Permitted forms

Ind. Code § 22-3-7.2-7
in effect
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Sec. 7. A medical service provider shall submit only the following forms for payment by a payor: (1) CMS 1450 (UB-04). (2) CMS 1500 (HCFA-1500). (3) American Dental Association (ADA) claim form. As added by P.L.160-2022, SEC.10.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/22Fetched: 10/17/2026

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