Loop Qualifiersxx - Loop Iteration Prefix
xxyy - Outer Loop Iteration and Inner Loop Iteration
yy /
yyy - Loop Value Qualifier
xxyy /
xxyyy - Loop Iteration and Value Qualifier
Segment Modifiers:X - Distinguishing Identifier Suffix
nn - Segment Iteration (only after first iterartion)
nn - Element Repeat Iteration (only after first iterartion)
ISA | ISA | Interchange Control Header | | |
02 | | ISA_ISA02_NO_AUTH_NFO | String | No Authorization Information Present |
02 | | ISA_ISA02_ADDL_DATA_ID | String | Additional Data Identification |
04 | | ISA_ISA04_NO_SEC_NFO | String | No Security Information Present |
04 | | ISA_ISA04_PSSWD | String | Password |
06 | | ISA_ISA06_DUN_BRDST | String | Dun and Brandstreet |
06 | | ISA_ISA06_DUN_BRDST_SFX | String | Duns Plus Suffix |
06 | | ISA_ISA06_HIN | String | Health Industry Number |
06 | | ISA_ISA06_CARR_ID | String | Carrier Identification Number as assigned by Health Care Financing Administration |
06 | | ISA_ISA06_HCFA_FIIN | String | Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration |
06 | | ISA_ISA06_HCFA_ID | String | Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration |
06 | | ISA_ISA06_TAX_ID | String | US Federal Tax Identification Number |
06 | | ISA_ISA06_NAIC_CD | String | National Association of Insurance Commissioners Company Code |
06 | | ISA_ISA06_MUTLY_DEF | String | Mutually Defined |
08 | | ISA_ISA08_DUN_BRDST | String | Dun and Brandstreet |
08 | | ISA_ISA08_DUN_BRDST_SFX | String | Duns Plus Suffix |
08 | | ISA_ISA08_HIN | String | Health Industry Number |
08 | | ISA_ISA08_CARR_ID | String | Carrier Identification Number as assigned by Health Care Financing Administration |
08 | | ISA_ISA08_HCFA_FIIN | String | Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration |
08 | | ISA_ISA08_HCFA_ID | String | Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration |
08 | | ISA_ISA08_TAX_ID | String | US Federal Tax Identification Number |
08 | | ISA_ISA08_NAIC_CD | String | National Association of Insurance Commissioners Company Code |
08 | | ISA_ISA08_MUTLY_DEF | String | Mutually Defined |
09 | | ISA_ISA09_INTCHG_DT | Date (YYMMDD) | Interchange Date |
10 | | ISA_ISA10_INTCHG_TM | Time (HHMM) | Interchange Time |
11 | | ISA_ISA11_REPTN_SEP | String | Repetition Separator |
12 | | ISA_ISA12_ICN_VERS_NR | String | Interchang Control Version Number |
13 | | ISA_ISA13_ICN | Integer | Interchange Control Number |
14 | | ISA_ISA14_ACK_REQ | String | Acknowledgment Requested |
15 | | ISA_ISA15_ICN_USG_IND | String | Interchange Usage Indicator |
16 | | ISA_ISA16_COMP_ELE_SEP | String | Component Element Separator |
GSHDR | GS | Functional Group Header | | |
02 | | GSHDR_GS02_APP_SNDR_CD | String | Application Senders Code |
03 | | GSHDR_GS03_APP_RCV_CD | String | Application Receivers Code |
04 | | GSHDR_GS04_D8 | Date (YYYYMMDD) | Date |
05 | | GSHDR_GS05_TM | Time (HHMM) | Time |
05 | | GSHDR_GS05_TM8 | Time (HHMMSSCC) | Time |
06 | | GSHDR_GS06_GCN | Integer | Group Control Number |
STHDR - TRANSACTION SET HEADER |
02 | | STHDR_ST02_TCN | String | Transaction Set Control Number |
03 | | STHDR_ST03_IMP_CONV_REF | String | Implementation Convention Reference |
STHDR | BPR | Financial Information | | |
01 | | STHDR_BPR01_TRANS_HANDL_CD | String | Transaction Handling Code |
