CMS-1500 Claim Form: Understanding Box 19

The CMS-1500 claim form is a standardized document used for submitting healthcare claims to insurance companies. Each box on the form has a specific purpose and contains essential information related to the patient, the insured, and the claim itself. In this article, we will focus on Box 19, which is used to identify additional information about the patient's condition or the claim.

What is Box 19 on the CMS-1500 Claim Form?

Box 19 on the CMS-1500 claim form provides an opportunity to include additional details regarding the patient's condition or any relevant information related to the claim. This box serves as a space to provide further clarification or context that may be necessary for processing the claim accurately.

How to Complete Box 19

To manually change the information in Box 19, you can follow these steps:

1. Navigate to the "Clients" section in your application and select the "Client List" option.

2. Locate and edit the desired client by clicking on the corresponding icon.

3. In the client's details, select the "Advanced" tab.

4. Enter the relevant information into the Box 19 field.

5. Once you have entered the information, click on "Save & Close" to update the client's record.

It's important to ensure that the information provided in Box 19 is clear, concise, and relevant to the patient's condition or the claim. Including accurate and detailed information can help expedite the claim processing and reduce the likelihood of errors or misunderstandings.

Additional Resources

For more detailed instructions and guidelines on completing the CMS-1500 claim form, you may refer to the NUCC 1500 Health Insurance Claim Form Reference Instruction Manual. This manual provides comprehensive information and specifications related to each box on the claim form, helping you understand and navigate the process more effectively.


Box 19 on the CMS-1500 claim form allows healthcare providers to include additional information that may be crucial for accurately processing the claim. By providing relevant details about the patient's condition or the claim itself, you can ensure a smoother and more efficient claims process. Remember to consult the NUCC 1500 Health Insurance Claim Form Reference Instruction Manual for further guidance on completing the form accurately.

The above diagram illustrates the different sections and boxes on the CMS-1500 claim form, including Box 19. It can serve as a visual reference to better understand the layout and structure of the form.