Box 12 - Authorize Release of Medical Records

 

Box 12 is a signature box on the HCFA-1500 that contains the Authorization to release any Medical Records Necessary to process this claim..  This information is entered in the Client Medical Information screen.

 

The Client Medical Information screen contains a checkbox for "Release Medical Records".  When this item is checked, DELPHI32 will print "SIGNATURE ON FILE" in Box12.

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