1351 Patient Signature Source Code

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

Batch

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