EDI GUIDELINES PAYMENT ORDER/REMITTANCE ADVICE 820 FUNCTIONAL ACKNOWLEGEMENT 997 VERSIONS 4010 FINANCIAL INSTITUTION VERSION

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EDI GUIDELINES PAYENT ORDER/REITTANCE ADVICE 820 FUNCTIONAL ACKNOWLEGEENT 997 VERSIONS 4010 FINANCIAL INSTITUTION VERSION T:\Internet arketing\deliverables\820 EFT Bank guidelines.doc Rev. 6/27/2007 9:58 A

Envelope and Group PAYENT ORDER/REITTANCE ADVICE 820 Segment Segment Seg. Use ax Use Loop Repeat ISA Interchange Control Header 1 GS Functional Group Header 1 Header Segment Segment Seg. Use ax Use Loop Repeat ST Transaction Set Header 1 BPR Beginning Segment for Payment 1 Order/Remittance Advice TRN Trace O 1 Detail Segment Segment Seg. Use ax Use Loop Repeat Loop ID ENT >1 ENT Entity O 1 Loop ID ENT/ADX >1 ADX Adjustment O 1 Loop ID ENT/ADX/REF >1 REF Reference Numbers O >1 DT Date/Time Reference O >1 Loop ID ENT/RR >1 RR Remittance Advice Accounts Receivable Open O 1 Item DT Date/Time Reference O >1 Summary Segment Segment Seg. Use ax Use Loop Repeat SE Transaction Set Trailer 1 Envelope and Group Segment Segment Seg. Use ax Use Loop Repeat GE Functional Group Trailer 1 IEA Interchange Control Trailer 1 1

PAYENT ORDER/REITTANCE ADVICE 820 GLOSSARY OF TERS Seg. Use: Reference : Number: : Consists of a segment identifier, one or more data element each preceded by an element separator, and ending with a terminator (X12.6). Denotes if the segment is mandatory or optional for ShopKo. Identifies the segment and the data element sequence number. This is the number assigned to the data element. This number may be used for direct reference into the ANSI X12 Dictionary. This is the description assigned to the data element. : - andatory ShopKo requires this element. O - Optional This element can be used. C - Conditional The data element can be used only if other elements are used within the segment. 2

PAYENT ORDER/REITTANCE ADVICE 820 ISA - Interchange Control Header Envelope andatory To start and identify a transmission for a partner. ISA01 101 Authorization Information Qualifier 00 - No authorization information present. ISA02 102 Authorization Information This field will be blank. ISA03 103 Security Information Qualifier 00 - No security information present. ISA04 104 Security Information This field will be blank. ISA05 105 Interchange ID Qualifier 08 -UCC EDI Communications ID (Comm ID) ISA06 106 Interchange Sender ID 6136010000 ISA07 105 Interchange ID Qualifier ShopKo supports all valid codes. ISA08 107 Interchange Receiver ID The value in this field depends upon the code used in the ISA07. ISA09 108 Date YYDD. 3

PAYENT ORDER/REITTANCE ADVICE 820 ISA - Interchange Control Header (Continued) Envelope andatory To start and identify a transmission for a partner. ISA10 109 Time The time that the interchange was created in ShopKo s system. The format is HH (24 Hr.) ISA11 110 Interchange Standards Identifier U - U.S. EDI community of X12 ISA12 111 Interchange Version ID 00401 - Version 4010 ISA13 112 Interchange Control Number This value is sequentially assigned by ShopKo starting with the number 1 for each trading partner. The value entered in this field will match the value in the Interchange Control Number field on the Interchange Control Trailer (IEA02). ISA14 113 Acknowledgment Requested 0 - No acknowledgment requested. ISA15 114 Test Indicator T - Test P - Production ISA16 115 Subelement Separator - The value identified for retail use. 4

PAYENT ORDER/REITTANCE ADVICE 820 GS - Functional Group Header Group andatory Indicates the beginning of a functional group and provides control information. GS01 479 Functional ID RA - Payment Order Remittance Advice (820) GS02 142 Application Sender s Code This is the same code as used in the (ISA06). GS03 124 Application Receiver s Code For ShopKo s trading partner, the number is usually the same code used in the (ISA08). GS04 373 Interchange Date The format is CCYYDD. GS05 337 Interchange Time The time that the interchange was created in ShopKo s system. The format is HH (24 Hr.) GS06 28 Interchange Control Number This value is sequentially assigned by ShopKo starting with the number 1 for each trading partner. The value entered in this field will match the one in the Functional Group Trailer (GE02). GS07 455 Responsible Agency Code X - Accredited standards committee X12. GS08 480 Version 004010 5

