DTP

Claim Service Date

Pos: 120	Max: 1
Detail - Optional
Loop: 2200D	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
Use this element for the dates of service submitted on the original claim.

M

ID

3/3

Required

Code

Name

232

Claim Statement Period Start

This includes the claim statement period end.

DTP02

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format
If the date is a single date of service, the begin date equals the end date.

M

ID

2/3

Required

Code

Name

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
Industry: Claim Service Period

M

AN

1/35

Required

1.

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

Notes:

1. Required for institutional claims. The date is the statement from and through date.
2. For professional claims this will be the claim from and through date. If claim level date range is not used then the Line Service Date at Loop 2210D is required.

Example:

DTP*232*RD8*19960401-19960402~