UB04 Box 52 - Notating a signed release or informed consent on an institutional claim

On your institutional claim, you will need to note that you either have (Y) a signed statement on file from the patient permitting a data release or (I) have informed consent to release medical information.

DrChrono makes it easy to note both of these situations from within the patient's claim.

  • Navigate to Billing > Live Claims Feed > Inside the patient's appointment > Right side of the screen > Insurance tab

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  • Options from the dropdown include:
    • Y: Provider has on file a signed statement permitting data release
    • I: Provider has informed consent to release medical information

  • Box 52A is for the primary insurer; Box 52B is for the secondary insurer

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