Indiana Code 16-51-1-5. “Individual provider form”
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Sec. 5. (a) As used in this chapter, “individual provider form” means a medical claim form that:
(2) includes a claim field for disclosure of the site at which the health care services to which the form relates were provided.
(1) is accepted by the federal Centers for Medicare and Medicaid Services for use by individual providers or groups of providers; and
Terms Used In Indiana Code 16-51-1-5
- 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
(b) The term includes the following:
(1) The CMS-1500 form or its successor form.
(2) The HCFA-1500 form or its successor form.
(3) The HIPAA X12 837P electronic claims transaction for professional services, or its successor transaction.
As added by P.L.203-2023, SEC.18.