CMS-1500 · Box 3

Patient's date of birth and sex.

What goes here

MM/DD/YY birth date plus a single-character sex (M / F / X). Must match the intake record and the policyholder's record at the payer.

Common mistakes

Transposing month and day (US-vs-ISO confusion). A non-X character where the payer expects X for an unspecified sex. A date-of-birth that does not match the intake on a re-keys even when the name is correct.