Block 12 concerns the signature on the claim. Which statement correctly describes what the signature authorizes?

• A. The signature authorizes release of information necessary to process the claim.
• B. The signature authorizes payment of benefits to the physician or supplier.
• C. The signature confirms the patient's consent for treatment.
• D. The signature authorizes transmission of electronic claims.

Answer: (B)

Block 12 captures the patient’s or an authorized representative’s authorization on the claim. The statement that best describes what the signature authorizes is that benefits may be paid directly to the physician or supplier. This is the assignment of benefits: the patient signs to authorize direct payment to the provider for services rendered. It helps ensure the provider gets paid promptly by the insurer. The other options relate to different permissions that aren’t the purpose of this signature on the claim form—sharing medical information for processing, patient consent for treatment, or authorizing electronic submission—none of which is the primary function of this signature.