When submitting claims, what happens if Block 13 is left blank?

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Multiple Choice

When submitting claims, what happens if Block 13 is left blank?

Explanation:
Block 13 indicates whether the patient has assigned their benefits to the provider. Leaving it blank means there is no assignment of benefits. Without an assignment, the insurer typically pays the patient, and the patient is responsible for paying the provider. This flow explains why the correct outcome is that the third-party payer reimburses the patient and the patient is responsible for reimbursing the provider. If the patient had signed an assignment, the provider would receive payment directly from the payer.

Block 13 indicates whether the patient has assigned their benefits to the provider. Leaving it blank means there is no assignment of benefits. Without an assignment, the insurer typically pays the patient, and the patient is responsible for paying the provider. This flow explains why the correct outcome is that the third-party payer reimburses the patient and the patient is responsible for reimbursing the provider. If the patient had signed an assignment, the provider would receive payment directly from the payer.