OrganizationCode 10 Alpha/Num Yes A unique Header.VendorOrgCode number assigned to Vendor by CCAC. Reference may be or “provider” “vendor” organization CcacCode 2 - 4 Alpha Yes A unique CCACId number for the CCAC. Valid values are: "ESC" |"SW" | "WW" | "HNHB" | "CW" | "MH" |"TC" | "CENT"| "CE"| "SE" | "CHAM"| "NSM"| "NE" | "NW" InvoiceType 25 Yes The type of N/A invoice this represents. One of "Purchased Service" or "Equipment and Supplies" VendorInvoiceDate 10 Date No A vendor Header.InvoiceDate provided Date for the Invoice VendorInvoiceNumber Max 50 Alpha No A vendor Header.VendorInvoice numeric provided Reference# Invoice Number
OrganizationCode 10 Alpha/Num Yes A unique number assigned to Vendor by CCAC. Reference may be “provider” or “vendor” organization Header.VendorOrgCode CcacCode 2 - 4 Alpha Yes A unique number for the CCAC. Valid values are: "ESC" |"SW" | "WW" | "HNHB" | "CW" | "MH" |"TC" | "CENT"| "CE"| "SE" | "CHAM"| "NSM"| "NE" | "NW" CCACId InvoiceType 25 Yes The type of invoice this represents. One of "Purchased Service" or "Equipment and Supplies" N/A VendorInvoiceDate 10 Date No A vendor provided Date for the Invoice Header.InvoiceDate VendorInvoiceNumber Max 50 Alpha numeric No A vendor provided Invoice Number Header.VendorInvoice Reference#
CCAC_Billing_Invoice_Format_Specification_-_V2.11.docx