Departments > EDI > Implementation Guide > 820 Remittance Advice map

Sample 820 Document (X12 RELEASE 4010)


ISA¬00¬          ¬00¬          ¬01¬006928311    ¬01¬999999999    ¬980215¬1425¬U¬00400¬000000160¬0¬T¬|  NL 

GS¬RA¬006928311¬999999999¬19980215¬1425¬160¬X¬004010   NL 

         ST¬820¬0160 NL 

         BPR¬I¬3062¬C¬DZC¬CCP¬01¬999999999  NL 

         REF¬EF¬222222¬IF ANY QUESTIONS, CALL (630)990-6669 NL 

         REF¬IA¬12345¬IF ANY QUESTIONS, CALL (630)990-6669 NL        

         DTM¬097¬19980215 NL 

         N1¬PE¬VENDOR'S COMPANY NAME NL  

         ENT¬¬ZZ¬01¬0069283110 NL

         RMR¬CR¬3333333333¬¬30.62¬31.25¬1.63  NL

         REF¬MC¬0745054 NL

         REF¬SM¬4532 NL 

         REF¬VV¬0160284 NL

         DTM¬003¬19980815 NL

         DTM¬097¬19980927 NL 

         SE¬11¬0160 NL  

         GE¬1¬160 NL 

         IEA¬1¬000000160 NL 

03/07