(1) Health care practitioners and institutional care practitioners shall file claims in a manner consistent with the requirements of this subchapter. Claims filed in paper form shall be printed on 8.5" x 11" paper.

(2) Issuers shall accept forms submitted in compliance with this subchapter for the processing of claims.

(3) Health care practitioners, institutional care practitioners, and issuers shall:

(a) use and accept the most current editions of the HCFA Form 1500, HCFA Form 1450, or J512 form and most current 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 subchapter. The updated versions of the above-referenced forms will be in use within 90 days of adoption of these rules.

History: Sec. 50-4-501, MCA; IMP, 50-4-305 and 50-4-501, MCA; NEW, 1995 MAR p. 923, Eff. 5/26/95.