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North Sound 
Mental Health Administration

NSMHA-CIS Data Dictionary

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Data Dictionary Home
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Patient Signature Source

 

Code Table

CodeDescription
BSigned signature authorization form or forms for both HCFA-1500 Claim form block 12 and block 13 are on file.
CSigned HCFA-1500 Claim Form on file.
MSigned signature authorization form for HCFA-1500 Claim Form block 13 on file
PSignature generated by provider because the patient was not physically present for services.
SSigned signature authorization form for HCFA-1500 Claim Form block 12 on file.

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North Sound Mental Health Administration