A practical guide to completing Box 15: Other Date accurately and consistently.

From our workflow: When reviewing Other Date, we look at both the field itself and the related patient, insured, provider, and service-line data. Payers evaluate the claim as a connected record.

Report another claim-related date and qualifier when the payer requires it.

For Other Date, we also check the related patient, insured, provider, diagnosis, and service-line data. A field can pass a format edit and still be inconsistent with the claim around it.

General rule: Payer-specific instructions, contracts, program manuals, and current coding guidance can add to or override general form guidance. Verify requirements before submission.

What can happen when it is wrong

An entry for Other Date may be the right length and still be the wrong value. The surrounding coverage, provider, and service information has to support it.

Do not change Other Date simply to clear an edit. The value should come from the medical record, service log, and any related authorization, and the correction should be made in the source record when possible.

How to enter it consistently

  1. Identify the person, organization, date, code, or identifier the field is asking for.
  2. Locate the source document: insurance card, eligibility response, clinical note, authorization, provider enrollment record, fee schedule, or payer remittance.
  3. Enter the value using the form’s structure and the payer’s required format.
  4. Compare it with related fields and service lines for consistency.
  5. Save evidence of the source and the final submitted claim.

Where errors tend to appear

  • Entering an unlabeled date.
  • Copying Box 14.
  • Using a date that does not match the qualifier.

Copying an old claim can save time only after the current facts are verified. Recheck Other Date, especially when the payer, provider, or date of service has changed.

Last check before sending

  • Check the NUCC and payer instructions.
  • Select the correct qualifier.
  • Verify the source document.
  • Leave blank when not applicable.
  • Compare the completed claim with the clinical and billing record.
  • Confirm the receiving address or electronic route.
  • Keep a secure copy and proof of submission.

What the software should handle

A dependable program can reuse stable records and flag inconsistent entries for Other Date. It should not silently guess at information that is absent or uncertain.

Apply this in software: For a workflow that keeps claim data reusable and reviewable, see the CMS-1500 paper and electronic filing options. Software can enforce format and consistency, but the source record and payer instructions still control the claim.
Privacy reminder: Use fictional data for training and printer tests. Claims contain protected information and should be stored, transmitted, printed, and destroyed through approved secure processes.

Written and reviewed by

1500Software Development Team

Covers the software, printing, validation, export, and troubleshooting steps described on this page.

1500Software Claims Review Team

Reviews field placement, provider roles, source records, and practical correction steps.

Reviewed July 26, 2026. Always follow the receiving payer’s current instructions and companion guide.

Source material

The sources below describe the national form or transaction framework. Check the payer’s current instructions before filing.