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Back  RFI # 154: 837 Dental DTP Date Admission

Formal vs. Informal Help Informal Formal

Submitter

Angela Hendrix

Description

The 004010X097A1 DTP - DATE ADMISSION is required on inpatient visit claims. For data validation purposes, is inpatient necessarily indicated by CLM05-1 and/or SV303 sending code 21? If the CLM05-1 = 21, but is overwritten in the subordinate SV3, is it no longer considered an inpatient claim?

Submitter Assigned Keywords

Date Admission inpatient

Response

This is explicitly addressed in guide X097. The SV303 element is used when a specific service location is different than identified in CLM05-1. Mixed claims are allowed. The DTP "Date - Admission" segment is required when ANY part of the claim is inpatient, not when ALL of the claim is inpatient. So, the DTP segment is required if either CLM05-1 or SV303 specify inpatient facility.
Submission 11/30/2004
Status Date 11/30/2004
Status F - Final
Primary References
Document 004010X097A1
SectionDetail
Page157
Set ID837D
Table2
Loop2300
Segment Position135
Segment IDDTP