The below documentation outlines the 810 EDI file that represents an Invoice.
As a wholesaler, you can supply an 810 once you receive an 850 to represent the invoice of the Purchase Order. It can be used to confirm final purchase price and quantity of each line item. You can also use your 810 to provide a custom invoice number that will be saved and passed back in subsequent EDI files sent to you.
Here is an example file that satisfies EzriRx's requirements for an 810 EDI file: ezrirx_810_example.edi
Read below for a breakdown of each segment and other details. All samples used below are based off the example file provided above.
Note: if you provide us with an 832 or 856, you are likely following these requirements already:
ISA*00* *00* *12*1234567890 *ZZ*EZRIRX *190702*2235*U*00401*010000826*0*P*>~
GS*IN*1234567890*EZRIRX*20190702*2235*4006*X*004010~
ST*810*3087~
BIG*20190702*62413813*20190702****DI~
REF*DP*09~
N1*ST*EXAMPLE PHARMACY*91*123456~
N3*1234 DRURY LANE STE 1A~
N4*NEW ORLEANS*LA*701291800~
N1*BT*EXAMPLE PHARMACY~
N3*1234 DRURY LANE STE 1A~
N4*NEW ORLEANS*LA*701291800~
N1*RE*Example Wholesaler*91*1234567890~
N3*P.O. BOX 123456~
N4*NEW YORK*NY*10039~
ITD*01*3****20190801*30*****NET 30 DAYS~
IT1*1*1*EA*11.61**VN*500968*N4*45802086803~
PID*F***510GM*POLYETHYLENE GLYCOL 3350 (OTC)~
IT1*2*2*EA*7.26**VN*390946*N4*50383066730~
PID*F***30GM*LIDOCAINE 2.5%/PRILOCAINE 2.5%~
IT1*3*5*EA*2.41**VN*601887*N4*51672407008~
PID*F***120ML*CETIRIZINE HCL OS 1MG/1ML~
IT1*4*1*EA*22.91**VN*323608*N4*57237003105~
PID*F***500*AMOXICILLIN 500MG~
IT1*5*1*EA*33.43**VN*602335*N4*51672127304~
PID*F***60ML*FLUOCINONIDE SOL 0.05%~
IT1*6*1*EA*24.92**VN*317346*N4*00527134301~
PID*F***100*LEVOTHYROXINE SODIUM 75MCG~
TDS*11944~
CTT*6~
SE*29*3087~
GE*1*4006~
IEA*1*010000826~