DMG

Subscriber Demographic Information

Pos: 100	Max: 1
Detail - Optional
Loop: 2100C	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

DMG01

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format
Use this code to indicate the format of the date of birth that follows in DMG02.

C

ID

2/3

Situational

Code

Name

D8

Date Expressed in Format CCYYMMDD

DMG02

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Subscriber Birth Date
Use this date for the date of birth of the individual.
Required if this is availalble from the Information Source’s database unless a rejection response is generated and this element was not valued in the request.

C

AN

1/35

Situational

DMG03

1068

Gender Code
Description: Code indicating the sex of the individual
Industry: Subscriber Gender Code
Required if this is availalble from the Information Source’s database unless a rejection response is generated and this element was not valued in the request.

O

ID

1/1

Situational

Code

Name

F

Female

M

Male

U

Unknown

1.

P0102 - If either DMG01,DMG02 is present, then all are required

1.

DMG02 is the date of birth.

2.

DMG07 is the country of citizenship.

3.

DMG09 is the age in years.

Notes:

1. Use this segment to convey the birth date or gender demographic information for the subscriber.
2. Use this segment only if the subscriber is the patient and if this information is availalble from the Information Source’s database unless a rejection response is generated and the elements were not valued in the request.

Example:

DMG*D8*19430917*M~