Collections
Indiana Code
Title 27
8
Chapter 16
IC 27-8-16
Medical Claims Review
Learn More
Log In
Sign Up
0.5
Applicability of chapter
1
"Claim review agent" defined
1.5
"Claim review consultant" defined
2
"Department" defined
3
"Enrollee" defined
4
"Medical claims review" defined
4.5
"Person" defined
5
Certificate of registration; issuance to agent
5.2
Certificate of registration; application; requirements; application fee
6
Certificate of registration; renewal; transfer; notice of change in information
7
Minimum claim review agent requirements
8
Appeals procedure; written description; minimum standards; notice of appeal procedure on limitation or reduction of benefits
9
Provider's statement; documentation of review agent capability
9.5
Claim determinations based on data base information
10
Fraudulent or misleading information; penalties
11
Prohibited bases for compensation of claim review agents and consultants
12
Violations; claims review agent; notice; cease and desist orders; penalties; revocation or suspension of registration; review
13
Confidential information
14
Rules