EOD Posting File 1.0

Record ID: IMDPA10

File Format: Piped Delimited

Field #	Field Name	Format	Required?	Min	Max	Comment
1	Record ID	"IMDPA10"	Y	7	7
2	Merchant ID	AN	Y	1	50	The unique ID associated with your merchant processing account, which will be provided by your Implementations Manager.
3	Store ID	AN	Y	1	50	Default value is 1.
4	Terminal ID	AN	Y	1	50	May differ by location (at no extra cost to the provider) to enhance security and reporting.
5	Payment Transaction Type	AN	Y	1	35	Supported values are: "CreditCard," "eCheck," "DebitCard" and "Cash."
6	Payment Transaction Action	AN	Y	1	35	Supported Values are: "AuthCapt" and "Credit."
7	Amount	DEC	O			Always positive decimal value. Payment Transaction action = "Credit" should cause this field to be interpreted as a refund.
8	Card Type	AN	O	1	25	This field is returned when the transaction type is CreditCard. Values include: "VISA," "MC," "AMEX," "DISCOVER" and "OTHER."
9	Transaction ID	AN	Y	1	50	This is a unique ID assigned by InstaMed. E.g., "3c4fabfad61e47e4aa10b52529476529."
10	Authorization Number	AN	S	1	50
11	Transaction Date	DT	Y	14	14	Date/time in CCYYMMDDHHMMSS format.
12	Transaction Status Code	AN	Y	1	10	Supported values are: A, C, CB, D, RI, S, SE, V See Transaction Status Codes.
13	Patient LastName	AN	O	1	50
14	Patient FirstName	AN	O	1	50
15	Patient MiddleName	AN	O	1	50
16	Patient Account Number	AN	O	1	50
17	Patient Address 1	AN	O	1	150
18	Patient Address 2	AN	O	1	150
19	Patient City	AN	O	1	50
20	Patient State	AN	O	1	30
21	Patient ZipCode	AN	O	1	15
22	AdditionalInfo1	AN	O	1	100	User-defined fields to be captured with the payment transaction.
23	AdditionalInfo2	AN	O	1	100	See AdditionalInfo1 comments.
24	AdditionalInfo3	AN	O	1	100	See AdditionalInfo1 comments.
25	AdditionalInfo4	AN	O	1	100	See AdditionalInfo1 comments.
26	AdditionalInfo5	AN	O	1	100	See AdditionalInfo1 comments.
27	AdditionalInfo6	AN	O	1	100	See AdditionalInfo1 comments.