HCFA 1500 Box 12 - How does signature on file get added to a professional claim form?

The signature on file, box 12 on the HCFA-1500 form, is populated from the patient chart in two ways: manually or through signing a consent form.

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The signature on file can be found in the patient's chart by selecting the Demographics section on the left and the Demographics tab and scrolling down to the Miscellaneous area.

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Manually

If a patient has signed a consent form, a provider or staff member can pull up the patient's chart select Consent On File from the menu, and Save Demographics.

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Signing a Consent Form

Patients can sign consent forms through the check-in app or in the OnPatient portal. When a patient signs the HIPAA Data Use Agreement, which is included by default in all DrChrono accounts under Patients > Consent Forms, during the check-in process, the Consent On File selection will automatically save in the patient's chart and populate the HCFA-1500 form.

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Below is an example of signing the consent forms on the check-in app.

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