"Institutional provider form"
Ind. Code § 16-51-1-7
in effectSec. 7. (a) As used in this chapter, "institutional provider form" means a medical claim form that:
(1) is accepted by the federal Centers for Medicare and Medicaid Services for use by institutional providers; and
(2) does not include a claim field for disclosure of the site at which the health care services to which the form relates were provided.
(b) The term includes the following:
(1) The HIPAA X12 837I institutional form or its successor form.
(2) The CMS-1450 form or its successor form.
(3) The UB-04 form or its successor form.
As added by P.L.203-2023, SEC.18.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/16Fetched: 10/17/2026