Sample EDI 810 Data for the Invoice Transaction Set


AgencySet IDFGTransaction DescriptionSubcommittee
ANSI810INInvoice Finance


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Research and Development:
Below is a sample EDI 810 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 810 (Invoice) document into a CSV file. If you are researching the 810s, you can view other trading partner's mapping specifications. You can also gain knowledge by researching all EDI Document Types. Jobisez LLC can also provide assistance if you need additional help.

Sample of an EDI 810 Transaction Set

Entire Segment
ST^810^0001
BIG^20170310^12973821^20170310^078061^^^PR
REF^OQ^500100566875
REF^VN^6947432
N1^SE^SENECA MEDICAL LLC^91^SENECA
N3^PO BOX: 531846
N4^ATLANTA^GA^30353-1846
N1^ST^Marietta Memorial Hosp^91^3929
N2^401 Matthew Street
N4^Marietta^OH^45750
ITD^^3^^^^20170409^30^^^2466939^^30 Days from Invoice Date
IT1^1^4^BG^25.6000^CT^VC^165911^IN^000018^MG^365985
PID^F^^^^TUBE MICROTAINER PST W/LITHIUM
IT1^2^1^CS^56.7100^CT^VC^471565^IN^000035^MG^7086
PID^F^^^^SPONGE DRAIN EXCILON 4X4IN
IT1^3^1^CS^44.4300^CT^VC^604967^IN^000037^MG^2B0062Q
PID^F^^^^SOLUTION DEXTROSE 5% 250ML IN
IT1^4^1^EA^5.7200^CT^VC^656199^IN^000062^MG^79-84167
PID^F^^^^IMMOBILIZER SHOULDER LARGE W/
IT1^5^2^CS^21.6700^CT^VC^605261^IN^000078^MG^2B7127
PID^F^^^^SOLUTION SODIUM CHLORIDE 0.9%
IT1^6^2^BX^60.0200^CT^VC^117803^IN^000083^MG^367323
PID^F^^^^SET BLOOD COLLECTION WINGED
IT1^7^1^BX^60.5800^CT^VC^134463^IN^000092^MG^A39230
PID^F^^^^CUFF BLADDER BLOOD PRESSURE
IT1^8^24^BX^1.3700^CT^VC^167484^IN^000098^MG^44101
PID^F^^^^BANDAGE ADHESIVE 1X3IN STERILE
IT1^9^4^EA^3.2200^CT^VC^871467^IN^000185^MG^79-84007
PID^F^^^^SLING ARM LARGE DELUXE W/ PAD
IT1^10^1^BX^9.1400^CT^VC^312893^IN^000239^MG^TB50
PID^F^^^^TOOTHBRUSH NYLON 50 TUFT
IT1^11^1^BX^19.4200^CT^VC^136498^IN^000241^MG^RTP085
PID^F^^^^TOOTHPASTE FRESHMINT .85OZ
IT1^12^2^BG^6.1100^CT^VC^239236^IN^000260^MG^9043
PID^F^^^^PADDING CAST 3INX4YD COTTON
IT1^13^12^BX^6.8500^CT^VC^594838^IN^000267^MG^309604
PID^F^^^^SYRINGE ONLY 10CC LUER LOK TIP
IT1^14^8^BX^8.4700^CT^VC^196669^IN^000268^MG^302830
PID^F^^^^SYRINGE ONLY 20CC LUER LOK TIP
IT1^15^4^BX^14.1900^CT^VC^138437^IN^000276^MG^8881882812
PID^F^^^^SYRINGE NEEDLE 1CC 28GX1/2IN
IT1^16^1^CS^187.5300^CT^VC^634790^IN^000286^MG^8888266130
PID^F^^^^TUBE SUMP SALEM 16FR 48IN W/
IT1^17^2^BX^15.0900^CT^VC^531087^IN^000299^MG^305064
PID^F^^^^SYRINGE NEEDLE 10CC 18GX1 1/2
