Indiana § 27-1-37.5-8.1 "Urgent health care service"

Indiana Statutes

§ 27-1-37.5-8.1 — "Urgent health care service"

Indiana § 27-1-37.5-8.1

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 37.5Health Care Service Prior Authorization

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Bluebook

Ind. Code § 27-1-37.5-8.1 (2026).

Text

1. As used in this chapter, "urgent health care service" means a health care service in which the application of the time period for making a nonexpedited prior authorization, in the opinion of a physician with knowledge of the covered individual's medical condition, could:

(1)seriously jeopardize:

(A)the life or health of the covered individual; or

(B)the covered individual's ability to regain maximum function; or

(2)subject the covered individual to severe pain that cannot be adequately managed without the health care service. The term includes a mental and behavioral health care service.

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1. As used in this chapter, "urgent health
care service" means a health care service in which the application of
the time period for making a nonexpedited prior authorization, in the
opinion of a physician with knowledge of the covered individual's
medical condition, could:
(1) seriously jeopardize:
(A) the life or health of the covered individual; or
(B) the covered individual's ability to regain maximum
function; or
(2) subject the covered individual to severe pain that cannot be
adequately managed without the health care service.
The term includes a mental and behavioral health care service.