Collections
Indiana Code
Title 27
1
Chapter 52
IC 27-1-52
Downcoding of Health Benefits Claims
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0.3
Applicability
0.5
"Carc"
1
"Covered individual"
2
"Downcode"; "downcoding"
3
"Health benefits claim"
4
"Health care service"
5
"Health plan"
6
"Insurer"
7
"Provider"
7.5
"Rarc"
8
Limitation on use of downcoding by insurer
9
Limitation on use of automated process, system, or tool
10
Prohibition on downcoding based on reported diagnosis code
11
Notice requirement
12
Appeal process
13
Prohibition on downcoding in targeted or discriminatory manner
14
Rules