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.
Permitted forms
Ind. Code § 22-3-7.2-7, under Payments of Claims.
Ind. Code § 22-3-7.2-7