DTP

Subscriber Date

Pos: 120	Max: 2
Detail - Optional
Loop: 2100C	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

DTP01

374

Date/Time Qualifier
Description: Code specifying type of date or time, or both date and time
Industry: Date Time Qualifier
Only one of the following codes may be used per request: 307 -Eligibility, 435 - Admission or 472 - Service.

M

ID

3/3

Required

Code

Name

102

Issue

Used if utilizing a search option other than the HIPAA search option identified in section 1.3.8 and is present on the identification card and is available.

307

Eligibility

435

Admission

472

Service

DTP02

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format

M

ID

2/3

Required

Code

Name

D8

Date Expressed in Format CCYYMMDD

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

DTP03

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Use this date for the date(s) as qualified by the preceding data elements.

M

AN

1/35

Required

1.

DTP02 is the date or time or period format that will appear in DTP03.

Notes:

1. Use this segment to convey the eligibility, service or admission date(s) for the subscriber or for the issue date of the subscriber’s identification card for the information source (e.g., Medicaid ID card). Absence of an Eligibility, Admission or Service date implies the request is for the date the transaction is processed.
2. When using codes “307" (Eligibility), ”435" (Admission) or “472" (Service) at this level, it is implied that these dates apply to all of the Eligibility or Benefit Inquiry (EQ) loops that follow. If there is a need to supply a different Eligibility, Admission or Service date for a specific EQ loop, it must be provided in the DTP segment within the EQ loop and it will only apply to that EQ loop.

Example:

DTP*102*D8*19950818~