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Ind. Code § 16-51-1-7

"Institutional provider form"

As added by P.L.203-2023, SEC.18.

Sec. 7. (a) As used in this chapter, "institutional provider form" means a medical claim form that:

(1) is accepted by the federal Centers for Medicare and Medicaid Services for use by institutional providers; and

(2) does not include a claim field for disclosure of the site at which the health care services to which the form relates were provided.

(b) The term includes the following:

(1) The HIPAA X12 837I institutional form or its successor form.

(2) The CMS-1450 form or its successor form.

(3) The UB-04 form or its successor form.

Official source: Indiana General Assembly. Reproduced from public-domain Indiana statutes; confirm against the official source for the current text. Not legal advice.