Which information is NOT typically included on the CMS-1500 form?

The CMS-1500 form is specifically designed for healthcare providers to bill various insurance payers for medical services rendered to patients. When it comes to the information included on this form, it typically comprises essential details that are necessary for processing insurance claims and ensuring that healthcare providers are reimbursed for their services.

The correct answer highlights that the injured worker's marital status is not a standard piece of information required on the CMS-1500 form. While details such as the date of the injury, the injured worker's age, and the date healthcare services were provided are included because they are critical for determining eligibility and processing claims in the context of workers' compensation or other insurance claims, marital status does not play a direct role in claims processing. Therefore, the inclusion of this detail is not necessary for the completion of the form and is not commonly requested by insurers, thus making it the correct answer.