SECTION 365:10-1-3. Uniform health insurance claim form  


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  • (a)   Purpose. The purpose of this section is to set forth a uniform health insurance claim form which shall be accepted by all insurers transmitting health insurance in the state, state agencies and insurance trusts.
    (b)   Uniform health insurance claim form.
    (1)   The form in Appendix A of this chapter shall be accepted by all insurers transmitting health insurance in the state, all state agencies that require health insurance claim forms for their records and all insurance trusts or derivatives thereof.
    (2)   An insurer may continue to request additional information from the claimant or hospital so that the health insurance claim may be properly processed.