Indiana Code 5-10-8.1-8. Permitted forms
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Sec. 8. A provider shall submit only the following forms for payment by an administrator:
(2) CMS-1450 (UB-04).
(1) CMS-1500.
Terms Used In Indiana Code 5-10-8.1-8
- administrator: means :
Indiana Code 5-10-8.1-1
- provider: has the meaning set forth in IC 27-8-11-1. See Indiana Code 5-10-8.1-5
(3) American Dental Association (ADA) claim form.
As added by P.L.162-2001, SEC.1. Amended by P.L.208-2018, SEC.1.