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First Symptom Date Type: When this is set to "Last Menstrual Period", rather than appear in a "Onset of Current Illness" element on the eClaim, the First Symptom Date appears as an "LMP Date" on the claim. No other value than LMP is specifically indicated on an eClaim.
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ANSI Reference: 2300 Loop, DTP*484, DTP03
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Other Date: This date is not used on eClaims, but it does print in Box 15 of paper claims. This will need to be entered in the Similar Symptom field if requested by a payer. This is the date the patient started having similar symptoms pertaining to an illness or injury.
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Initial Treatment Date: This will need to be entered in the First Consultation field if requested by a payer. This is the date the patient was first treated for particular illness or injury, commonly required for chiropractic claims. This information populates eClaims if entered.
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ANSI Reference: 2300 Loop, DTP*454, DTP03
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Date Last Seen: This date will need to be entered if requested by a payer. This is the date that the patient was last seen by this provider. This date appears on eClaims if entered.
ANSI Reference: 2300 Loop, DTP*304, DTP03
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Assumed Date: This will need to be entered if requested by the payer. This is the date that a provider assumed care for a patient from another provider. This is mainly used for Hospice, Home Health Care, and Nursing Home claims. This date appears on eClaims if entered.
ANSI Reference: 2300 Loop, DTP*090, DTP03
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Relinquished Date: will need to be entered in the Relinquished Date field if requested by a payer. This is the date that a provider relinquishes care for a patient to another provider. This is mainly used for Hospice, Home Health Care, and Nursing Home claims. This date appears on eClaims if entered.
ANSI Reference: 2300 Loop, DTP*091, DTP03
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Prior Authorization Tab
Prior Authorizations are sometimes required when specified by a payer. Usually a payer will only give a provider an approved Number of Visits or an Expiration Date, although some do give both. The payer will assign a prior authorization number that needs to be included on all claims pertaining to a particular illness, injury, or set of procedures needed for the patient.
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