"Institutional provider form"
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Indiana Code › Title 16 › Article 51 › Chapter 1 › Section 16-51-1-7
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Sec. 7. (a) As used in this chapter, "institutional provider form" means a medical claim form that:
(1) is accepted by the federal Centers for Medicare and Medicaid Services for use by institutional providers; and
(2) does not include 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 HIPAA X12 837I institutional form or its successor form.
(2) The CMS-1450 form or its successor form.
(3) The UB-04 form or its successor form.
As added by P.L.203-2023, SEC.18.
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