Indiana § 27-1-37-7 Applicability; prohibition on preventing disclosure of health care
service claims data; violation an unfair or deceptive act

Indiana Statutes

§ 27-1-37-7 — Applicability; prohibition on preventing disclosure of health care service claims data; violation an unfair or deceptive act

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

(a)This section applies to health provider contracts entered into or renewed after June 30, 2020.

(b)A health provider contract, including a contract with a pharmacy benefit manager or a health facility, may not contain a provision that prohibits the disclosure of health care service claims data to:

(1)employers providing the coverage; or

(2)beginning July 1, 2021, another person for use in the all payer claims data base established by IC 27-1-44.5. However, any disclosure of claims data must comply with health privacy laws, including the federal Health Insurance Portability and Accountability Act (HIPAA) (P.L. 104-191).

(c)A violation of this section constitutes an unfair or deceptive act or practice in the business of insurance under IC 27-4-1-4.

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(a) This section applies to health provider
contracts entered into or renewed after June 30, 2020.
(b) A health provider contract, including a contract with a pharmacy
benefit manager or a health facility, may not contain a provision that
prohibits the disclosure of health care service claims data to:
(1) employers providing the coverage; or
(2) beginning July 1, 2021, another person for use in the all payer
claims data base established by IC 27-1-44.5.
However, any disclosure of claims data must comply with health
privacy laws, including the federal Health Insurance Portability and
Accountability Act (HIPAA) (P.L. 104-191).
(c) A violation of this section constitutes an unfair or deceptive act
or practice in the business of insurance under IC 27-4-1-4.

Indiana § 27-1-37-7 (Applicability; prohibition on preventing disclosure of health care service claims data; violation an unfair or deceptive act) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.