Q/A: When should we update Box 14 on the claim form?

Question:

When should we update Box 14 on the claim form?

Answer: 

Updating the date in Item Number 14 of the 1500 Claim Form is typically warranted when:

  1. The patient presents with a new injury/condition -Which means you have an updated complaint as well as a new priority of treatment for care, update treatment plan, etc.

  2. The patient presents with a significant aggravation or exacerbation that causes a change in treatment plan and an appropriate level of re-evaluation.

  3. The Patient has had a lapse in care and hasn't been in for treatment for an extended period of time. Your office policy should define this as well as the chief complaint and subjective detail that is collected from the patient upon presenting again for treatment.

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