IT1^18^8^BX^17.0200^CT^VC^590844^IN^000316^MG^47147
PID^F^^^^MASK PROCEDURE FLUIDSHIELD
IT1^19^48^EA^1.3200^CT^VC^348656^IN^000383^MG^59430400
PID^F^^^^CLEANSER SECURA 8OZ SPRAY
IT1^20^6^BX^6.0500^CT^VC^675975^IN^000407^MG^59130000
PID^F^^^^BANDAGE ELASTIC 3INX5YD EZE
IT1^21^6^BX^7.5500^CT^VC^676437^IN^000408^MG^59140000
PID^F^^^^BANDAGE ELASTIC 4INX5 1/2YD
IT1^22^4^BX^7.4800^CT^VC^855049^IN^000415^MG^MDS032273Z
PID^F^^^^JELLY LUBRICATING 2.7GM FOIL
IT1^23^5^BX^10.1400^CT^VC^159837^IN^000424^MG^8881850558
PID^F^^^^NEEDLE MAGELLAN 25GX5/8IN
IT1^24^4^CS^90.9800^CT^VC^183713^IN^000440^MG^61301606625
PID^F^^^^PACK S.M.A.R.T. ASSURE
IT1^25^3^BX^6.4100^CT^VC^101486^IN^000462^MG^1538-3
PID^F^^^^TAPE DURAPORE 3INX10YD
IT1^26^6^BX^6.2500^CT^VC^857078^IN^000497^MG^48390
PID^F^^^^MASK FACE SURGICAL WHITE ADULT
IT1^27^3^CS^114.1300^CT^VC^172345^IN^000500^MG^364902
PID^F^^^^DEVICE ACCESS BLOOD COLLECTION
IT1^28^1^CS^104.3900^CT^VC^233500^IN^000503^MG^DYNJ902505A
PID^F^^^^PACK NEURO BASIC CUSTOM
IT1^29^1^CS^53.4300^CT^VC^516534^IN^000531^MG^6120
PID^F^^^^TOOTHETTE PLUS ORAL SWAB 2'S
IT1^30^2^CS^99.5000^CT^VC^193198^IN^000548^MG^34148
PID^F^^^^WRAP STERILIZATION 48X48IN
IT1^31^6^BX^11.3900^CT^VC^856989^IN^000615^MG^49215
PID^F^^^^MASK SURGICAL ANTI FOG GREEN
IT1^32^6^CS^62.0500^CT^VC^114316^IN^000636^MG^704-BX
PID^F^^^^TOWEL OR XRAY DETECTABLE
IT1^33^1^CS^164.3400^CT^VC^260406^IN^000637^MG^5999034
PID^F^^^^DRESSING EXU-DRY 3X4IN FULL
IT1^34^1^CS^177.6200^CT^VC^192966^IN^010950^MG^2D72NS85X
PID^F^^^^GLOVE SURGICAL 8 1/2 LATEX
IT1^35^1^EA^10.6300^CT^VC^454777^IN^000658^MG^TX4442-00
PID^F^^^^SLING & SWATHE UNIVERSAL FOAM
IT1^36^1^CS^148.1200^CT^VC^188779^IN^000667^MG^008875
PID^F^^^^SODASORB LF PRE-PAK CANISTER
IT1^37^1^CS^65.4400^CT^VC^933697^IN^000669^MG^6146LL
PID^F^^^^TRAY CATHETER FOLEY 16FR 5CC
IT1^38^1^CS^14.7700^CT^VC^153193^IN^000672^MG^68800
PID^F^^^^TRAY IRRIGATION 1200CC W/
IT1^39^2^CS^58.7500^CT^VC^596718^IN^000677^MG^400
PID^F^^^^SPONGE LAPAROTOMY 18X18IN
IT1^40^1^CS^60.6500^CT^VC^103884^IN^000702^MG^8507SA
PID^F^^^^CONTAINER SHARPS 5QT IN-ROOM
IT1^41^10^BX^6.8800^CT^VC^235200^IN^000711^MG^367861
PID^F^^^^TUBE VACUTAINER DRAW 4ML
IT1^42^20^BX^17.2300^CT^VC^531509^IN^000713^MG^367986
PID^F^^^^TUBE VACUTAINER DRAW 5ML SST
IT1^43^1^CS^29.3100^CT^VC^217971^IN^000732^MG^HCS0066
PID^F^^^^MOUTHWASH 4OZ ALCOHOL FREE
IT1^44^1^CS^280.6400^CT^VC^153674^IN^000758^MG^IPC-5000E
PID^F^^^^CATHETER PRESSURE INTRAUTERINE
