08/28/2021
(ASC X12) 1351 Patient Signature Source Code
TYPE=ID MIN=1 MAX=1
Code indicating how the patient or subscriber authorization signatures were obtained and how they are being retained by the provider
Codes
| 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 |
Appears in
| CLM | Health Claim |
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