PER

Billing Provider Contact Information

Pos: 040	Max: 2
Detail - Optional
Loop: 2010AA	Elements: 8

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: Billing Provider Contact Name
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

Required

PER03

365

Communication Number Qualifier
Description: Code identifying the type of communication number

C

ID

2/2

Required

Code

Name

EM

Electronic Mail

FX

Facsimile

TE

Telephone

PER04

364

Communication Number
Description: Complete communications number including country or area code when applicable
NSF Reference: BA1-12.0, BA1-18.0

C

AN

1/80

Required

PER05

365

Communication Number Qualifier
Description: Code identifying the type of communication number
Used at the discretion of the billing provider.

C

ID

2/2

Situational

Code

Name

EM

Electronic Mail

EX

Telephone Extension

FX

Facsimile

TE

Telephone

PER06

364

Communication Number
Description: Complete communications number including country or area code when applicable
Used at the discretion of the billing provider.

C

AN

1/80

Situational

PER07

365

Communication Number Qualifier
Description: Code identifying the type of communication number
Used at the discretion of the billing provider.

C

ID

2/2

Situational

Code

Name

EM

Electronic Mail

EX

Telephone Extension

FX

Facsimile

TE

Telephone

PER08

364

Communication Number
Description: Complete communications number including country or area code when applicable
Used at the discretion of the billing provider.

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. Required if this information is different that that contained in the Loop 1000A - Submitter PER segment.
2. 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.
3. There are 2 repetitions of the PER segment to allow for six possible combination of communication numbers including extensions.

Example:

PER*IC*JIM*TE*8007775555~