DATED - Date of Agency Authorization

Identifies the date appearing on the agency authorization, which was previously submitted to the provider.

VALID ENTRIES:

U.S. Standard

Metric Format

Two Digit Month (01-12)

Two Digit Day (01-31)

Two Digit Century (00-99)

Two Digit Year (00-99)

Two Digit Century (00-99)

Two Digit Year (00-99)

Two Digit Month (01-12)

Two Digit Day (01-31)

USAGE: This field is conditional.

NOTE 1: Required when the AGAUTH field is "E" or "B", otherwise optional.

DATA CHARACTERISTICS: 10 alpha/numeric characters (including 2 hyphens)

EXAMPLES: 0 6 - 2 0 - 1 9 8 4

   1 9 8 4 - 0 6 - 2 0