Element
X12 EDI Release 00401
CLM
1351Patient Signature Source Code
Code indicating how the patient or subscriber authorization signatures were obtained and how they are being retained by the provider
属性
数据类型ID
必须?Optional
Codes (5)
  • 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