Box 10a, 10b, 10c - Is Patients Condition Related To:

Box Definition

Boxes 10a, 10b, and 10c are used to indicate if the Patient's condition is related to employment, an auto accident, or some other type of accident. Only one box can be marked at a time. If box 10b is marked as "Yes" the state code must be reported.



In AveaOffice

These fields are not editable in AveaOffice.


EDI Loop/Segment

  • Employment - Loop 2300, CLM11-1
  • Auto Accident - Loop 2300, CLM11-2
  • Other Accident - Loop 2300, CLM11-3
  • Auto Accident State - Loop 2300, CLM11-4

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