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Box 13

Insured’s Signature on File

What’s in the box?

This box indicates whether or not the provider has obtained explicit permission from the Insured (Policyholder) that authorizes payment of medical benefits to the party accepting assignment.

If you indicate ‘Yes’ (the patient’s signature is on file), then ‘SOF’ will be sent in this box. If you indicate ‘No’, (the patient’s signature is not on file), then Box 13 will be blank.

📌Key Note: Be sure to actually obtain the patient’s signature before checking ‘Yes’ to this box. Checking ‘Yes’ in Jane doesn’t necessarily mean that the patient’s signature has been obtained— that is the responsibility of the clinic and should be done prior to billing.

If you have any questions regarding this process, it’s best to seek advice from your regulating body or a billing specialist.

📍Pro Tip: Note that Box 12 and Box 13 are similar, but it is important to understand the difference between the two boxes. Box 13 concerns the Insured’s permission, while Box 12 concerns the Patient’s permission. Often times the Patient is the Insured, but not always.

Where does this info live in Jane?

There are two places in Jane that can determine how Box 13 is filled out on a claim submission.

1) Billing Settings

If you collect your patient signatures diligently and would like to save a few clicks, you can set Box 13 to default to ‘Yes’ for all new and existing Insurance Policies.

You can set this default by heading to Settings > Billing Settings > Signature on File and checking the box beside Signature on File.

2) Patient Insurance Policy

When creating or editing an Insurance Policy, you can specify whether or not you have the patient’s Signature on File within the Policy.

Neither the ‘Yes’ or ‘No’ option is checked by default when creating a new Insurance Policy.

📍Pro Tip: If you have set Box 13 to default to ‘Yes’ (1), but when saving a patient’s Insurance Policy (2) you check ‘No’ (meaning you do not have this patient’s signature on file), then all claims billed under this Policy will be set as ‘No’.

Is this required?

You are required to specify whether or not you have the Insured’s Signature on File in Jane. This can be done in bulk under Settings> Billing Settings (1) or individually in each Policy (2).


What about the EDI file?

The Signature on File info is sent in Loop 2300 - Claim Info.

Specifically:

  • If Signature on File is set to Yes in the policy, then a ‘Y’ is sent in Loop 2300, Segment CLM08
  • If Signature on File is set to No in the policy, then a ‘N’ is sent in Loop 2300, Segment CLM08