PAYENT ORDER/REITTANCE ADVICE 820 ST - Transaction Set Header Header andatory To indicate the start of a transaction set and to assign a control number. ST01 143 Transaction Set Identifier Code 820 - This is the code that identifies the transaction as a Payment Order/Remittance Advise. ST02 329 Transaction Set Control Number This value is sequentially assigned by ShopKo starting with the number 1 for each trading partner. The value entered in this field will match the one in the Transaction Set Trailer Record (SE02). 6

PAYENT ORDER/REITTANCE ADVICE 820 BPR - Beginning Segment for Payment Order/Remittance Header andatory To indicate the beginning of the Payment Order/Remittance Advise transaction set and the total payment amount with related information. BPR01 305 Transaction Handling Code C - Payment Accompanies Remittance Advice D - ake Payment Only I - Remittance Information Only P - Prenotification of Future Transfers BPR02 782 onetary Amount onetary amount. BPR03 478 Credit/Debit Flag Code C - Credit BPR04 591 Payment ethod Code ACH - Automated Clearing House BPR05 812 Payment Format Code O CCD - Cash Concentration/Disbursement CTX - Corporate Trade Exchange BPR06 506 (DFI) ID Number Qualifier C 01 - ABA Transit Routing Number (9digits) BPR07 507 (DFI) ID Number C Depository Financial Institution (DFI) ID number. BPR08 896 Account Number Qualifier Code O DA Demand Deposit BPR09 508 Account Number C BPR10 509 Origination Company Identifier O 1410985054 BPR11 510 Originating Company Supplemental Code O BPR12 506 (DFI) Identification Qualifier C 01 - ABA Transit Routing Number (9 digits) BPR13 507 (DFI) ID Number C Depository Financial Institution (DFI) ID number. BPR14 896 Account Number Qualifier Code O DA Demand Deposit BPR15 508 Account Number C BPR16 513 Effective Entry Date Originating company s intended settlement date. O 7

PAYENT ORDER/REITTANCE ADVICE 820 TRN - Trace Header andatory To uniquely identify a transaction to an application. TRN01 481 Trace Type Code 1 - Current Transaction Trace Numbers TRN02 127 Reference Number ShopKo s A/P payment document ( check ) number. 8

PAYENT ORDER/REITTANCE ADVICE 820 Loop: ENT - Entity Detail ENT andatory To designate the entities that are parties to a transaction and to specify a reference meaningful to those entities. ENT02 98 Entity Identifier Code AO Account Of ENT03 66 Identification Code Qualifier 93 Code Assigned by ShopKo C C ENT04 67 Identification Code Shopko Pamida C SHOPKO SEGENT USAGE COENTS An ENT segment will be sent with any use of detail information. For purposes of this document, the ENT04 will identify if the detail information is for ShopKo, Pamida or both. 9

PAYENT ORDER/REITTANCE ADVICE 820 Loop: ADX - Adjustment Detail ENT/ADX Optional To convey accounts payable adjustment information for the purpose of cash application, including payer-generated debit/credit memoes. ADX01 782 onetary Amount ADX02 426 Adjustment Reason Code 01 - Pricing Error 02 Allowance/Charge Error 06 - Quantity Contested 11 - Returns - Damage 99 - Late Shipment 54 - Freight Deducted 57 - Volume Discount Taken 72 - Authorized Return 79 - Cooperative Advertising 80 - Overpayment 82 Defective Allowance A3 - New Store Allowance D1 - Transfer Between Accounts E3 - Withholding L1 Audit L3 - Penalty L7 - iscellaneous Deductions SHOPKO SEGENT USAGE COENTS This segment is used to specify details sent via a hard copy ShopKo claim. 10

PAYENT ORDER/REITTANCE ADVICE 820 Loop: REF - Reference Numbers Detail ENT/ADX/REF Optional To specify identifying numbers. REF01 128 Reference Number Qualifier A - Adjustment emo (Charge Back) C - Credit emo ST - Store Number ZZ - utually Defined REF02 127 Reference Number C 11

PAYENT ORDER/REITTANCE ADVICE 820 Loop: DT - Date/Time Reference Detail ENT/ADX/REF Optional To specify transaction creation date. DT01 374 Date/Time Qualifier 097 - Transaction Creation DT02 373 Date Format is CCYYDD C 12

PAYENT ORDER/REITTANCE ADVICE 820 Loop: RR - Remittance Advice Accounts Receivable Open Item Reference Detail ENT/RR andatory To identify specific remittance details. RR01 128 Reference Number Qualifier IV - Seller s Invoice or Statement Number C RR02 127 Reference Number C RR03 482 Payment Action Code PO - Payment on Account RR04 782 onetary Amount Net paid RR05 777 Total Invoice This is the gross invoice amount. RR06 780 Amount of Discount Taken Discount taken from the gross amount. O O O O 13

