Indiana § 27-1-2.3-8.3 Procedures for remitting payment to a nonparticipating ambulance
provider for claims

Indiana Statutes

§ 27-1-2.3-8.3 — Procedures for remitting payment to a nonparticipating ambulance provider for claims

Indiana § 27-1-2.3-8.3

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 2.3Payment for Ambulance Services

This text of Indiana § 27-1-2.3-8.3 (Procedures for remitting payment to a nonparticipating ambulance provider for claims) 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 § 27-1-2.3-8.3 (2026).

Text

3.

(a)A health plan operator that receives a clean claim for ambulance service provided to a covered individual by a nonparticipating ambulance service provider:

(1)shall remit payment for the ambulance service directly to the nonparticipating ambulance service provider not more than thirty

(30)days after receiving the clean claim; and

(2)shall not send payment to the covered individual.

(b)If a claim that a health plan operator receives for ambulance service provided to a covered individual by a nonparticipating ambulance service provider is not a clean claim, the health plan operator, not more than thirty (30) days after receiving the claim, shall:

(1)remit payment for the ambulance service directly to the nonparticipating ambulance service provider; or

(2)send to the nonparticipa

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3. (a) A health plan operator that receives a
clean claim for ambulance service provided to a covered individual by
a nonparticipating ambulance service provider:
(1) shall remit payment for the ambulance service directly to the
nonparticipating ambulance service provider not more than thirty
(30) days after receiving the clean claim; and
(2) shall not send payment to the covered individual.
(b) If a claim that a health plan operator receives for ambulance
service provided to a covered individual by a nonparticipating
ambulance service provider is not a clean claim, the health plan
operator, not more than thirty (30) days after receiving the claim, shall:
(1) remit payment for the ambulance service directly to the
nonparticipating ambulance service provider; or
(2) send to the nonparticipating ambulance service provider a
written notice that:
(A) acknowledges the date of the receipt of the claim; and
(B) either:
(i) states that the health plan operator is declining to pay all
or part of the claim and sets forth the specific reason or
reasons for declining to pay the claim in full; or
(ii) states that additional information is needed to determine
whether all or part of the claim is payable and specifically
describes the additional information that is needed.