Segment: DTP

Loop:2300 Segment: DTP

Element: DTP01 (Onset of Current Illness or Symptom Qualifier)

Hard Coded to '431'

Element: DTP02 (Onset of Current Illness or Symptom Format)

Hard Coded to 'D8'

Element: DTP03 (Onset of Current Illness or Symptom)

Element: DTP03 (Onset of Current Illness or Symptom)

Billing->Patient Account->Claims tab->More Info->Dates tab->Onset of Current

Element: DTP01 (Initial Treatment Date Qualifier)

Hard Coded to '454'

ELement: DTP02 (Initial Treatment Date Format)

Hard Coded to 'D8'

Element: DTP03 (Initial Treatment Date)

Element: DTP03 (Initial Treatment Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Initial Treatment

Element: DTP01 (Last Seen Date Qualifier)

Hard Coded to '304'

Element: DTP02 (Last Seen Date Format)

Hard Coded to 'D8'

Element: DTP03 (Last Seen Date)

Element: DTP03 (Last Seen Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Last Seen Date

Element: DTP01 (Acute Manifestation Qualifier)

Hard Coded to '453'

Element: DTP02 (Acute Manifestation Format)

Hard Coded to 'D8'

Element: DTP03 (Acute Manifestation)

Element: DTP03 (Acute Manifestation)

Billing->Patient Account->Claims tab->More Info->Dates tab->Acute Manifestation

Element: DTP01 (Accident Date Qualifier)

Hard Coded to '439'

Element: DTP02 (Accident Date Format)

Hard Coded to 'D8'

Element: DTP03 (Accident Date)

Element: DTP03 (Accident Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Accident

Element: DTP01 (Last Menstrual Period Qualifier)

Hard Coded to '484'

Element: DTP02 (Last Menstrual Period Format)

Hard Coded to 'D8'

Element: DTP03 (Last Menstrual Period)

Element: DTP03 (Last Menstrual Period)

Billing->Patient Account->Claims tab->More Info->Dates tab->Last Menstrual Period

Element: DTP01 (Last X-Ray Date Qualifier)

Hard Coded to '455'

Element: DTP02 (Last X-Ray Date Format)

Hard Coded to 'D8'

Element: DTP03 (Last X-Ray Date)

Element: DTP03 (Last X-Ray Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Last X-Ray

Element: DTP01 (Hearing & Vision Prescription Date Qualifier)

Hard Coded to '471'

Element: DTP02 (Hearing & Vision Prescription Date Format)

Hard Coded to 'D8'

Element: DTP03 (Hearing & Vision Prescription Date)

Element: DTP03 (Hearing & Vision Prescription Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Hearing/Vision Rx

Element: DTP01 (Disability Dates Qualifier)

Need to create begin and end segment of '314'

Element: DTP02 (Disability Dates Format)

Need to create begin and end segment of 'RD8'

Element: DTP03 (Disability Dates)

Element: DTP03 (Disability Dates)

Billing->Patient Account->Claims tab->More Info->Dates tab->Disability From/To

Element: DTP01 (Last Worked Date Qualifier)

Hard Coded to '297'

Element: DTP02 (Last Worked Date Format)

Hard Coded to 'D8'

Element: DTP03 (Last Worked Date)

Element: DTP03 (Last Worked Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Not Worked From

Element: DTP01 (Authorized Return to Work Date Qualifier)

Hard Coded to '296'

Element: DTP02 (Authorized Return to Work Date Format)

Hard Coded to 'D8'

Element: DTP03 (Authorized Return to Work Date)

Element: DTP03 (Authorized Return to Work Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Not Worked To

Element: DTP01 (Admission Date Qualifier)

Hard Coded to '435'

Element: DTP02 (Admission Date Format)

Hard Coded to 'D8'

Element: DTP03 (Admission Date)

Element: DTP03 (Admission Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Hospital From

Element: DTP01 (Discharge Date Qualifier)

Hard Coded to '096'

Element: DTP02 (Discharge Date Format)

Hard Coded to 'D8'

Element: DTP03 (Discharge Date)

Element: DTP03 (Discharge Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Hospital To

Element: DTP01 (Assumed Care Date Qualifier)

Hard Coded to '090'

Element: DTP02 (Assumed Care Date Format)

Hard Coded to 'D8'

Element: DTP03 (Assumed Care Date)

Element: DTP03 (Assumed Care Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Care From

Element: DTP01 (Relinquished Care Date Qualifier)

Hard Coded to '091'

Element: DTP02 (Relinquished Care Date Format)

Hard Coded to 'D8'

Element: DTP03 (Relinquished Care Date)

Element: DTP03 (Relinquished Care Date)

Billing->Patient Account->Claims tab->More Info->Dates tab->Care To

Element: DTP01 (Property and Casualty Date of First Contact Qualifier)

Hard Coded to '444'

Element: DTP02 (Property and Casualty Date of First Contact Format)

Hard Coded to 'D8'

Element: DTP03 ((Property and Casualty Date of First Contact )

Element: DTP03 ((Property and Casualty Date of First Contact )

Billing->Patient Account->Claims tab->More Info->Property And Casualty tab->First Contact Date

Element: ..(Repricer Received Date) N/A

SOAPware is a provider system, not a repricer