# Ind. Code § 16-51-1-7: "Institutional provider form"

> Indiana · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-7

## Section

- **Citation:** Ind. Code § 16-51-1-7
- **Heading:** "Institutional provider form"
- **Jurisdiction:** Indiana
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Indiana Code / Title 16 / Article 51 / Chapter 1 / Section 16-51-1-7

## Text

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.

## Nearby sections

- [Ind. Code § 16-51-1-0.5 Effective date](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-0.5.md)
- [Ind. Code § 16-51-1-1 Applicability](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-1.md)
- [Ind. Code § 16-51-1-2 "Health care services"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-2.md)
- [Ind. Code § 16-51-1-3 "Health maintenance organization"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-3.md)
- [Ind. Code § 16-51-1-4 "Indiana nonprofit hospital system"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-4.md)
- [Ind. Code § 16-51-1-5 "Individual provider form"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-5.md)
- [Ind. Code § 16-51-1-6 "Institutional provider"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-6.md)
- [Ind. Code § 16-51-1-7 "Institutional provider form"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-7.md)
- [Ind. Code § 16-51-1-8 "Insurer"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-8.md)
- [Ind. Code § 16-51-1-8.5 "Non-invasive treatment"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-8.5.md)
- [Ind. Code § 16-51-1-9 "Office setting"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-9.md)
- [Ind. Code § 16-51-1-9.5 "Payor"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-9.5.md)
- [Ind. Code § 16-51-1-10 "Qualified provider"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-10.md)
- [Ind. Code § 16-51-1-10.5 "Services provided for the treatment of individuals with psychiatric disorders or chronic addiction disorders"](https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-10.5.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IN_T16_A51_C1_S16-51-1-7. Check the current official text before relying on it. Not legal advice.