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.
HCFA-1500 Box 5 - Patient's Address
August 29, 2024On the HCFA-1500 form, box 5 is designated for the patient's street address, city, state, zip code and telephone number. This is the patient who the services were rendered to for the claim.
HCFA-1500 Box 4 - Insured's Name
August 21, 2024On the HCFA-1500 form, box 4 is designated for the insured's name (Last, First, Middle). This is the subscriber of the patient who the services were rendered to for the claim. The name should be entered exactly as it appears on the patient's member card.