HCFA-1500 Box 9a - Other Insured's Policy or Group Number
July 20, 2025Learn how HCFA-1500 Box 9a (Other Insured’s Policy or Group Number) maps to the SBR03 segment in the X12 837 4010 and 5010 EDI formats.
HCFA-1500 Box 9 - Other Insured's Name
December 22, 2024On the HCFA-1500 form, box 9 is designated for the other insured's name (Last, First, Middle). This refers to the subscriber of the patient's secondary insurance, for whom services were rendered. The name should be entered exactly as it appears on the subscriber's card.
HCFA-1500 Box 8 - Reserved For NUCC Use
September 16, 2024On the HCFA-1500 form, box 8 is designated Reserved For NUCC Use. This box was previously used for the patient status (single, married, other, employed, full-time student, part-time student). There is no location in the 837P format that corresponds to this HCFA location.
HCFA-1500 Box 7 - Insured's Address
September 11, 2024On the HCFA-1500 form, box 7 is designated for the insured's street address, city, state, zip code and telephone number. This is the subscriber of the patient who the services were rendered to on the claim.
HCFA-1500 Box 6 - Patient Relationship to Insured
September 09, 2024On the HCFA-1500 form, box 6 is designated for the patient relationship to insured (Self, Spouse, Child, Other). This location describes how the patient is related to the insured. Only one box can be selected.