Indiana § 25-1-9.8-14 Good faith estimate requirements; information health carrier and
provider must provide to practitioner; when practitioner not subject to
penalties

Indiana Statutes

§ 25-1-9.8-14 — Good faith estimate requirements; information health carrier and provider must provide to practitioner; when practitioner not subject to penalties

Indiana § 25-1-9.8-14

Title 25PROFESSIONS AND OCCUPATIONS

Art. 1GENERAL PROVISIONS

Ch. 9.8Practitioner Good Faith Estimates

This text of Indiana § 25-1-9.8-14 (Good faith estimate requirements; information health carrier and provider must provide to practitioner; when practitioner not subject to penalties) 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 § 25-1-9.8-14 (2026).

Text

(a)A good faith estimate provided by a practitioner to an individual under this chapter must meet the following requirements:

(1)Provide a summary of the services and material items that the good faith estimate is based on.

(2)Include:

(A)the price charged for the services and material items that the practitioner will provide and charge the individual; and

(B)the price that the provider facility in which the health care service will be performed charged for:

(i)the use of the provider facility to care for the individual for the nonemergency health care service;

(ii)the services rendered by the employed or contracted staff of the provider facility in connection with the nonemergency health care service; and

(iii)medication, supplies, equipment, and material items to be provided to o

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(a) A good faith estimate provided by a
practitioner to an individual under this chapter must meet the following
requirements:
(1) Provide a summary of the services and material items that the
good faith estimate is based on.
(2) Include:
(A) the price charged for the services and material items that
the practitioner will provide and charge the individual; and
(B) the price that the provider facility in which the health care
service will be performed charged for:
(i) the use of the provider facility to care for the individual for
the nonemergency health care service;
(ii) the services rendered by the employed or contracted staff
of the provider facility in connection with the nonemergency
health care service; and
(iii) medication, supplies, equipment, and material items to
be provided to or used by the individual while the individual
is present in the provider facility in connection with the
nonemergency health care service;
for imaging, laboratory services, diagnostic services, therapy,
observation services, and other services expected to be provided
to the individual for the episode of care.
(3) Include a total figure that is a sum of the estimated prices
referred to in subdivisions (1) and (2).
(b) Subsection (a) does not prohibit a practitioner from providing to
an individual a good faith estimate that indicates how much of the total
figure stated under subsection (a)(2) will be the individual's
out-of-pocket expense after the health carrier's payment of charges.
(c) A health carrier and a provider facility must provide a
practitioner with the information needed by the practitioner to comply
with the requirements under this chapter not more than two (2)
business days after receiving the request. The provider facility shall
provide the practitioner with all relevant information for services and
costs for the good faith estimate that are to be provided by the provider
facility for inclusion in a good faith estimate by the practitioner.
(d) A practitioner is not subject to the penalties under section 19 of
this chapter if:
(1) a health carrier or provider facility fails to provide the
practitioner with the information as required under subsection (c);
(2) the practitioner provides the individual with a good faith
estimate based on any information that the practitioner has; and
(3) the practitioner provides the individual with an updated good
faith estimate after the health carrier or provider facility has
provided the information required under subsection (c).