02 | | STHDR_BPR02_TOT_PRM_PMT_AMT | Number | Total Premium Payment Amount |
04 | | STHDR_BPR04_PMT_METHD_CD | String | Payment Method Code |
05 | | STHDR_BPR05_PMT_FMT_CD | String | Payment Format Code |
06 | | STHDR_BPR06_DFI_NR | String | Depository Financial Institution (DFI) network. If not required by this implementation guide do not |
07 | | STHDR_BPR07_ORIG_DFI | String | Originating Depository Financial Institution (DFI) |
09 | | STHDR_BPR09_ALC | String | Agency Location Code (ALC) |
09 | | STHDR_BPR09_DEMND_DEPST | String | Demand Deposit |
10 | | STHDR_BPR10_PYR_ID | String | Payer Identifier |
11 | | STHDR_BPR11_ORG_CO_SUPP_CD | String | Originating Company Supplemental Code |
12 | | STHDR_BPR12_DFI_NR | String | Depository Financial Institution (DFI) not required by this implementation guide, do not send. |
13 | | STHDR_BPR13_RCV_DFI | String | Receiving Depository Financial Institution (DFI) |
15 | | STHDR_BPR15_DEMND_DEPST | String | Demand Deposit |
15 | | STHDR_BPR15_SAVNGS | String | Savings |
16 | | STHDR_BPR16_CHK_EFT_EFDT_D8 | Date (YYYYMMDD) | Check Issue or EFT Effective Date |
STHDR | TRN | Reassociation Trace Number | | |
01 | | STHDR_TRN01_TRAC_TYP_CD | String | Trace Type Code |
02 | | STHDR_TRN02_CHK_EFT_TRC_NR | String | Check or EFT Trace Number |
03 | | STHDR_TRN03_ORG_CO_ID | String | Originating Company Identifier |
04 | | STHDR_TRN04_ORG_CO_SUPP_CD | String | Originating Company Supplemental Code |
STHDR | CUR | Foreign Currency Information | | |
01 | | STHDR_CUR01_ENTY_ID_CD | String | Entity Identifier Code |
02 | | STHDR_CUR02_CURRNCY_CD | String | Currency Code |
STHDR | REF | Premium Receivers Identification Key | Iterated: [01-99]
| |
02 | | STHDR_nnREF_MSTR_ACCT_NR | String | Master Account Number |
02 | | STHDR_nnREF_CLT_RPT_CAT | String | Client Reporting Category |
02 | | STHDR_nnREF_PLAN_NR | String | Plan Number |
02 | | STHDR_nnREF_INVC_NR | String | Consolidated Invoice Number |
02 | | STHDR_nnREF_MSTR_PLCY_NR | String | Master Policy Number |
02 | | STHDR_nnREF_SCH_REF_NR | String | Schedule Reference Number |
02 | | STHDR_nnREF_LCKBX | String | Lockbox |
02 | | STHDR_DTM02_PRCS | DateTime | Process |
02 | | STHDR_DTM02_DELVD | DateTime | Delivered |
02 | | STHDR_DTM02_D8 | Date (YYYYMMDD) | Date |
02 | | STHDR_DTM02_TS_CREATN | DateTime | Transaction Creation |
L1000A - PREMIUM RECEIVERS NAME |
L1000A | N1 | Premium Receiver?s Name | | |
02 | | L1000A_N102_PREM_RCV_LNM | String | Premium Receiver's Last or Organization Name |
04 | | L1000A_N104_DUNS_NR | String | D-U-N-S Number, Dun and Bradstreet |
04 | | L1000A_N104_DUNS4_NR | String | D-U-N-S+4, D-U-N-S Number with Four Character Suffix |
04 | | L1000A_N104_INS_ASGND_ID | String | Insurance Company Assigned Identification Number |
04 | | L1000A_N104_TAX_ID | String | Federal Taxpayer's Identification Number |
04 | | L1000A_N104_CMS_PLANID | String | Centers for Medicare and Medicaid Services PlanID |
L1000A | N2 | Premium Receiver Additional Name | | |
01 | | L1000A_N201_PRM_RCV_ADDL_NM | String | Premium Receiver's Additional Name |
L1000A | N3 | Premium Receiver?s Address | | |
01 | | L1000A_N301_PREM_RCV_ADDR | String | Premium Receiver's Address Line |
02 | | L1000A_N302_PREM_RCV_ADDR | String | Premium Receiver's Address Line |