IT1^45^36^TB^4.2600^CT^VC^468322^IN^000760^MG^Q55172
PID^F^^^^WIPES SUPER SANI-CLOTH LARGE
IT1^46^2^CS^0.0000^CT^VC^240340^IN^000764^MG^66178
PID^F^^^^NUTRITION SIMILAC PRO ADVANCE
IT1^47^2^BX^229.6800^CT^VC^410266^IN^000767^MG^900013B01
PID^F^^^^KIT NEEDLE GUIDE 21G W/ 48IN
IT1^48^1^CS^189.7400^CT^VC^233511^IN^000833^MG^DYNJ902500A
PID^F^^^^PACK CYSTO CUSTOM
IT1^49^1^CS^65.7800^CT^VC^446112^IN^000841^MG^33500
PID^F^^^^PACK ICE LARGE STAY-DRY
IT1^50^8^BX^23.4500^CT^VC^143011^IN^000852^MG^HCS5001
PID^F^^^^TOURNIQUET 1X18IN SMOOTH BULK
IT1^51^2^CS^324.0900^CT^VC^109582^IN^000900^MG^A3403-22/24
PID^F^^^^TRAY SPINAL W/ DRUGS CUSTOM
IT1^52^1^CS^91.9400^CT^VC^232152^IN^000905^MG^DYNJ51533
PID^F^^^^PACK MAJOR BASIN CUSTOM
IT1^53^1^CS^241.7400^CT^VC^184551^IN^000915^MG^74023
PID^F^^^^SLEEVE SCD COMFORT KNEE LENGTH
IT1^54^4^BX^34.2900^CT^VC^750000^IN^000917^MG^405181
PID^F^^^^NEEDLE SPINAL 22GX3 1/2IN
IT1^55^2^BX^16.7000^CT^VC^448746^IN^000932^MG^372615
PID^F^^^^SCALPEL SAFETY SZ15 DISPOSABLE
IT1^56^30^BX^8.5100^CT^VC^170492^IN^000949^MG^50706
PID^F^^^^GLOVES EXAM SMALL NITRILE
IT1^57^70^BX^8.5100^CT^VC^170493^IN^000950^MG^50707
PID^F^^^^GLOVES EXAM MEDIUM NITRILE
IT1^58^20^BX^8.5100^CT^VC^170496^IN^000951^MG^50708
PID^F^^^^GLOVES EXAM LARGE NITRILE
IT1^59^10^CS^122.0100^CT^VC^184546^IN^000977^MG^74022
PID^F^^^^SLEEVE SCD COMFORT KNEE LENGTH
IT1^60^1^CS^176.1700^CT^VC^237095^IN^000986^MG^DYNJ0620708J
PID^F^^^^PACK VAGINAL DELIVERY CUSTOM
IT1^61^3^CS^89.4500^CT^VC^156776^IN^000992^MG^92342
PID^F^^^^GOWN SURGICAL XLARGE STERILE
IT1^62^48^EA^4.8500^CT^VC^767301^IN^000997^MG^08552
PID^F^^^^WASH WOUND SALINE 210ML SPRAY
IT1^63^3^CS^15.5600^CT^VC^104674^IN^001025^MG^1103
PID^F^^^^CANNULA NASAL 7FT TUBING ADULT
IT1^64^24^EA^6.7600^CT^VC^116943^IN^001030^MG^520211000
PID^F^^^^RESUSCITATOR ADULT SPUR2 W/BAG
IT1^65^1^CS^104.4600^CT^VC^782060^IN^001052^MG^8989PG2
PID^F^^^^CONTAINER SHARPS YELLOW 18GAL
IT1^66^2^BX^19.4500^CT^VC^353698^IN^001053^MG^66000321
PID^F^^^^DRESSING PRIMAPORE 11 3/4X4IN
IT1^67^10^PK^7.1500^CT^VC^887968^IN^001067^MG^367856
PID^F^^^^TUBE VACUTAINER 3ML LAVENDER
IT1^68^10^BX^8.3000^CT^VC^152447^IN^001070^MG^SLN240
PID^F^^^^LANCET ONE STEP NEEDLE 21G
IT1^69^1^CS^164.5300^CT^VC^157695^IN^001073^MG^22591
PID^F^^^^CLEANER INSTRUMENT DETERGENT
IT1^70^1^CS^79.0400^CT^VC^666966^IN^001085^MG^5010SA
PID^F^^^^CONTAINER SPECIMEN 3000ML 24
IT1^71^6^BX^8.3000^CT^VC^152421^IN^001087^MG^SLN200
PID^F^^^^LANCET ONE STEP NEEDLE 23G
IT1^72^24^EA^2.4400^CT^VC^156380^IN^001104^MG^HCS9002
