶
    N1Loop5 () [Min: 0, Max: 999]
      • N1 (Name) M
      • ▶
        BALLoop2 () [Min: 0, Max: 999]
          • BAL (Balance Detail) M
          • DTM (Date/Time Reference) [Min: 0, Max: 1]
      • ▶
        ITALoop4 () [Min: 0, Max: 999]
          • ITA (Allowance, Charge or Service) M
          • DTM (Date/Time Reference) [Min: 0, Max: 1]
  • CTT (Transaction Totals) [Min: 0, Max: 1]
  • SE (Transaction Set Trailer) [Min: 0, Max: 1]

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