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 |
Sign up free to see the full element reference
See every allowed code, usage note, and implementation detail for Patient Signature Source Code. Download it in console (text) or Markdown format, or use the tedi CLI to access the full X12 reference from your terminal.