Segment: PER

Loop: 1000A Segment: PER

Element: PER01 (Submitter Contact Function Code)

Hard Coded to 'IC'

Element: PER02 (Submitter Contact Name) Limit 60

Element: PER02 (Submitter Contact Name) Limit 60

Tools->Billing Maintenance->Claims Options->Office Contact

Element: PER03 (SubmitterContact Communication Number Qualifier 1)

Hard Coded to 'TE'

Element: PER04 (Submitter Contact Communication Number 1)

Element: PER04 (Submitter Contact Communication Number 1)

Tools->Billing Maintenance->Claims Options->Office Contact Phone/Office Contact Ex

Element: PER05 (Submitter contact Communication Number Qualifier 2)

Element: PER05 (Submitter contact Communication Number Qualifier 2)

Tools->Billing Maintenance->Claims Options->Office Contact Fax

Element: PER06 (Submitter contact Communication Number 2)

Element: PER06 (Submitter contact Communication Number 2)

Tools->Billing Maintenance->Claims Options->Office Contact Fax

Element: PER07 (Submitter Contact Communication Number Qualifier 3)

Element: PER07 (Submitter Contact Communication Number Qualifier 3)

Tools->Billing Maintenance->Claims Options->Office Contact Email

Element: PER08 (Submitter Contact Communication Number 3)

Element: PER08 (Submitter Contact Communication Number 3)

Tools->Billing Maintenance->Claims Options->Office Contact Email