PER |
Information Source Contact Information |
|
||||||
|
Ref |
Id |
Element Name |
Req |
Type |
Min/Max |
Usage |
|
PER01 |
366 |
Contact Function Code
|
M |
ID |
2/2 |
Required |
|
Code |
Name |
|
IC |
Information Contact |
|
PER02 |
93 |
Name
|
O |
AN |
1/60 |
Situational |
|
PER03 |
365 |
Communication Number Qualifier
|
C |
ID |
2/2 |
Situational |
|
Code |
Name |
|
ED |
Electronic Data Interchange Access Number |
|
EM |
Electronic Mail |
|
FX |
Facsimile |
|
TE |
Telephone |
|
PER04 |
364 |
Communication Number
|
C |
AN |
1/80 |
Situational |
|
PER05 |
365 |
Communication Number Qualifier
|
C |
ID |
2/2 |
Situational |
|
Code |
Name |
|
ED |
Electronic Data Interchange Access Number |
|
EM |
Electronic Mail |
|
EX |
Telephone Extension |
|
FX |
Facsimile |
|
TE |
Telephone |
|
PER06 |
364 |
Communication Number
|
C |
AN |
1/80 |
Situational |
|
PER07 |
365 |
Communication Number Qualifier
|
C |
ID |
2/2 |
Situational |
|
Code |
Name |
|
ED |
Electronic Data Interchange Access Number |
|
EM |
Electronic Mail |
|
EX |
Telephone Extension |
|
FX |
Facsimile |
|
TE |
Telephone |
|
PER08 |
364 |
Communication Number
|
C |
AN |
1/80 |
Situational |
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. This segment is recommended when the eligibility question cannot be answered electronically. It is used when the information source wishes to provide a contact for further inquiry. 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.
|
Example: |
PER*IC*MEMBER SERVICES*TE*8005551654*FX*2128769304~
|