Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.14-135.Uniform health insurance claim forms

(a) The uniform health insurance claim form for an institutional provider shall consist of the UB-92 data set or its successor submitted on the designated paper or electronic format as adopted by the National Uniform Billing Committee;

(b) The uniform health insurance claim form for a dentist shall consist of a data set and form approved by the American Dental Association;

(c) The uniform health insurance claim form for all other health care providers shall consist of the HCFA 1500 data set or its successor submitted on the designated paper or electronic format as adopted by the National Uniform Claim Committee; and

(d) A clean claim for pharmacists shall consist of:

(a) Use a claim form that is different than the uniform claim form for the provider type as set out in subsection (1) of this section;

(b) Modify the uniform claims form or its content; or

(c) Submit additional claims forms.