out of pocket expiration date

oop_exp_dt

claims

Updated 5/16/2026

Definition

The validity end date for a patient paid amount. Used to track temporal information related to out of pocket expiration date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for out of pocket management and reporting.

Standard Abbreviation

oop_exp_dt

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  oop_exp_dt DATE,  -- out of pocket expiration date (date only, no time)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  oop_exp_dt as out_of_pocket_expiration_date
FROM claims;

Common uses in healthcare data

Claims adjudication and remittance processing
837P/837I/837D claim file parsing and validation
Revenue cycle management and denial analytics
CMS cost report and Medicare cost reporting
Payer contract performance and underpayment analysis

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
oop_exp_dt

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  oop_exp_dt   DATE,  -- out of pocket expiration date (date only, no time)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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