Segment: DTP

Loop: 2400  Element: DTP

Element: DTP01 (Service Date Qualifier)

Hard coded to '472'.

Element: DTP02 (Service Date Period Qualifier)

Hard coded to 'D8' or 'RD8'.

Element: DTP03 (Service Date (From/To))

Element: DTP03 (Service Date (From/To))

Edit Charge->Service From/To

Element: DTP01 (Prescription Date Qualifier)

Hard coded to '471'.

Element: DTP02 (Prescription Date Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Prescription Date)

Element: DTP03 (Prescription Date)

Edit Charge->Drug Tab->Prescription Date

Element: DTP01 (Certification Revision/Recertification Date Qualifier)

Hard coded to '607', if Certification Type is R or S.

Element: DTP02 (Certification Revision/Recertification Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Certification Revision/Recertification Date)

Element: DTP03 (Certification Revision/Recertification Date)

Edit Charge->DME Tab->Revision/Recertification

Element: DTP01 (Begin Therapy Date Qualifier)

Hard coded to '463'.

Element: DTP02 (Begin Therapy Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Begin Therapy Date)

Element: DTP03 (Begin Therapy Date)

Edit Charge->DME Tab->Begin Therapy

Element: DTP01 (Last Certification Date Qualifier)

Hard coded to '461'.

Element: DTP02 (Last Certification Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Last Certification Date)

Element: DTP03 (Last Certification Date)

Edit Charge->DME Tab->Last Certification

Element: DTP01 (Last Seen Date Qualifier)

Hard coded to '304'.

Element: DTP02 (Last Seen Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Last Seen Date)

Element: DTP03 (Last Seen Date)

Edit Charge->Misc Details Tab->Foot Care->(Scroll Down) Last Seen Date

Element: DTP01 (Hemoglobin/Hematocrit Test Date Qualifier)

Hard coded to '738'.

Element: DTP02 (Hemoglobin/Hematocrit Test Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Hemoglobin/Hematocrit Test Date)

Element: DTP03 (Hemoglobin/Hematocrit Test Date)

Edit Charge->Dialysis Tab->Most Recent Hemoglobin/Hematocrit

Element: DTP01 (Serum Creatine Test Date Qualifier)

Hard coded to '739'.

Element: DTP02 (Serum Creatine Test Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Serum Creatine Test Date)

Element: DTP03 (Serum Creatine Test Date)

Edit Charge->Dialysis Tab->Most Recent Serum Creatine

Element: DTP01 (Shipping Date Qualifier)

Hard coded to '011'.

Element: DTP02 (Shipping Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Shipping Date)

Element: DTP03 (Shipping Date)

Edit Charge->Misc Details Tab->(Scroll Down) Shipping Date

Element: DTP01 (Last X-Ray Date Qualifier)

Hard coded to '455'.

Element: DTP02 (Last X-Ray Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Last X-Ray Date Period Qualifier)

Element: DTP03 (Last X-Ray Date Period Qualifier)

Edit Charge->Misc Details Tab->(Scroll Down) Last X-Ray

Element: DTP01 (Initial Treatment Date Qualifier)

Hard coded to '454'.

Element: DTP02 (Initial Treatment Date Period Qualifier)

Hard coded to 'D8'.

Element: DTP03 (Initial Treatment Date)

Element: DTP03 (Initial Treatment Date)

Edit Charge->Misc Details Tab->(Scroll Down) Initial Treatment