§36-6581. Uniform health claim forms - Uniform billing forms -
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Rules.
A. On or before January 1, 1994, the Insurance Commissioner shall develop and adopt:
1. Uniform health care claim forms for use by all health care providers and carriers in the state; and
2. Uniform standards and procedures for processing such claim forms in electronic and hard-copy form. The Commissioner shall direct all insurers licensed in the state to begin using the uniform claim forms by July 1, 1994.
B. The Commissioner shall adopt the health care financing administration
(HCFA)1500 form for outpatient billing and claim submission, or its successor, and the uniform billing
(UB)92 form for hospital billing and claim submission, or its successor as the uniform health care claim and billing form for appropriate hospital and medical expenses, and shall develop uniform forms for other health care provider services, including but not limited to pharmacy and dental services.
C. The Commissioner shall promulgate such rules as are necessary for developing, adopting and administering the uniform claim forms and processing system. Added by Laws 1993, c. 304, § 1, emerg. eff. June 7, 1993. Amended by Laws 1995, c. 246, § 2, eff. Nov. 1, 1995.