Final answer:
To complete Block 14 of the CMS-1500 claim form, you would enter the date the patient began experiencing symptoms, which is calculated to be May 5, YYYY, by subtracting five days from the current date of May 10, YYYY.
Step-by-step explanation:
When completing the CMS-1500 claim form, it is critical to ensure that all information is accurate and that specific guidelines are followed for inputting certain types of information. Block 14 of the CMS-1500 form requires the entry of the date when the patient first experienced signs or symptoms of an illness, injury, or for obstetric visits, the date of the last menstrual period.
According to the information you provided, Jean Mandel began experiencing pain five days ago from today's date of May 10, YYYY. Therefore, you would calculate the date by subtracting five days from May 10, YYYY. This yields a date of May 5, YYYY.
The correct entry for Block 14 would be 05 05 YYYY, which is the date that represents when the patient first noted signs or symptoms related to the current illness or injury.