The Texas DOI indicated that “the PER segment is only required to be sent in the Billing provider Loop 2010AA if it is different from the information sent in the PER segment in 1000A. When we get the claim from our clearinghouse, Loop 1000A is populated with our clearinghouse’s “EDI Submitter Info”, and we do not receive the “original” submitter Contact information.The reason for request, is that we do not want to have to publish a companion guide for this single data element, and wanted to find out exactly how this should be handled moving forward. Should we require the clearinghouse(s) to send more than one iteration of the PER segment?This could mean that there may need to be 3 iterations of the PER segment on each claim, depending upon how many entities are involved. Or,, should we simply publish a companion document requiring the Loop 2010AA Billing Provider segment be populated on the claims as well?
The PER Segment in the 2010AA Loop is “Required when this information is different than that contained in the Loop ID-1000A - Submitter PER segment”. Therefore, if the Submitter is not the Billing Provider the 2010AA PER Segment is required.