Ind. Code § 5-10-8.1-8

Current through P.L. 171-2024

Section 5-10-8.1-8 - Permitted forms

A provider shall submit only the following forms for payment by an administrator:

(1) CMS-1500.

(2) CMS-1450 (UB-04).

(3) American Dental Association (ADA) claim form.

IC 5-10-8.1-8

Amended by P.L. 208-2018,SEC. 1, eff. 7/1/2018.

As added by P.L. 162-2001, SEC.1.