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Field 31 - Physician signature

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jalmora:
 ??? If the clinician signature required in field 31 of a 1500 is not convenient to obtain, what are my options?  Clinical records are all in order as to proving services were ordered and provided.  It's just the claim form that stumps me.  I've read you can have an electronic signature, signature on file, and provider representative signature.  Trouble is, I don't know the full requirements of each of those and haven't been able to find an explanation online.  Is there some kind of authorization or attenstation statement that must be on file to use them?  Does there need to be one for every individual patient or can it be blanket?  Is one able to sign for the clinician if that clinician has given written approval to do so for billing only?  Lastly, does anyone have an online reference that elaborates on this?  Thanks so much for any information you can offer.

Michele:
Practice management systems create a computer generated signature on the claim form.  The patient's charts must match what is being billed.  You do not need a statement for every individual patient.  If you are a billing service your contract should cover that you are billing on behalf of the provider based on information provided to you by the provider/provider's office.  I am not sure of an online reference to this.

DMK:
I may not be understanding all of this question, but the doctor's intake form usually includes a place for the patient to sign allowing the doctor to bill insurance for services and for the insurance company to pay them directly.  If their intake form doesn't address this, it should.

Michele:
I think you may have covered the questions DMK,  I was confused too because usually providers don't actually sign the form so I was hung up with "not convenient to obtain".

jalmora:
We are a behavioral health provider with multiple clinicians.  Some have licensed credentials and some do not, so some are payable by private insurance and some are not.  Since all are payable by Medicaid, I must bill private insurances first.  How does field 31 get completed if the specific clinician isn't available to sign it?  We have an old DOS system (can you believe it?) and it does not put an electronic signature in that field. 

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