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IC 27-13-36.2 – Provider Payment | Midpage
Collections
Indiana Code
Title 27
13
Chapter 36.2
IC 27-13-36.2
Provider Payment
0.5
Applicability
1
"Clean claim" defined
2
"Health maintenance organization" defined
2.3
"Health provider facility"
3
Notice of deficiencies in claims
4
Payment or denial of claims; interest
4.5
Prohibition on altering CPT code for claim; exceptions
4.7
Prohibition on retroactive rate reduction; notice requirement
5
Permitted forms
6
Civil penalties
7
Repealed
8
Limitations on recouping, auditing, and correcting payment errors
9
Claim overpayment adjustment
9.5
Error in coordination of benefits; submission of claim to appropriate health maintenance organization
10
Prohibition on denial of claim based on out of network provider referral