Indiana Statutes

§ 12-15-13-7 — Permitted forms

Indiana § 12-15-13-7
JurisdictionIndiana
Art. 15MEDICAID
Ch. 13Provider Payment; General

This text of Indiana § 12-15-13-7 (Permitted forms) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ind. Code § 12-15-13-7 (2026).

Text

(a)The office and an entity with which the office contracts for the payment of claims shall accept claims submitted on any of the following forms by an individual or organization that is a contractor or subcontractor of the office:
(1)CMS-1500 or its subsequent form.
(2)CMS-1450 (UB04) or its subsequent form.
(3)American Dental Association (ADA) claim form.
(4)Pharmacy and compound drug form.
(b)The office and an entity with which the office contracts for the payment of claims:
(1)may designate as acceptable claim forms other than a form listed in subsection (a); and
(2)may not mandate the use of a crossover claim form.

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Legislative History

As added by P.L.256-2001, SEC.3. Amended by P.L.27-2011, SEC.2.

Nearby Sections

15
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Bluebook (online)
Indiana § 12-15-13-7, Counsel Stack Legal Research, https://law.counselstack.com/statute/in/12-15-13-7.