a08505a6_Medical_billing__November_2010__Notes
[BlockNo.] 7 [Block Name] Insured’s Address [Block Code] A [Notes] 
Enter the insured’s address and telephone number except when the address is the same as the patient’s, then enter the word SAME. Complete this block only when Block 4 is completed.
CMS 1500 claim and UB 04 form- Medical billing: November 2010
Notes