Section 400-A:15-a Standardized Claim Forms for Health Insurance. - New Hampshire Statutes

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.