DTP

Service Line Date

Pos: 210	Max: 1
Detail - Optional
Loop: 2220D	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

M

ID

3/3

Required

Code

Name

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

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

If there is a single date of service, the begin dateequals the end date.

DTP03

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Service Line Date

M

AN

1/35

Required

1.

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

Notes:

1. This is the date of service from the original submitted claim for a specific line item.
2. Whenever the 2220D loop is used this segment must be present, unless reported in the claim level, Loop 2200D (Claim Service Dates).

Example:

DTP*472*RD8*19960401-19960402~