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Examples for Consolidated Service Invoice/Statement (811)

Table 1 - Header identifies the Sending and Receiving parties.

Used to identify the sending and receiving parties of the 811 consolidated invoice transaction set.
  • The sender can be an insurance company or an insurance company service bureau.
  • The receiver can be either a mortgage company or a mortgage company service provider.
  • Contact names sent here are meant to be technical representatives administrating the EDI process.
  • The Invoice Number (BIG02) must be returned in the 820 remittance advice when paying.

811 Data Format

Description

ISA*00* *00* *ZZ*STFM SF00014 *ZZ*123456789 *041115*0817*U*00401*000000010*0*P*>

This is the envelope segment for the 811.

  • 000000010 is the unique number for this envelope.

GS*CI*STFM   SF00014*123456789 *20041115*0817*10*X*004010~

  • This is the group segment for the 811.
  • 10 is the unique number for this group.

ST*811*0002;

  • This is the transaction segment for the 811.
  • 0002 is the unique number for this transaction

BIG*20050101*0000000001303134156;

  • Billing Process Date (BIG01).
  • The Invoice Number (BIG02) is returned in the 820 remittance advice when paying.

N1*IN*STATE FARM INSURANCE COMPANY*FI*370533100;

  • IN Sending party name.
  • FI Sending partyTax ID.

N1*SJ*A ONE MORTGAGE*FI*123456789;

  • SJ Receiving party name.
  • FI Receiving party Tax ID.

 

 
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