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IC 27-8-17 – Health Care Utilization Review | Midpage
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Indiana Code
Title 27
8
Chapter 17
IC 27-8-17
Health Care Utilization Review
1
"Covered individual" defined
2
"Department" defined
3
"Enrollee" defined
4
"Health maintenance organization" defined
5
"Provider of record" defined
6
"Utilization review" defined
7
"Utilization review agent" defined
8
"Utilization review determination" defined
9
Certificate of registration; issuance to agent
10
Certificate of registration; renewal; transfer; notice of change in information
11
Minimum utilization review agent requirements
12
Appeals procedure
13
Physician's statement; documentation of review agent capability
14
Accreditation and approval of review agent; determination; new certificate of registration; order to cease activities
15
Certification of admission, service, or procedure; enrollee request; notice and information; assistance; denial under terms of benefit program
16
Fraudulent or misleading information; penalties
17
Violations; notice to agent; cease and desist orders; penalties; revocation or suspension of registration; review
18
Confidential information
19
Prohibited bases for compensation of agent
20
Rules