400-A:15-a Standardized Claim Forms for Health Insurance.
All health insurers, health maintenance organizations, health service corporations, hospital service corporations, medical service corporations, preferred provider programs and third party administrators shall use "HCFA-1500" and "UB-92" forms for all paper and electronic submissions and shall not routinely require additional forms or information. When CMS officially replaces the "HCFA-1500" or the "UB-92" form, the replacements shall be considered the official form under this section.
Source. 1993, 127:1. 1996, 188:1. 2003, 145:5, eff. Aug. 16, 2003.