X12 164 — Revenue Receipts Statement
Consolidated statement of revenue collected on behalf of a third-party entity. Per-account detail, per-period, with tax and fee breakdown.
Purpose
Used by collecting entities (Third-Party Processors, fiscal government agencies, fiduciary banks) to report to their principals the collected revenue. Per-account detail, per-period, with tax/fee breakdown, individual or aggregated transactions.
Envelope structure
The 164 travels inside the three X12 envelope levels (ISA/IEA,
GS/GE with functional group RV, and ST/SE).
Didactic example in 004010:
ISA*00* *00* *ZZ*COLLECTOR *ZZ*PRINCIPAL01 *260516*2100*U*00401*000000164*0*P*>~
GS*RV*COLLECTOR*PRINCIPAL01*20260516*2100*1*X*004010~
ST*164*0001~
BPS*RV*STMT-2026-04*20260516~
DTM*194*20260401~
DTM*195*20260430~
REF*AC*ACCT-12345~
AMT*RV*12500.00~
AMT*TX*1000.00~
AMT*FE*125.00~
SE*7*0001~
GE*1*1~
IEA*1*000000164~ Common segments
- Header —
ST,BPSBeginning of Receipts Statement. - Period —
DTM*194start,DTM*195end. - Account loop —
REF*AC. - Receipts —
AMT*RVrevenue,AMT*TXtax,AMT*FEfee. - Summary —
SE.
Common pitfalls
- Open period: without DTM*194/195, the statement is ambiguous (cumulative? monthly?).
- Net vs gross revenue: specify whether AMT*RV is pre- or post-fee.
- No tax breakdown: some regulators require splitting State vs federal tax.
Related transactions
Documentation
The 164 code and the Revenue Receipts Statement name are public and listed at x12.org/products/transaction-sets. The full loops/qualifiers/code-lists structure is distributed by DISA via proprietary Implementation Guides (TR3). ediverse.io covers only public concepts, the envelope and didactic examples.