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Back  RFI # 1602: PER Technical Contact Informat

Formal vs. Informal Help Informal Formal

Submitter

Sharon Sieve

Description

In 1000A loop Arkansas BC sometimes does not include the PER Payer Technical Contact Information. We sent the era file exa to our host system Epic and they insist it is a required field and we are unable to load due to an invalid Segment sequence: Segment 10 N1 follows REF. Where Ark BC is stating PER segment is situational and not follows required From 5010 835 manual: SITUATIONAL 10404 Situational Rule: Required when there is a business contact area that would apply to this remittance and all the claims. If not required by this implementation guide, do not send. Which is correct? We are getting very close to the date and would like to forward the interpretation to the approp payer or vendor to have addressed.

Submitter Assigned Keywords

PER Payer Technical Contact Info

Response

The 1000A Loop Payer Technical Contact Information segment is Required, while the 1000A Loop Payer Business Contact Information PER segment is Situational. The PER01 value differs between the Technical ('BL') and Business Contact ('CX') segments and is used to distinguish them from each other. The Situational Rule cited in the Interpretation request is the Rule from the Business Contact PER and not the Technical contact PER. Being required, the Technical Contact PER does not have a Situational Rule.
Submission 6/5/2012
Status Date 7/11/2012
Status F - Final
Primary References
Document 005010X221
SectionHEADER
Page87
Set ID835
Table1
Loop1000A
Segment Position1300
Segment IDPER
Industry NamePayer Technical Contact Info