DTM

Individual Coverage Period

Pos: 180	Max: 1
Detail - Optional
Loop: 2300B	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

DTM01

374

Date/Time Qualifier
Description: Code specifying type of date or time, or both date and time
Health Care Industry: Date Time Qualifier

M

ID

3/3

Required

Code

Name

582

Report Period

DTM05

1250

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

C

ID

2/3

Required

Code

Name

RD8

Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD

DTM06

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Health Care Industry: Coverage Period

C

AN

1/35

Required

1.

R020305 - At least one of DTM02,DTM03,DTM05 is required

2.

C0403 - If DTM04 is present, then all of DTM03 are required

3.

P0506 - If either DTM05,DTM06 is present, then all are required

Notes:

1. This segment is used to relay the start and end date of the individual coverage period associated with the premium payment segment in the previous RMR segment.
2. This segment is required when the premium payer is not paying from an invoice but paying on account for a coverage period.

Example:

DTM*582****RD8*19970101-19970130~