Section 16-51-1-5 - "Individual provider form"(a) As used in this chapter, "individual provider form" means a medical claim form that: (1) is accepted by the federal Centers for Medicare and Medicaid Services for use by individual providers or groups of providers; and(2) includes 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 CMS-1500 form or its successor form.(2) The HCFA-1500 form or its successor form.(3) The HIPAA X12 837P electronic claims transaction for professional services, or its successor transaction.Added by P.L. 203-2023,SEC. 18, eff. 7/1/2023.