Indiana Code 16-51-1-11. Individual provider form required
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Sec. 11. (a) A bill for health care services provided by a qualified provider in an office setting:
(2) must be submitted on an individual provider form.
(1) may not be submitted on an institutional provider form; and
Terms Used In Indiana Code 16-51-1-11
- health care services: means health care related services or products rendered or sold by a provider within the scope of the provider's license or legal authorization. See Indiana Code 16-51-1-2
- health maintenance organization: has the meaning set forth in IC 27-13-1-19. See Indiana Code 16-51-1-3
- individual provider form: means a medical claim form that:
Indiana Code 16-51-1-5
- institutional provider: means any of the following:
Indiana Code 16-51-1-6
- institutional provider form: means a medical claim form that:
Indiana Code 16-51-1-7
- insurer: has the meaning set forth in IC 27-8-11-1(e). See Indiana Code 16-51-1-8
- office setting: means a location of a qualified provider where health care services are provided and that:
Indiana Code 16-51-1-9
- qualified provider: means an individual or entity owned in whole or in part by an Indiana nonprofit hospital system and that is duly licensed or legally authorized to provide health care services. See Indiana Code 16-51-1-10
(b) An insurer, health maintenance organization, employer, or other person responsible for the payment of the cost of health care services provided by a qualified provider in an office setting shall not accept a bill for the health care services that is submitted on an institutional provider form.
As added by P.L.203-2023, SEC.18.