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Data Element Name:  Statement Covers Period - From Date
Format-Length:  N - 8 Required For:  AS, ED, IP
Effective Date:  1/1/94 Revision Date:  September 2003

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2300 DTP01 374 434 Statement
DTP02 1250 RD8 Range of Dates (CCYYMMDD-CCYYMMDD)
DTP03 1251 Statement From or To Date

Paper Form Locator Code Qualifier
Institutional - UB-04 06 N/A

Definition:

The beginning date of the billing period.

Codes and Values:

  1. CCYYMMDD = Century Year Month Day

  2. Must be a valid date in accordance with the Date Edit Validation Table in Appendix A.

Edit Applications:

  1. Must be on or before the Statement Covers Period - Thru Date.

  2. Must be the same as the Admission Date/Start of Care.
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