GroundRules
IC 27-13-36.2-5: Permitted forms
Where this section sits in the code
- TITLE 27. INSURANCE
- ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS
- Chapter 36.2. Provider Payment
Sec. 5. A provider shall submit only the following forms for payment by a health maintenance organization:
(1) CMS-1500.
(2) CMS-1450 (UB-04).
(3) American Dental Association (ADA) claim form.
Collected 2026-09-25T05:39:04Z. Source file · JSON