HCFA-1500 Box 15 - Other Date
August 03, 2025Box 15 on the HCFA-1500 form captures additional relevant dates like the initial treatment date or acute manifestation of a chronic condition. Learn how it maps to the X12 837 format.
HCFA-1500 Box 14 - Date of Current Illness, Injury, Pregnancy (LMP)
August 02, 2025Learn how to complete Box 14 on the HCFA-1500 form, including proper formatting of dates and qualifiers like 431 and 484, and how this data maps to the X12 837 DTP segment.
HCFA-1500 Box 13 - Insured's or Authorized Person's Signature
July 31, 2025Learn how Box 13 of the HCFA-1500 form maps to the CLM08 segment in the X12 837 transaction. Understand how 'SIGNATURE ON FILE' translates to a valid assignment of benefits code.
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.