{"data":{"id":"us-in/ic-27-13-36.2-5","jurisdiction":"us-in","citation":"IC 27-13-36.2-5","heading":"Permitted forms","body":"Sec. 5. A provider shall submit only the following forms for payment by a health maintenance organization:\n(1) CMS-1500.\n(2) CMS-1450 (UB-04).\n(3) American Dental Association (ADA) claim form.","path":["TITLE 27. INSURANCE","ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS","Chapter 36.2. Provider Payment"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-13-36.2-5","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"2160fb607188b8b65348e444ebb0ae6226cf8302cc0c808e56dbb2a36dba5b83","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-36.2-4.7","next":"us-in/ic-27-13-36.2-6"},"notice":"GroundRules: Original legal text. Not legal advice."}