PID^F^^^^THERMOMETER DIGITAL W/ 5 PROBE
IT1^73^48^TB^4.3900^CT^VC^193091^IN^001120^MG^P13872
PID^F^^^^WIPES SANI-CLOTH AF3 LARGE
IT1^74^2^CS^253.0000^CT^VC^152446^IN^001147^MG^2329
PID^F^^^^SENSOR ADHESIVE NEONATAL 18IN
IT1^75^2^CS^12.8400^CT^VC^689430^IN^001152^MG^1115
PID^F^^^^TUBING OXYGEN SUPPLY 7FT
IT1^76^1^BX^88.3400^CT^VC^509190^IN^001176^MG^381454
PID^F^^^^CATHETER IV 16GX1.16IN SAFETY
IT1^77^2^CS^72.6300^CT^VC^864660^IN^001186^MG^77-301291
PID^F^^^^SYRINGE ANGIOGRAPHIC 12CC
IT1^79^10^BX^54.1900^CT^VC^132759^IN^001190^MG^A39048
PID^F^^^^CUFF BLADDER BLOOD PRESSURE
IT1^80^3^CS^51.9500^CT^VC^132736^IN^001191^MG^A39085
PID^F^^^^CUFF BLADDER BLOOD PRESSURE
IT1^81^24^EA^3.5000^CT^VC^174874^IN^001192^MG^SC0120W
PID^F^^^^OINTMENT CHAMOSYN MULTIPURPOSE
IT1^83^2^BX^36.3300^CT^VC^676924^IN^001244^MG^4008
PID^F^^^^DRESSING OPSITE IV 3000
IT1^84^2^BX^15.3000^CT^VC^749580^IN^001251^MG^59420600
PID^F^^^^WIPES SKIN PREP NO-STING
IT1^85^25^EA^3.3800^CT^VC^402487^IN^001253^MG^0035380
PID^F^^^^KIT FEMALE URINE COLLECTION
IT1^86^4^BG^8.3500^CT^VC^792556^IN^001266^MG^1164
PID^F^^^^AIRWAY GUEDEL SIZE4 90MM 9CM
IT1^87^6^CS^113.3700^CT^VC^168648^IN^001267^MG^96002S
PID^F^^^^HOLDER NEEDLE SHORT SAF-T W/
IT1^88^1^BX^5.2600^CT^VC^218810^IN^001280^MG^05213509001
PID^F^^^^SOLUTION CONTROL ACCU-CHEK
IT1^89^1^CS^431.6000^CT^VC^939199^IN^001344^MG^7300
PID^F^^^^PROTECTOR HEEL STANDARD
IT1^90^4^BX^10.0500^CT^VC^204073^IN^001354^MG^305060
PID^F^^^^SYRINGE NEEDLE 3CC 18GX1 1/2IN
IT1^91^2^CS^467.1900^CT^VC^237896^IN^001372^MG^DYNJ902503B
PID^F^^^^PACK LAP CHOLECYSECTOMY CUSTOM
IT1^92^2^CS^367.4600^CT^VC^233515^MG^DYNJ902504A
PID^F^^^^PACK LAPAROTOMY CUSTOM
IT1^93^8^BX^5.3100^CT^VC^221839^IN^001398^MG^05031-750
PID^F^^^^COVER PROBE THERMOMETER CLEAR
IT1^94^2^CS^172.1500^CT^VC^230162^IN^001410^MG^DYNJ0650215F
PID^F^^^^PACK PERMANENT PACING CUSTOM
IT1^95^2^BX^54.4700^CT^VC^245274^IN^001414^MG^321400000U
PID^F^^^^MASK LARYNGEAL SIZE 4 AURAONCE
IT1^96^1^CS^132.6500^CT^VC^215101^IN^001429^MG^9000-ANDM4
PID^F^^^^PACK TURNAROUND CUSTOM
IT1^97^4^CS^169.5100^CT^VC^122645^IN^001450^MG^260815

Solutions:
Are you looking to trade the EDI 810 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 810? Or perhaps you would like to use a Cloud-Based application, so you can plug your 810 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 810 by using the EDI Mobile Device solution.



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