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HCFA-1500 Box 16 - Dates Patient Unable to Work in Current Occupation

August 03, 2025

Learn how to complete Box 16 of the HCFA-1500 form, which reports the dates a patient was unable to work. Includes X12 837 mapping for DTP segments 314, 360, and 361.

HCFA-1500 Box 15 - Other Date

August 03, 2025

Box 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, 2025

Learn 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, 2025

Learn 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, 2025

HCFA-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.

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