20:06:27:06General provisions for the filing and processing

of claims. Health care practitioners, institutional care practitioners, and issuers shall file and process claims in the following manner: (1) Health care practitioners and institutional care practitioners shall file claims in a manner consistent with the requirements of this chapter. Claims filed in paper form must be printed on 8.5 x 11-inch paper; (2) Issuers shall accept forms submitted in compliance with this chapter for the processing of claims; (3) Health care practitioners, institutional care practitioners, and issuers shall: (a) Use and accept HCFA Form 1500, HCFA Form 1450, and J512 Form and the instructions for these forms in the billing of patients or their representatives and filing claims with issuers; and (b) Modify their billing and claim reimbursement practices to encompass the coding changes for all billing and claim filing by the effective date of the changes set forth by the developers of the forms, codes, and procedures required under this chapter.

Source: 22 SDR 97, effective December 18, 1995.