Where are the patient's name, address, and date of birth placed on the claim form?

The patient's name, address, and date of birth are typically placed in specific sections of a claim form to ensure accurate identification and processing by the insurance payers. In this case, boxes 2, 3, and 5 are designated for essential patient information, making option C the correct choice.

Box 2 is often where the patient's name is recorded, while Box 3 typically contains the patient’s address. Box 5 is generally allocated for additional identifying information, which can include the date of birth. By placing this information in these boxes, the claim form can be processed efficiently and facilitates clear communication between the healthcare provider and the payer.

This structured placement helps eliminate any confusion or errors that could arise from incomplete or misfiled information, streamlining the claims process for insurance reimbursements.