Indiana Code 27-8-5.7-7. Permitted forms
Current as of: 2023 | Check for updates
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Sec. 7. A provider shall submit only the following forms for payment by an insurer:
(2) CMS-1450 (UB-04).
(1) CMS-1500.
Terms Used In Indiana Code 27-8-5.7-7
- insurer: means an insurance company issued a certificate of authority in Indiana to issue accident and sickness insurance policies. See Indiana Code 27-8-5.7-3
- provider: has the meaning set forth in IC 27-8-11-1. See Indiana Code 27-8-5.7-4
(3) American Dental Association (ADA) claim form.
As added by P.L.162-2001, SEC.5. Amended by P.L.208-2018, SEC.10.