Claim Effective Date

CLM_EFCTV_DT

A date corresponding to the National Claim History (NCH) weekly processing date and used in final action processing to identify a version of a claim. It will always be a Friday date.

Field Metadata

FHIR Resource: ExplanationOfBenefit
FHIRPath: ExplanationOfBenefit.created
Coverage / Claim Type: Carrier
DME
HHA
Hospice
Inpatient
Outpatient
SNF
Source View: V2_MDCR_CLM
Source Column: CLM_EFCTV_DT
Sources: FISS
MCS
NCH
VMS
Profiles: Basis
Regular
CMS

Example

2025-01-18

Mappings

CCLF

CCLF1.CLM_EFCTV_DT
CCLF5.CLM_EFCTV_DT
CCLF6.CLM_EFCTV_DT