PER

Payer Contact Information

Pos: 080

Max: 1

Detail - Optional

Loop: 2100A

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

M

ID

2/2

Required

 

Code

Name

 

IC

Information Contact

 

PER02

93

Name
Description: Free-form name
Industry: Payer Contact Name
This element is required when a specific person or department is the contact for the response in order to clarify requests concerning aditional information requests.
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
Required when PER04 is used.

C

ID

2/2

Required

 

Code

Name

 

ED

Electronic Data Interchange Access Number

 

EM

Electronic Mail

 

TE

Telephone

 

PER04

364

Communication Number
Description: Complete communications number including country or area code when applicable
Use PER04 to supply International Codes, Area Code (within U.S.), Local exchanges, and telephone numbers. When an additional extension is required PER06 should be used.
Used if needed to transmit communication number.

C

AN

1/80

Required

 

PER05

365

Communication Number Qualifier
Description: Code identifying the type of communication number
Required when PER06 is used.

C

ID

2/2

Situational

 

Code

Name

 

EX

Telephone Extension

 

PER06

364

Communication Number
Description: Complete communications number including country or area code when applicable
Use PER06 to supply telephone extensions only. International Codes, Area Codes (within U.S.), Exchanges, and telephone numbers should be placed in PER04.

C

AN

1/80

Situational

 

PER07

365

Communication Number Qualifier
Description: Code identifying the type of communication number
Required when PER08 is used.

C

ID

2/2

Situational

 

Code

Name

 

EX

Telephone Extension

 

FX

Facsimile

 

PER08

364

Communication Number
Description: Complete communications number including country or area code when applicable
Required when necessary to provide another telephone extension or fax 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. 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.
2. By definition of the standard, if PER03 is used, PER04 is required.
3. Required only if needed for identification of contact at the payer site.

Example:

PER*IC*MEDICAL REVIEW DEPARTMENT*TE*3135551234*EX*6593*FX*3135554321~
OR
PER*IC**TE*3135551234***FX*3135554321~
OR
PER*IC******FX*3135554321~


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