Field 13 - Insured’s or Authorized Person’s Signature
Posted by Dan Perrine on 28 March 2018 06:46 AM
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The “Insured’s or Authorized Person’s Signature” indicates that there is a signature on file authorizing payment of medical benefits. INSTRUCTIONS: Enter “Signature on File,” “SOF,” or legal signature. If there is no signature on file, leave blank or enter “No Signature on File.” MEDICARE - The patient’s signature or the statement “signature on file” in this item authorizes payment of medical benefits to the physician or supplier. The patient or his/her authorized representative signs this item or the signature must be on file separately with the provider as an authorization. However, note that when payment under the Act can only be made on an assignment-related basis or when payment is for services furnished by a participating physician or supplier, a patient’s signature or a “signature on file” is not required in order for Medicare payment to be made directly to the physician or supplier. | |
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