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HCFA-1500 Box 11d - Is There Another Health Plan

July 29, 2025

Learn 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, 2025

HCFA-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, 2025

Learn 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, 2025

Learn 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.

HCFA-1500 Box 11 - Insured's Policy Group or FECA Number

July 25, 2025

Box 11 on the HCFA-1500 form is used to report the insured’s policy group or FECA number. Learn how to complete this field and how it maps to SBR03 in the X12 837 transaction.

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