Which statement about signatures on file in Block 12 is correct?

Which statement about signatures on file in Block 12 is correct?

• A. A signature on file is acceptable for Block 12.
• B. A signature must be on the day of service for Block 12.
• C. Block 12 is used to record the payer's account number.
• D. Block 12 should contain the provider's license number.

Answer: (A)

Block 12 captures the Patient’s or Authorized Person’s signature and the date. In practice, many clinics keep a patient’s signature on file and indicate this on the form, using a note like “signature on file.” This satisfies Block 12 without requiring a fresh signature at every visit, as long as there is a valid on‑file consent documented in the patient’s chart. That’s why saying a signature on file is acceptable for Block 12 is correct. The other statements don’t fit because Block 12 is not used for recording the payer’s account number or the provider’s license number; those details appear in other parts of the form.

Block 12 captures the Patient’s or Authorized Person’s signature and the date. In practice, many clinics keep a patient’s signature on file and indicate this on the form, using a note like “signature on file.” This satisfies Block 12 without requiring a fresh signature at every visit, as long as there is a valid on‑file consent documented in the patient’s chart. That’s why saying a signature on file is acceptable for Block 12 is correct. The other statements don’t fit because Block 12 is not used for recording the payer’s account number or the provider’s license number; those details appear in other parts of the form.