"Individual provider form"

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Indiana Code › Title 16 › Article 51 › Chapter 1 › Section 16-51-1-5

This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.

Text

Sec. 5. (a) As used in this chapter, "individual provider form" means a medical claim form that:

(1) is accepted by the federal Centers for Medicare and Medicaid Services for use by individual providers or groups of providers; and

(2) includes a claim field for disclosure of the site at which the health care services to which the form relates were provided.

(b) The term includes the following:

(1) The CMS-1500 form or its successor form.

(2) The HCFA-1500 form or its successor form.

(3) The HIPAA X12 837P electronic claims transaction for professional services, or its successor transaction.

As added by P.L.203-2023, SEC.18.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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