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Ind. Code § 27-8-5.7-7

Permitted forms

Indiana · Indiana Code Title 27 — Insurance · Status: effective

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Ind. Code § 27-8-5.7-7, Permitted forms, Indiana, version 1 as recorded 2026-09-28, yourstate.us, https://yourstate.us/provision/1663866
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Sec. 7. A provider shall submit only the following forms for payment by an insurer: (1) CMS-1500. (2) CMS-1450 (UB-04). (3) American Dental Association (ADA) claim form.