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(ASC X12) 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


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
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
SSigned signature authorization form for HCFA-1500 Claim Form block 12 on file

Appears in

CLMHealth Claim
Review post

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