Indiana § 27-1-37-6 Requiring provider to provide health care services

Indiana Statutes

§ 27-1-37-6 — Requiring provider to provide health care services

Indiana·Title 27 INSURANCE·Art. 1 DEPARTMENT OF INSURANCE·Ch. 37 Health Provider Contracts

(a)Except as provided in subsection (b), a person may not require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization.

(b)A person may require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization:

(1)in an emergency; or

(2)upon referral.

(c)If a person requires a provider to provide health care services to enrollees of a health maintenance or

Free access — add to your briefcase to read the full text and ask questions with AI

(a) Except as provided in subsection (b), a
person may not require a provider, as a condition of entering into a
health provider contract for the provision of health care services other
than health care services to enrollees of a health maintenance
organization, to provide health care services to enrollees of a health
maintenance organization.
(b) A person may require a provider, as a condition of entering into
a health provider contract for the provision of health care services other
than health care services to enrollees of a health maintenance
organization, to provide health care services to enrollees of a health
maintenance organization:
(1) in an emergency; or
(2) upon referral.
(c) If a person requires a provider to provide health care services to
enrollees of a health maintenance organization under subsection (b),
the person:
(1) shall reimburse the provider at rates established under the
health provider contract; and
(2) may not require the provider to comply with the terms and
conditions of the health maintenance organization.

Indiana § 27-1-37-6 (Requiring provider to provide health care services) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.