1. (a) A health maintenance organization shall pay or deny each clean claim in accordance with section 4 of this chapter.

2. (b) A health maintenance organization shall notify a provider of any deficiencies in a submitted claim not more than:

   1. (1) thirty (30) days for a claim that is filed electronically; or

   2. (2) forty-five (45) days for a claim that is filed on paper;

      and describe any remedy necessary to establish a clean claim.

3. (c) Failure of a health maintenance organization to notify a provider as required under subsection (b) establishes the submitted claim as a clean claim.

As added by P.L.162-2001, SEC.6. Amended by P.L.137-2002, SEC.3.