Ind. Code § 5-10-8.1-6

Notice of deficiencies in claims

As added by P.L.162-2001, SEC.1. Amended by P.L.137-2002, SEC.1.
  1. (a) The administrator shall pay or deny each clean claim in accordance with section 7 of this chapter.
  2. (b) An administrator 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 an administrator 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.1. Amended by P.L.137-2002, SEC.1.

Log InSign Up