Sec. 8. A provider shall submit only the following forms for payment by an administrator: (1) CMS-1500. (2) CMS-1450 (UB-04). (3) American Dental Association (ADA) claim form. IC 5-10-8.5 Chapter 8.5. Retirement Medical Benefits Account 5-10-8.5-0.1 Application of certain amendments to chapter 5-10-8.5-1 Application of chapter 5-10-8.5-2 "Account" 5-10-8.5-3 Repealed 5-10-8.5-4 "Department" 5-10-8.5-5 "Employer" 5-10-8.5-6 "Fund" 5-10-8.5-6.5 "INPRS" 5-10-8.5-7 "Internal Revenue Code" 5-10-8.5-8 "Participant" 5-10-8.5-9 "Retired participant" 5-10-8.5-9.5 Transfer of service credit; eligible employee 5-10-8.5-9.6 Transfer of service credit; position other than eligible employee 5-10-8.5-10 "Subaccount" 5-10-8.5-11 Account established; administered by INPRS; specific appropriation required 5-10-8.5-12 Authorization to request Internal Revenue Service rulings 5-10-8.5-13 Management and pooling of account assets; confidentiality of account records 5-10-8.5-14 Account; subaccounts; administrative costs 5-10-8.5-15 Annual employer contributions; limits for certain participants 5-10-8.5-16 Employer additional contribution; eligibility; computation 5-10-8.5-17 Eligibility for benefits; benefit amount 5-10-8.5-18 Account benefits; coverage 5-10-8.5-19 Surviving spouse or dependent use of account; forfeiture 5-10-8.5-20 INPRS annual submission of information necessary to review financial status of the account
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