Permitted forms

Ind. Code § 5-10-8.1-8
in effect
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Sec. 8. 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. As added by P.L.162-2001, SEC.1. Amended by P.L.208-2018, SEC.1.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/5Fetched: 10/17/2026

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