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IC 27-8-5.7 – Accident and Sickness Insurance; Provider Payment | Midpage
Collections
Indiana Code
Title 27
8
Chapter 5.7
IC 27-8-5.7
Accident and Sickness Insurance; Provider Payment
0.5
Applicability
1
"Accident and sickness insurance policy" defined
2
"Clean claim" defined
2.5
"CPT code"
2.7
"Health provider facility"
3
"Insurer" defined
4
"Provider" defined
5
Notice of deficiencies in claims
6
Payment or denial of claims; interest
6.5
Prohibition on altering CPT code for claim; exceptions
6.7
Prohibition on retroactive rate reduction; notice requirement
7
Permitted forms
8
Civil penalties
9
Repealed
10
Limitations on recouping, auditing, and correcting payment errors
11
Claim overpayment adjustment
11.5
Error in coordination of benefits; submission of claim to appropriate insurer
12
Prohibition on denial of claim based on out of network provider referral