|
Code
|
Description
|
Comment
|
Version
|
| C
|
Signed CMS-1500 claim form on file, e.g., authorization for release of any medical or other information necessary to process this claim and assignment of benefits. |
|
added v2.5 |
| M
|
Signed authorization for assignment of benefits on file. |
|
added v2.5 |
| P
|
Signature generated by provider because the patient was not physically present for services. |
|
added v2.5 |
| S
|
Signed authorization for release of any medical or other information necessary to process this claim on file. |
|
added v2.5 |