DTP

Member Level Dates

Pos: 025

Max: 20

Detail - Optional

Loop: 2000

Elements: 3


User Option (Usage): Situational
To specify any or all of a date, a time, or a time period

Element Summary:

 

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

 

286

Retirement

 

296

Return to Work

 

297

Date Last Worked

 

300

Enrollment Signature Date

 

301

Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event

 

303

Maintenance Effective

 

336

Employment Begin

 

337

Employment End

 

338

Medicare Begin

 

339

Medicare End

 

340

Consolidated Omnibus Budget Reconciliation Act (COBRA) Begin

 

341

Consolidated Omnibus Budget Reconciliation Act (COBRA) End

 

350

Education Begin

This is the start date for the student at the current educational institution.

 

351

Education End

This is the expected graduation date the student at the current educational institution.

 

356

Eligibility Begin

This is used to convey the beginning date when a member could elect to enroll or begin benefits in any health care plan through the employer. This is not the actual begin date, which is conveyed in the DTP segment at position 270.

 

357

Eligibility End

This code is used as the end of eleigibility date (termination reason).

 

383

Adjusted Hire

 

393

Plan Participation Suspension

 

394

Rehire

 

473

Medicaid Begin

 

474

Medicaid End

 

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

 

DTP03

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Status Information Effective Date

M

AN

1/35

Required


Semantics:

1.

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


Notes:

1. Applicable dates, as listed in DTP01, are REQUIRED when enrolling a member or when the sponsor is informed of any change to those dates. Only those dates that apply to the particular insurance contract need to be sent.
2. While many of the dates listed for DTP01 are related to termination, the only code that is used to actually terminate a Member is 357 (Eligibility End). Similarly, the only date that identifies the start of coverage for an initial enrollment is 356 (Eligibility Begin).

Example:

DTP*356*D8*19960705~



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