DTM

Claim Date

Pos: 050	Max: 4
Detail - Optional
Loop: 2100	Elements: 2

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
Industry: Date Time Qualifier

M

ID

3/3

Required

Code

Name

036

Expiration

Use this code to convey the expiration date of coverage.

050

Received

Use this code to convey the date that the claim was received by the payer.

232

Claim Statement Period Start

If the claim statement period start date is conveyed without a subsequent claim statement period end date, the end date is assumed to be the same as the start date. This date or code 233 should be considered required when service level dates are not provided in the remittance advice.

233

Claim Statement Period End

If a claim statement period end date is conveyed without a claim statement period start date, then the start date is assumed to be different from the end date but not conveyed at the payer’s discretion. See the note on code 232.

DTM02

373

Date
Description: Date expressed as CCYYMMDD
Industry: Claim Date

C

DT

8/8

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. Dates must be provided at the claim level (2-050-DTM), the service line level (2-080-DTM), or both. Dates at the claim level apply to the entire claim, including all service lines. Dates at the service line level apply only to the service line where they appear.
2. When claim dates are not provided, service dates are required for every service line.
3. When claim dates are provided, service dates are not required, but they may be used to “override” the claim dates for individual service lines.

Example:

DTM*233*19960916~