| Name | Value |
|---|---|
| FORM FIELD REFERENCE | CMS-1500 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-CURR INSURED FULL NAME |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE DESCRIPTION | If the current insured is the patient, the word 'SAME' is printed instead of repeating the name. esg - 8/23/06 - IB*2*348 - Requirement 3.2.1.12 - No longer print the word "SAME" in Box 4 ever. We have to print the name of the insured in all cases. |