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Box 15

Other Date

What’s in the box?

Box 15 is used to report another date (i.e. Last X-Ray) related to the patient’s condition. Similar to Box 14, this box includes a spot to enter a 3-digit qualifier to identify the date type being reported.

Where does this info live in Jane?

If an Insurance company requires that you report an Other Date related to the patient’s condition, then you can enter that date and date type in the patient’s Insurance Policy. By going to the Patient Profile> Billing> Insurance Policies and editing or creating a new Policy, you’ll find an area labelled ‘Enter another date related to the condition of the patient or Treatment’.

There are currently 9 different date types to choose from. Each date type has a unique 3 digit qualifier assigned to it as seen in the screenshot below. If you don’t see your required date type in our list, let us know and we can add it!

Is this required?

Other Dates are optional when creating a Policy in Jane and when generating an EDI or CMS1500. Only enter a date in box 15 if it is required by the Insurance company.

What about the EDI file?

If a date is present in the policy under the section labeled ‘Enter another date related to the condition of the patient or Treatment’ when generating an EDI file, then Jane will send that date along with its date type in Loop 2300 - Claim Info


  • The date type (3 digit qualifier) is sent in Loop 2300 - Claim Info, Segment DTP01
  • The date is sent in Loop 2300 - Claim Info, Segment DTP03

🧠 Pro Tip 🧠

It’s possible for there to be multiple DTP segments sent in Loop 2300 of an EDI file. If a Date of Current Illness, Injury, or Pregnancy (Box 14) is also present in a patient’s Insurance Policy, a second DTP segment will be sent in the EDI (directly above the DTP segment for Box 15).

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