1351
Patient Signature Source Code
- Type
- Identifier (ID)
- Length
- Fixed length of 1
- Allowed Codes
- 5 defined values
Patient Signature Source Code (1351), is an Identifier type element, and with a fixed length of 1. Sign up free or login to view the full element and download it in Markdown or console (text) formats.
Allowed 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 |
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See every allowed code, usage note, and implementation detail for Patient Signature Source Code. Download it as a diagram or Markdown, or use the tedi CLI to access the full X12 reference from your terminal.