HCFA-1500 Box 12 - Patient's or Authorized Person's Signature
July 30, 2025HCFA-1500 Box 12 captures the patient's authorization to release medical information. Learn how 'Signature on File' maps to CLM09 in the X12 837 format.
HCFA-1500 Box 11d - Is There Another Health Plan
July 29, 2025Learn how to correctly complete Box 11d on the HCFA-1500 form and understand its impact on X12 837 electronic claims. Find out what to include when additional insurance coverage is indicated.
HCFA-1500 Box 11c - Insurance Plan Name or Program Name
July 28, 2025HCFA-1500 Box 11c captures the insurance plan or program name, such as BLUE CROSS BLUE SHIELD. Learn how this maps to SBR04 in the 837 format.
HCFA-1500 Box 11b - Other Claim ID
July 27, 2025Learn how to complete HCFA-1500 Box 11b for Other Claim ID entries, typically used for Workers’ Compensation and other property and casualty claims. Includes X12 837 mapping using REF*Y4 and sample EDI segment.
HCFA-1500 Box 11a - Insured's Date of Birth and Sex
July 27, 2025Learn how to complete HCFA-1500 Box 11a for the insured’s date of birth and sex, and see how this information maps to the X12 837 format using the DMG segment in Loop 2010BA.