L1000A | N4 | Premium Receiver?s City, State, and ZIP Code | | |
01 | | L1000A_N401_PREM_RCV_CITY_NM | String | Premium Receiver's City Name |
02 | | L1000A_N402_PRM_RCV_STAT | String | Premium Receiver's State Code |
03 | | L1000A_N403_PRM_RCV_ZIP | String | Premium Receiver's Postal Zone or Zip Code |
04 | | L1000A_N404_CNTRY_CD | String | Country Code |
07 | | L1000A_N407_CNTRY_SUBDV_CD | String | Country Subdivision Code |
L1000A | RDM | Premium Receiver?s Remittance Delivery Method | | |
01 | | L1000A_RDM01_REMIT_DEL_MTH_CD | String | Remittance Delivery Method Code |
02 | | L1000A_RDM02_PREM_RCV_LNM | String | Premium Receiver's Last or Organization Name |
03 | | L1000A_RDM03_PREM_RCV_COMM_NR | String | Premium Receiver's Communication Number |
L1000B - PREMIUM PAYERS NAME |
L1000B | N1 | Premium Payer?s Name | | |
02 | | L1000B_N102_PREM_PYR_NM | String | Premium Payer Name |
04 | | L1000B_N104_DUNS_NR | String | D-U-N-S Number, Dun and Bradstreet |
04 | | L1000B_N104_DUNS4_NR | String | D-U-N-S+4, D-U-N-S Number with Four Character Suffix |
04 | | L1000B_N104_EMP_ID_NR | String | Employer's Identification Number |
04 | | L1000B_N104_STAT_ASGND_NR | String | State or Province Assigned Number |
04 | | L1000B_N104_INS_ASGND_ID | String | Insurance Company Assigned Identification Number |
04 | | L1000B_N104_TAX_ID | String | Federal Taxpayer's Identification Number |
04 | | L1000B_N104_PAYR_ID | String | Payor Identification |
L1000B | N2 | Premium Payer Additional Name | | |
01 | | L1000B_N201_PREM_PYR_ADDL_NM | String | Premium Payer Additional Name |
L1000B | N3 | Premium Payer?s Address | | |
01 | | L1000B_N301_PREM_PYR_ADDR | String | Premium Payer Address Line |
02 | | L1000B_N302_PREM_PYR_ADDR | String | Premium Payer Address Line |
L1000B | N4 | Premium Payer?s City, State, ZIP Code | | |
01 | | L1000B_N401_PREM_PYR_CITY | String | Premium Payer City Name |
02 | | L1000B_N402_PREM_PYR_STAT | String | Premium Payer State Code |
03 | | L1000B_N403_PREM_PYR_ZIP | String | Premium Payer Postal Zone or ZIP Code |
04 | | L1000B_N404_CNTRY_CD | String | Country Code |
07 | | L1000B_N407_CNTRY_SUBDV_CD | String | Country Subdivision Code |
L1000B | PER | Premium Payer?s Administrative Contact | Iterated: [01-99]
| |
02 | | L1000B_nnPER02_PREM_PYR_CON_NM | String | Premium Payer Contact Name |
04 | | L1000B_nnPER04_EMAIL | String | Electronic Mail |
04 | | L1000B_nnPER04_FAX | String | Facsimile |
04 | | L1000B_nnPER04_PHN_NR | String | Telephone |
06 | | L1000B_nnPER06_EMAIL | String | Electronic Mail |
06 | | L1000B_nnPER06_PHN_EXT | String | Telephone Extension |
06 | | L1000B_nnPER06_FAX | String | Facsimile |
06 | | L1000B_nnPER06_PHN_NR | String | Telephone |
08 | | L1000B_nnPER08_EMAIL | String | Electronic Mail |
08 | | L1000B_nnPER08_PHN_EXT | String | Telephone Extension |
08 | | L1000B_nnPER08_FAX | String | Facsimile |
08 | | L1000B_nnPER08_PHN_NR | String | Telephone |
L1000C - INTERMEDIARY BANK INFORMATION (Value Qualified) |
Mapping Prefix: L1000C_04 - Asset Account Holder |
Mapping Prefix: L1000C_0B - Interim Funding Organization |
Mapping Prefix: L1000C_8W - Payment Address |
Mapping Prefix: L1000C_AK - Party to Whom Acknowledgment Should Be Sent |
