| Segment:
ISA - INTERCHANGE CONTROL HEADER |
Level:
ENVELOPE |
| Loop: |
Max Use:
1 |
Usage:
MANDATORY |
| |
| PURPOSE:
To start and identify an interchange of one or more functional groups. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| ISA01 |
Authorization
Information Qualifier |
"00" |
| ISA02 |
Authorization
Information |
Ten blank
spaces |
| ISA03 |
Security
Information Qualifier |
"00" |
| ISA04 |
Security
Information |
Ten blank
spaces |
| ISA05 |
Interchange
Id Qualifier |
Originator's
ID qualifier |
| ISA06 |
Interchange
Sender ID |
997 Originator's
ID |
| ISA07 |
Interchange
ID Qualifier |
"08" for
Production
"ZZ" for Testing |
| ISA08 |
Interchange
Receiver ID |
"9252671859"
for Production
"NEXCOM" for Testing |
| ISA09 |
Interchange
Date |
YYMMDD |
| ISA10 |
Interchange
Time |
HHMM |
| ISA11 |
Interchange
Control Standards Identifier |
"U" =
ACS X12 |
| ISA12 |
Interchange
Control Version Number |
"00401" |
| ISA13 |
Interchange
Control Number |
Sequential
Number |
| ISA14 |
Acknowledgment
Requested |
"00" |
| ISA15 |
Test Indicator |
"P" for
Production, "T" for Testing |
| ISA16 |
Subelement
Separator |
">" |
| |
|
| Segment:
GS - FUNCTIONAL GROUP HEADER |
Level:
GROUP |
| Loop: |
Max Use:
1 |
Usage:
MANDATORY |
| |
| PURPOSE:
To start and identify a functional group of related transaction
sets and provide control and application indentification information. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| GS01 |
Functional
Identifier Code |
"FA" =
Functional Acknowledgment |
| GS02 |
Application
Sender's Code |
997 Originator's
ID |
| GS03 |
Application
Receiver's Code |
"9252671859"
for Production
"NEXCOM" for Testing |
| GS04 |
Date |
CC'YYMMDD |
| GS05 |
Time |
HHMM |
| GS06 |
Group
Control Number |
Sequential
Number |
| GS07 |
Responsible
Agency Code |
"X" =
X12 |
| GS08* |
Version/Release/Industry
Identifier Code |
"004010VICS" |
| |
| * Version
number must have 'VICS' suffix. |
| |
| Segment:
ST - TRANSACTION SET HEADER |
Level:
HEADER |
| Loop: |
Max Use:
1 |
Usage:
MANDATORY |
| |
| PURPOSE:
To identify the start of a transaction set and to assign a control
number. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| ST01 |
Transaction
ID |
"997" |
| ST02 |
Control
Number |
Unique
Control Number assigned by transaction set originator |
| |
| Segment:
AK1 - FUNCTIONAL GROUP RESPONSE HEADER |
Level:
HEADER |
| Loop: |
Max Use:
1 |
Usage:
MANDATORY |
| |
| PURPOSE:
To start acknowledgment of a functional group. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| AK101 |
Functional
Group ID |
Value
from GS01 in original transaction
e.g. "PO" , "PD" , "IN" |
| AK102 |
Group
Control Number |
Control
number assigned in GS06 in the original transaction |
| |
| Segment:
AK2 - TRANSACTION SET RESPONSE HEADER * |
Level:
HEADER |
| Loop:
AK2 Repeat 99999 |
Max Use:
1 |
Usage:
OPTIONAL |
| |
| PURPOSE:
To start acknowledgment of a single transaction set. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| AK201 |
Transaction
Set Identifier Code |
Value
from ST01 in original transaction '850' for purchase order, '810'
for invoice |
| AK202 |
Interchange
Control Number |
Control
number is the same as ST02 of original document |
| * Segment
may or may not be included in transmission. |
| |
| Segment:
AK5 - TRANSACTION SET RESPONSE TRAILER * |
Level:
HEADER |
| Loop:
AK2 |
Max Use:
1 |
Usage:
MANDATORY |
| |
| PURPOSE:
To acknowledge acceptance or rejection and to report errors in a
transaction set. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| AK501 |
Transaction
Set Acknowledgement Code |
"A" ,
"E" or "R" |
| |
| * Segment
may or may not be included in transmission. |
| |
| Segment:
AK9 - FUNCTIONAL GROUP RESPONSE TRAILER |
Level:
HEADER |
| Loop: |
Max Use:
1 |
Usage:
MANDATORY |
| |
| PURPOSE:
To acknowledge acceptance or rejection of a functional group and
report the number of included transaction sets from the original
trailer , the accepted sets and the received sets in this functional
group. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| AK901 |
Functional
Group Acknowledgment Code |
"A" "E"
"R" "P" |
| AK902 |
Number
or Transaction Sets Sent |
Number
of sets sent in functional group |
| AK903 |
Number
of Received Transaction Sets |
Number
of sets received |
| AK904 |
Number
of Accepted Transaction Sets |
Number
of sets accepted |
| |
| |
| Segment:
SE - TRANSACTION SET TRAILER |
Level:
HEADER |
| Loop: |
Max Use:
1 |
Usage:
MANDATORY |
| |
| PURPOSE:
To indicate the end of the transaction set and provide the count
of the transmitted segments, including beginning and ending segments. |
| |
| |
Data Element
Name |
NEXCOM
Codes/Values |
| SE01 |
Number
of Segments |
Total
segments. Include ST and SE seg. |
| SE02 |
Control
Number |
Sequential
number, same as ST02. |
| |
