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Back  RFI # 329: Benefit Change End Date

Formal vs. Informal Help Informal Formal

Submitter

Penny Probst/Gail Kocher X12N Management

Description

Question being submitted on behalf of NUBC:
Can the 2300 DTP01 = 303 Maintenance Effective Date be used as an interim solution to implement DSMO CR1025 until a future version of the 834 is mandated for HIPAA, as 004050 and forward has addressed the requets in the CR.
The request is to identify a benefit change start and end date without indicating termination of benefits.

Response

The 2300 DTP01 = 303 cannot be used as an interim solution to implement DSMO CR1025. The 4010A1 allows for effective and a term date to be sent. An end date is a termination of a particular benefit even if that end date is being changed. Please see section 2.5 of the 4010A1 IG on terminations for descriptions on how terminations are to be handled.
Submission 10/3/2005
Status Date 11/30/2005
Status F - Final
Primary References
Document 004010X095A1
Section3
Page133
Set ID834
Table2
Loop2300
Segment Position270
Segment IDDTP
Element Position01