Mapping Prefix: L1000C_BE - Beneficiary |
Mapping Prefix: L1000C_BK - Bank |
Mapping Prefix: L1000C_C1 - In Care Of Party no. 1 |
Mapping Prefix: L1000C_C2 - In Care Of Party no. 2 |
Mapping Prefix: L1000C_IAT - Party Executing and Verifying |
Mapping Prefix: L1000C_MJ - Financial Institution |
Mapping Prefix: L1000C_RB - Receiving Bank |
Mapping Prefix: L1000C_Z6 - Transferring Party |
Mapping Prefix: L1000C_ZB - Party to Receive Credit |
Mapping Prefix: L1000C_ZL - Federal Medicare or Medicaid Payment Mandate - Category 2 |
L1000C | N1 | Intermediary Bank Information | | |
02 | | L1000C_yy_N102_INTER_BANK_NM | String | Intermediary Bank Name |
04 | | L1000C_yy_N104_BANK_ID_CD | String | Bank Identification Code |
04 | | L1000C_yy_N104_DEPT | String | Department |
04 | | L1000C_yy_N104_ORG_CD_DEST_TS | String | Code assigned by the organization that is the ultimate destination of the transaction set |
04 | | L1000C_yy_N104_ASGD_3RD_PTY | String | Assigned by Third Party |
04 | | L1000C_yy_N104_ASGD_CLGHS | String | Assigned by Clearinghouse |
04 | | L1000C_yy_N104_FINS | String | Financial Identification Numbering System (FINS) |
04 | | L1000C_yy_N104_CAN_INST_RT_NR | String | Canadian Financial Institution Routing Number |
04 | | L1000C_yy_N104_PAYEE_ID_NR | String | Payee Identification Number |
04 | | L1000C_yy_N104_2ND_AGNT_ID | String | Secondary Agent Identification |
L1000C | N2 | Intermediary Bank Additional Name | | |
01 | | L1000C_yy_N201_INTR_BNK_ADL_NM | String | Intermediary Bank Additional Name |
L1000C | N3 | Intermediary Bank?s Address | | |
01 | | L1000C_yy_N301_INTER_BNK_ADDR | String | Intermediary Bank Address Line |
02 | | L1000C_yy_N302_INTER_BNK_ADDR | String | Intermediary Bank Address Line |
L1000C | N4 | Intermediary Bank?s City, State, ZIP Code | | |
01 | | L1000C_yy_N401_INTER_BANK_CITY | String | Intermediary Bank City Name |
02 | | L1000C_yy_N402_INTER_BANK_STAT | String | Intermediary Bank State Code |
03 | | L1000C_yy_N403_INTER_BANK_ZIP | String | Intermediary Bank Postal Zone or ZIP Code |
04 | | L1000C_yy_N404_CNTRY_CD | String | Country Code |
07 | | L1000C_yy_N407_CNTRY_SUBDV_CD | String | Country Subdivision Code |
L1000C | PER | Intermediary Bank?s Administrative Contact | Iterated: [01-99]
| |
02 | | L1000C_yy_nnPER02_INTR_BNK_CON | String | Intermediary Bank Contact Name |
04 | | L1000C_yy_nnPER04_EMAIL | String | Electronic Mail |
04 | | L1000C_yy_nnPER04_FAX | String | Facsimile |
04 | | L1000C_yy_nnPER04_PHN_NR | String | Telephone |
06 | | L1000C_yy_nnPER06_EMAIL | String | Electronic Mail |
06 | | L1000C_yy_nnPER06_PHN_EXT | String | Telephone Extension |
06 | | L1000C_yy_nnPER06_FAX | String | Facsimile |
06 | | L1000C_yy_nnPER06_PHN_NR | String | Telephone |
08 | | L1000C_yy_nnPER08_EMAIL | String | Electronic Mail |
08 | | L1000C_yy_nnPER08_PHN_EXT | String | Telephone Extension |
08 | | L1000C_yy_nnPER08_FAX | String | Facsimile |
08 | | L1000C_yy_nnPER08_PHN_NR | String | Telephone |
L2000A - ORGANIZATION SUMMARY REMITTANCE (Value Qualified) |
Mapping Prefix: L2000A_2L - Corporation |
Mapping Prefix: L2000A_AG - Agent/Agency |
Mapping Prefix: L2000A_NH - Association |
Mapping Prefix: L2000A_RGA - Responsible Government Agency |
Mapping Prefix: L2000A_UN - Union |
L2000A | ENT | Organization Summary Remittance | | |