PAYENT ORDER/REITTANCE ADVICE 820 Loop: DT - Date/Time Reference Detail ENT/RR Optional To specify the date of the document in the RR02. DT01 374 Date/Time Qualifier 097 - Transaction Creation DT02 373 Date Format is CCYYDD C 14

PAYENT ORDER/REITTANCE ADVICE 820 SE - Transaction Set Trailer Summary andatory To indicate the end of the transaction set and to provide the count of the segments transmitted within the transaction set. SE01 96 Number of Included Segments The total number of segments included in a transaction set including the ST and SE segments. SE02 329 Transaction Set Control Number The identifying transaction set control number. This must be the same number as in the ST02. 15

PAYENT ORDER/REITTANCE ADVICE 820 GE - Functional Control Trailer Group andatory Indicates the end of a functional group and provides control information. GE01 97 Number of Included Transaction Sets This field represents the number of transaction sets (ST/SE) included in the functional group (GS/GE). GE02 28 Interchange Control Number This must be the same number that was entered in the (GS06) field for the group. 16

PAYENT ORDER/REITTANCE ADVICE 820 IEA - Interchange Control Trailer Envelope andatory To define the end of an interchange for a partner and to provide control information. IEA01 116 Number of Included Groups This field represents the number of GS segments within the transmission. IEA02 112 Interchange Control Number The number in this field must match the one in the ISA segment (ISA13). 17

PAYENT ORDER/REITTANCE ADVICE 820 FUNCTIONAL ACKNOWLEDGENT TRANSACTION SET (997) Envelope and Group Segment Segment Seg. Use ax Use Loop Repeat ISA Interchange Control Header 1 GS Functional Group Header 1 Header Segment Segment Seg. Use ax Use Loop Repeat ST Transaction Set Header 1 AK1 Functional Group Response Header 1 AK9 Functional Group Response Trailer 1 SE Transaction Set Trailer 1 Envelope and Group Segment Segment Seg. Use ax Use Loop Repeat GE Functional Group Trailer 1 IEA Interchange Control Trailer 1 SHOPKO TRANSACTION USAGE COENTS ShopKo requires a functional acknowledgment from all trading partners within two business days from the date ShopKo transmits the data. ShopKo verifies the receipt of all out-bound transactions. For inbound transactions, ShopKo sends a 997 upon receipt; and expects the trading partner to verify the receipt within a week of transmission. ShopKo considers acknowledgment complete when the trading partner sends the AK1 and AK9 segments. 18

PAYENT ORDER/REITTANCE ADVICE 820 FUNCTIONAL ACKNOWLEDGENT ST - Transaction Set Header Header andatory To indicate the start of a transaction set and to assign a control number. ST01 143 Transaction Set Identifier Code 997 - This is the code that identifies the transaction as a functional acknowledgment. ST02 329 Transaction Set Control Number This value is sequentially assigned by ShopKo starting with the number 1 for each trading partner. The value entered in this field will match the one in the Transaction Set Trailer Record (SE02). 19

PAYENT ORDER/REITTANCE ADVICE 820 FUNCTIONAL ACKNOWLEDGENT AK1 - Functional Group Response Header Header andatory To start an acknowledgment of a functional group. Ref AK101 479 Functional Identifier Code This is the functional group ID for the group that is being acknowledged. RA Payment Order/Remittance Advise (820). AK102 28 Group Control Number This is the control number assigned by ShopKo in the original transmission in the GS06. SHOPKO SEGENT USAGE COENTS The function group code depends upon the group ID that was sent on the transaction from ShopKo. 20

PAYENT ORDER/REITTANCE ADVICE 820 FUNCTIONAL ACKNOWLEDGENT AK9 - Functional Group Response Trailer Header andatory To acknowledge the acceptance or rejection of a functional group and to report the number of included transaction sets from the original trailer, the accepted sets, and the received sets in this functional group. AK901 715 Functional Group Acknowledge Code A - Accepted E - Accepted but errors were noted. P - Partially accepted. At least one transaction set was rejected. R - Rejected AK902 97 Number of Transaction Sets Included This field will contain the count of the total number of transaction sets included. AK903 123 Number of Received Transaction Sets This field will contain the count of the total number of transaction sets received. AK904 2 Number of Accepted Transaction Sets This field will contain the total number of transaction sets that were accepted. 21

PAYENT ORDER/REITTANCE ADVICE 820 FUNCTIONAL ACKNOWLEDGENT SE - Transaction Set Trailer Header andatory To indicate the end of the transaction set and to provide the count of the segments transmitted within the transaction set. VICS SE01 96 Number of Included Segments The total number of segments included in a transaction set including the ST and SE segments. SE02 329 Transaction Set Control Number The identifying transaction set control number. This must be the same number as in the ST02. 22