Indiana § 22-3-7.2-5 Notice of deficiencies in claims

Indiana Statutes

§ 22-3-7.2-5 — Notice of deficiencies in claims

Indiana § 22-3-7.2-5

Art. 3WORKER'S COMPENSATION SYSTEM

Ch. 7.2Payments of Claims

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Bluebook

Ind. Code § 22-3-7.2-5 (2026).

Text

(a)A payor shall pay or deny each clean claim in accordance with section 6 of this chapter.

(b)A payor shall notify a medical service provider of any deficiencies in a submitted claim not more than:

(1)thirty (30) days after the date the claim is received by the payor, for a claim that is filed electronically; or

(2)forty-five (45) days after the date the claim is received by the payor, for a claim that is filed on paper; and describe any remedy necessary to establish a clean claim.

(c)Failure of a payor to notify a medical service provider as required under subsection (b) establishes the submitted claim as a clean claim.

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(a) A payor shall pay or deny each clean claim
in accordance with section 6 of this chapter.
(b) A payor shall notify a medical service provider of any
deficiencies in a submitted claim not more than:
(1) thirty (30) days after the date the claim is received by the
payor, for a claim that is filed electronically; or
(2) forty-five (45) days after the date the claim is received by the
payor, for a claim that is filed on paper;
and describe any remedy necessary to establish a clean claim.
(c) Failure of a payor to notify a medical service provider as
required under subsection (b) establishes the submitted claim as a clean
claim.