Sec. 7. A provider shall submit only the following forms for payment by an insurer:
(1) CMS-1500.
(2) CMS-1450 (UB-04).
(3) American Dental Association (ADA) claim form.
Ind. Code § 27-8-5.7-7
Permitted forms
As added by P.L.162-2001, SEC.5
Official source: Indiana General Assembly. Reproduced from public-domain Indiana statutes; confirm against the official source for the current text. Not legal advice.