Ind. Code § 22-3-7.2-5

Notice of deficiencies in claims

As added by P.L.160-2022, SEC.10.
  1. (a) A payor shall pay or deny each clean claim in accordance with section 6 of this chapter.
  2. (b) A payor shall notify a medical service provider of any deficiencies in a submitted claim not more than:

    1. (1) thirty (30) days after the date the claim is received by the payor, for a claim that is filed electronically; or
    2. (2) forty-five (45) days after the date the claim is received by the payor, for a claim that is filed on paper;

      and describe any remedy necessary to establish a clean claim.

  3. (c) Failure of a payor to notify a medical service provider as required under subsection (b) establishes the submitted claim as a clean claim.

As added by P.L.160-2022, SEC.10.

Log InSign Up