01 | | L2000A_yy_ENT01_ASSGD_NR | Integer | Assigned Number |
04 | | L2000A_yy_ENT04_DUNS_NR | String | D-U-N-S Number, Dun and Bradstreet |
04 | | L2000A_yy_ENT04_DUNS4_NR | String | D-U-N-S+4, D-U-N-S Number with Four Character |
04 | | L2000A_yy_ENT04_EMP_ID_NR | String | Employer's Identification Number |
04 | | L2000A_yy_ENT04_TAX_ID | String | Federal Taxpayer's Identification Number |
L2200A - ORGANIZATION SUMMARY REMITTANCE LEVEL ADJUSTMENT FOR PREVIOUS PAYMENT |
L2200A | ADX | Organization Summary Remittance Level Adjustment for Previous Payment | | |
01 | | L2200A_ADX01_PREM_PMT_ADJ_AMT | Number | Premium Payment Adjustment Amount |
02 | | L2200A_ADX02_PREM_PMT_ADJ_RSN | String | Premium Payment Adjustment Reason |
L2300A - ORGANIZATION SUMMARY REMITTANCE DETAIL |
L2300A | RMR | Organization Summary Remittance Detail | | |
02 | | L2300A_RMR02_ACCT_NR | String | Account Number |
02 | | L2300A_RMR02_GRP_POLCY_NR | String | Group or Policy Number |
02 | | L2300A_RMR02_CNTRCT_NR | String | Contract Number |
02 | | L2300A_RMR02_INVC_NR | String | Invoice Number |
03 | | L2300A_RMR03_ | String | Payment Action Code |
04 | | L2300A_RMR04_DTL_PRM_PMT_AMT | Number | Detail Premium Payment Amount |
05 | | L2300A_RMR05_BILL_PREM_AMT | Number | Billed Premium Amount |
L2300A | REF | Reference Information | Iterated: [01-99]
| |
02 | | L2300A_nnREF_MSTR_ACCT_NR | String | Master Account Number |
02 | | L2300A_nnREF_CLT_RPT_CAT | String | Client Reporting Category |
02 | | L2300A_nnREF_PLAN_NR | String | Plan Number |
02 | | L2300A_nnREF_INVC_NR | String | Consolidated Invoice Number |
02 | | L2300A_nnREF_MSTR_PLCY_NR | String | Master Policy Number |
02 | | L2300A_nnREF_ATTCH_CD | String | Attachment Code |
02 | | L2300A_nnREF_LCKBX | String | Lockbox |
02 | | L2300A_nnREF_LOC_NR | String | Location Number |
02 | | L2300A_nnREF_MUTLY_DEF | String | Mutually Defined |
L2300A | DTM | Organizational Coverage Period | | |
02 | | L2300A_DTM02_D8 | Date (YYYYMMDD) | Date |
L2310A - SUMMARY LINE ITEM |
L2310A | IT1 | Summary Line Item | | |
01 | | L2310A_IT101_LIN_ITM_CTL_NR | String | Line Item Control Number |
L2312A - SERVICE, PROMOTION, ALLOWANCE, OR CHARGE INFORMATION (Single Iteration) |
L2312A | SAC | Service, Promotion, Allowance, or Charge Information | | |
02 | | L2312A_xx_SAC02_SVC_PRM_CHG_CD | String | Service, Promotion, Allowance, or Charge Code |
05 | | L2312A_xx_SAC05_AMT | String | Amount |
L2315A - MEMBER COUNT (Single Iteration) |
01 | | L2315A_xx_SLN01_LIN_ITM_CTL_NR | String | Line Item Control Number |
04 | | L2315A_xx_SLN04_HEAD_CT | Number | Head Count |
05 | 01 | L2315A_xx_SLN0501_UNIT_MSMT_CD | String | Unit or Basis for Measurement Code |
L2320A - ORGANIZATION SUMMARY REMITTANCE LEVEL ADJUSTMENT FOR CURRENT PAYMENT |
L2320A | ADX | Organization Summary Remittance Level Adjustment for Current Payment | | |
01 | | L2320A_ADX01_ADJ_AMT | Number | Adjustment Amount |
02 | | L2320A_ADX02_ADJ_RSN_CD | String | Adjustment Reason Code |
L2000B - INDIVIDUAL REMITTANCE |
L2000B | ENT | Individual Remittance | | |
01 | | L2000B_ENT01_ASSGD_NR | Integer | Assigned Number |
04 | | L2000B_ENT04_SSN | String | Social Security Number |
04 | | L2000B_ENT04_EMP_ID | String | Employee Identification Number |
