Indiana § 12-15-11.5-6 Claim for reimbursement treated as disputed claim

Indiana Statutes

§ 12-15-11.5-6 — Claim for reimbursement treated as disputed claim

Indiana § 12-15-11.5-6

Art. 15MEDICAID

Ch. 11.5Lake County Disproportionate Share Hospitals

This text of Indiana § 12-15-11.5-6 (Claim for reimbursement treated as disputed claim) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 12-15-11.5-6 (2026).

Text

A claim for reimbursement for services shall be treated as a disputed claim under this chapter if:

(1)it is submitted within one hundred twenty (120) days after the date that services are rendered;

(2)it is denied by the managed care organization;

(3)the hospital submits a written notice of dispute for the claim to the managed care organization not more than sixty (60) days after the receipt of the denial notice;

(4)it is appealed in accordance with the managed care organization's internal appeals process; and

(5)payment for the claim is denied by the managed care organization following its internal appeals process.

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A claim for reimbursement for services
shall be treated as a disputed claim under this chapter if:
(1) it is submitted within one hundred twenty (120) days after the
date that services are rendered;
(2) it is denied by the managed care organization;
(3) the hospital submits a written notice of dispute for the claim
to the managed care organization not more than sixty (60) days
after the receipt of the denial notice;
(4) it is appealed in accordance with the managed care
organization's internal appeals process; and
(5) payment for the claim is denied by the managed care
organization following its internal appeals process.