PER

Dependent Benefit Related Entity Contact Information

Pos: 380

Max: 3

Detail - Optional

Loop: 2120D

Elements: 8


User Option (Usage): Situational
To identify a person or office to whom administrative communications should be directed

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

PER01

366

Contact Function Code
Description: Code identifying the major duty or responsibility of the person or group named
Use this code to specify the type of person or group to which the contact number applies.

M

ID

2/2

Required

 

Code

Name

 

IC

Information Contact

 

PER02

93

Name
Description: Free-form name
Industry: Benefit Related Entity Contact Name
Use this name for the individual’s name or group’s name to use when contacting the individual or organization.
Use this data element when the name of the individual to contact is not already defined or is different than the name within the prior name segment (e.g. N1 or NM1).

O

AN

1/60

Situational

 

PER03

365

Communication Number Qualifier
Description: Code identifying the type of communication number
Use this code to specify what type of communication number is following.

C

ID

2/2

Situational

 

Code

Name

 

ED

Electronic Data Interchange Access Number

 

EM

Electronic Mail

 

FX

Facsimile

 

TE

Telephone

 

WP

Work Phone Number

 

PER04

364

Communication Number
Description: Complete communications number including country or area code when applicable
Industry: Benefit Related Entity Communication Number
Required when PER02 is not present or when a contact number is to be sent in addition to the contact name. Use this number for the communication number as qualified by the preceding data element.
The format for US domestic phone numbers is:
AAABBBCCCC
AAA = Area Code
BBBCCCC = Local Number

C

AN

1/80

Situational

 

PER05

365

Communication Number Qualifier
Description: Code identifying the type of communication number
Use this code to specify what type of communication number is following.

C

ID

2/2

Situational

 

Code

Name

 

ED

Electronic Data Interchange Access Number

 

EM

Electronic Mail

 

EX

Telephone Extension

 

FX

Facsimile

 

TE

Telephone

 

WP

Work Phone Number

 

PER06

364

Communication Number
Description: Complete communications number including country or area code when applicable
Industry: Benefit Related Entity Communication Number
Required when an additional contact number is to be sent. Use this number for the communication number as qualified by the preceding data element.
The format for US domestic phone numbers is:
AAABBBCCCC
AAA = Area Code
BBBCCCC = Local Number

C

AN

1/80

Situational

 

PER07

365

Communication Number Qualifier
Description: Code identifying the type of communication number
Use this code to specify what type of communication number is following.

C

ID

2/2

Situational

 

Code

Name

 

ED

Electronic Data Interchange Access Number

 

EM

Electronic Mail

 

EX

Telephone Extension

 

FX

Facsimile

 

TE

Telephone

 

WP

Work Phone Number

 

PER08

364

Communication Number
Description: Complete communications number including country or area code when applicable
Industry: Benefit Related Entity Communication Number
Required when an additional contact number is to be sent. Use this number for the communication number as qualified by the preceding data element.
The format for US domestic phone numbers is:
AAABBBCCCC
AAA = Area Code
BBBCCCC = Local Number

C

AN

1/80

Situational


Syntax:

1.

P0304 - If either PER03,PER04 is present, then all are required

2.

P0506 - If either PER05,PER06 is present, then all are required

3.

P0708 - If either PER07,PER08 is present, then all are required


Notes:

1. Use this segment when needed to identify a contact name and/or communications number for the entity identified. This segment allows for three contact numbers to be listed. This segment is used when the information source wishes to provide a contact for the entity identified in loop 2120D NM1. If telephone extension is sent, it should always be in the occurrence of the communications number following the actual phone number See the example for an illustration.
2. If this segment is used, at a minimum either PER02 must be used or PER03 and PER04 must be used. It is recommended that at least PER02, PER03 and PER04 are sent if this segment is used.
3. When the communication number represents a telephone number in the United States and other countries using the North American Dialing Plan (for voice, data, fax, etc.), the communication number should always include the area code and phone number using the format AAABBBCCCC. Where AAA is the area code, BBB is the telephone number prefix, and CCCC is the telephone number (e.g. (534)224-2525 would be represented as 5342242525). The extension, when applicable, should be included in the communication number immediately after the telephone number.
4. By definition of the standard, if PER03 is used, PER04 is required.

Example:

PER*IC*BILLING DEPT*TE*2128763654*EX*2104*FX*2128769304~


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