1351Patient Signature Source Code

Batch

Code indicating how the patient or subscriber authorization signatures were obtained and how they are being retained by the provider

Element Details

Type ID

LengthMin 1 / Max 1

Codes

<>MSigned signature authorization form for HCFA-1500 Claim Form block 13 on file
<>PSignature generated by provider because the patient was not physically present for services
<>BSigned signature authorization form or forms for both HCFA-1500 Claim Form block 12 and block 13 are on file
<>CSigned HCFA-1500 Claim Form on file
<>SSigned signature authorization form for HCFA-1500 Claim Form block 12 on file