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Back  RFI # 725: 835 DTM

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Submitter

Patrice Kuppe

Description

What is the intent of the DTM segment in the 835 "Coverage Expiration Date". Can you give an example scenario on who would use it for what business purpose?

Submitter Assigned Keywords

835 Coverage Expiration Date

Response

The coverage expiration date DTM is used when payment is denied because of the expiration of coverage. For example, DOS 1/26/2009, claim received 1/27/2009, and coverage terminated 12/31/2008. The claim is fully adjusted using CARC 27. DTM would provide the date of termination of 20081231.
Submission 1/23/2009
Status Date 4/13/2009
Status F - Final
Primary References
Document 005010X221
SectionTable 2
Page163
Set IDDTM
Segment IDDTM
Industry NameCoverage Expiration date