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
- Type
- Identifier (ID)
- Length
- Min 1 / Max 1
- Codes
Code | Description |
---|
B | Signed signature authorization form or forms for both HCFA-1500 Claim Form block 12 and block 13 are on file |
C | Signed HCFA-1500 Claim Form on file |
M | Signed signature authorization form for HCFA-1500 Claim Form block 13 on file |
P | Signature generated by provider because the patient was not physically present for services |
S | Signed signature authorization form for HCFA-1500 Claim Form block 12 on file |