Knowledgebase: How to Fill Out The CMS-1500 Form > The CMS-1500 Form - Fields 1–13: Patient and Insured Information
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Field 3 - Patient's Birth Date and Sex
Posted by Dan Perrine, Last modified by Dan Perrine on 28 March 2018 05:33 AM
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Field 3, the “Patient’s Birth Date, Sex” is information that will identify the patient and it distinguishes persons with similar names. INSTRUCTIONS: Enter the patient’s 8-digit birth date (MM | DD | YYYY). Enter an X in the correct box to indicate sex (gender) of the patient. Only one box can be marked. If sex is unknown, leave blank. MEDICARE - Enter the patient's 8-digit birth date (MM | DD | CCYY) and sex. | |
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