Indiana § 27-1-37.5-8.3 "Utilization review entity"

Indiana Statutes

§ 27-1-37.5-8.3 — "Utilization review entity"

Indiana § 27-1-37.5-8.3

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 37.5Health Care Service Prior Authorization

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Bluebook

Ind. Code § 27-1-37.5-8.3 (2026).

Text

3. As used in this chapter, "utilization review entity" means an individual or entity that performs prior authorization for one (1) or more of the following:

(1)An employer who employs a covered individual.

(2)A health plan.

(3)A preferred provider organization.

(4)Any other individual or entity that:

(A)provides;

(B)offers to provide; or

(C)administers; hospital, outpatient, medical, prescription drug, or other health benefits to a covered individual.

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3. As used in this chapter, "utilization
review entity" means an individual or entity that performs prior
authorization for one (1) or more of the following:
(1) An employer who employs a covered individual.
(2) A health plan.
(3) A preferred provider organization.
(4) Any other individual or entity that:
(A) provides;
(B) offers to provide; or
(C) administers;
hospital, outpatient, medical, prescription drug, or other health
benefits to a covered individual.