Indiana Statutes

§ 22-3-7.2-7 — Permitted forms

Indiana § 22-3-7.2-7
JurisdictionIndiana
Art. 3WORKER'S COMPENSATION SYSTEM
Ch. 7.2Payments of Claims

This text of Indiana § 22-3-7.2-7 (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 § 22-3-7.2-7 (2026).

Text

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.

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Legislative History

As added by P.L.160-2022, SEC.10.

Nearby Sections

15
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Bluebook (online)
Indiana § 22-3-7.2-7, Counsel Stack Legal Research, https://law.counselstack.com/statute/in/22-3-7.2-7.