Indiana § 27-1-37-7.5 Required disclosures

Indiana Statutes

§ 27-1-37-7.5 — Required disclosures

Indiana § 27-1-37-7.5

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 37Health Provider Contracts

This text of Indiana § 27-1-37-7.5 (Required disclosures) 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 § 27-1-37-7.5 (2026).

Text

5.

(a)This section applies to a health provider contract entered into, amended, or renewed after June 30, 2025.

(b)When a health carrier is in the process of negotiating a health provider contract with a health provider facility or provider, the health carrier must provide to the health provider facility or provider the following:

(1)A current fee schedule that must include the following information:

(A)The proposed reimbursement for each covered service under the proposed health provider contract.

(B)The twenty-fifth percentile, fiftieth percentile, and seventy-fifth percentile reimbursement amounts in Indiana for each covered service under the proposed health provider contract.

(2)The current criteria that the health carrier uses when determining whether to issue an administrative

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5. (a) This section applies to a health provider
contract entered into, amended, or renewed after June 30, 2025.
(b) When a health carrier is in the process of negotiating a health
provider contract with a health provider facility or provider, the health
carrier must provide to the health provider facility or provider the
following:
(1) A current fee schedule that must include the following
information:
(A) The proposed reimbursement for each covered service
under the proposed health provider contract.
(B) The twenty-fifth percentile, fiftieth percentile, and
seventy-fifth percentile reimbursement amounts in Indiana for
each covered service under the proposed health provider
contract.
(2) The current criteria that the health carrier uses when
determining whether to issue an administrative denial.
(c) When a health provider facility or provider is in the process of
negotiating a health provider contract with a health carrier, the health
provider facility or provider shall provide the health carrier with the
twenty-fifth percentile, fiftieth percentile, and seventy-fifth percentile
reimbursement amounts that the health provider facility or provider
receives for each covered service under the proposed health provider
contract.