Sec. 7. A medical service provider shall submit only the following forms for payment by a payor:
(1) CMS 1450 (UB-04).
(2) CMS 1500 (HCFA-1500).
(3) American Dental Association (ADA) claim form.
Ind. Code § 22-3-7.2-7
Permitted forms
As added by P.L.160-2022, SEC.10.
Official source: Indiana General Assembly. Reproduced from public-domain Indiana statutes; confirm against the official source for the current text. Not legal advice.