04 | | L2000B_ENT04_UNQ_IND_ID | String | Standard Unique Health Identifier for each Individual in the United States |
L2100BX - INDIVIDUAL NAME |
L2100BX | NM1 | Individual Name | | |
03 | | L2100BX_NM103_IND_LNM | String | Individual Last Name |
04 | | L2100BX_NM104_IND_FNM | String | Individual First Name |
05 | | L2100BX_NM105_IND_MNM | String | Individual Middle Name |
06 | | L2100BX_NM106_IND_PFX | String | Individual Name Prefix |
07 | | L2100BX_NM107_IND_SFX | String | Individual Name Suffix |
09 | | L2100BX_NM109_SSN | String | Social Security Number |
09 | | L2100BX_NM109_EMPLY_ID_NR | String | Employee Identification Number |
09 | | L2100BX_NM109_INSRD_UNQ_ID | String | Insured's Unique Identification Number |
L2200BX - INDIVIDUAL PREMIUM ADJUSTMENT FOR PREVIOUS PAYMENT |
L2200BX | ADX | Individual Premium Adjustment for Previous Payment | | |
01 | | L2200BX_ADX01_PREM_PMT_ADJ_AMT | Number | Premium Payment Adjustment Amount |
02 | | L2200BX_ADX02_PREM_PMT_ADJ_RSN | String | Premium Payment Adjustment Reason |
L2300B - INDIVIDUAL PREMIUM REMITTANCE DETAIL |
L2300B | RMR | Individual Premium Remittance Detail | | |
02 | | L2300B_RMR02_ACCT_NR | String | Account Number |
02 | | L2300B_RMR02_PENSN_CNTCT | String | Pension Contract |
02 | | L2300B_RMR02_HLTH_INS_PLCY | String | Health Insurance Policy Number |
02 | | L2300B_RMR02_LIF_INS_PLCY | String | Life Insurance Policy Number |
02 | | L2300B_RMR02_CNTRCT_NR | String | Contract Number |
02 | | L2300B_RMR02_INS_CERT_NR | String | Insurance Certificate Number |
02 | | L2300B_RMR02_INS_PLCY_NR | String | Insurance Policy Number |
02 | | L2300B_RMR02_INVC_NR | String | Invoice Number |
02 | | L2300B_RMR02_CERTFCTN | String | Certification |
04 | | L2300B_RMR04_DTL_PRM_PMT_AMT | Number | Detail Premium Payment Amount |
05 | | L2300B_RMR05_BILL_PREM_AMT | Number | Billed Premium Amount |
L2300B | REF | Reference Information | Iterated: [01-99]
| |
02 | | L2300B_nnREF_MSTR_ACCT_NR | String | Master Account Number |
02 | | L2300B_nnREF_PLAN_NR | String | Plan Number |
02 | | L2300B_nnREF_INVC_NR | String | Consolidated Invoice Number |
02 | | L2300B_nnREF_MSTR_PLCY_NR | String | Master Policy Number |
02 | | L2300B_nnREF_ATTCH_CD | String | Attachment Code |
02 | | L2300B_nnREF_LOC_NR | String | Location Number |
02 | | L2300B_nnREF_MUTLY_DEF | String | Mutually Defined |
L2300B | DTM | Individual Coverage Period | | |
02 | | L2300B_DTM02_D8 | Date (YYYYMMDD) | Date |
L2320B - INDIVIDUAL PREMIUM ADJUSTMENT FOR CURRENT PAYMENT |
L2320B | ADX | Individual Premium Adjustment for Current Payment | | |
01 | | L2320B_ADX01_ADJ_AMT | Number | Adjustment Amount |
02 | | L2320B_ADX02_ADJ_RSN_CD | String | Adjustment Reason Code |
STHDR | SE | Transaction Set Trailer | | |
01 | | STHDR_SE01_TS_SEG_CT | Integer | Transaction Segment Count |
02 | | STHDR_SE02_TCN | String | Transaction Set Control Number |
GSHDR | GE | Functional Group Trailer | | |
01 | | GSHDR_GE01_NR_TS_INCLUDED | Integer | Number of Transaction Sets Included |
02 | | GSHDR_GE02_GCN | Integer | Group Control Number |
ISA | IEA | Interchange Control Trailer | | |
01 | | ISA_IEA01_NR_INC_FUNC_GRP | Integer | Number of Included Functional Groups |
02 | | ISA_IEA02_ICN | Integer | Interchange Control Number |