§ 27-1-46-14 — Requirements of good faith estimates; provision of information by health carriers and practitioners to provider facility

Indiana § 27-1-46-14

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 1: DEPARTMENT OF INSURANCE
• Ch. 46: Provider Facility Good Faith Estimates

Text

(a) A good faith estimate provided by a
provider facility to an individual under this chapter must:
(1) provide a summary of the services and material items that the
good faith estimate is based on; and
(2) include a total figure that is a sum of the estimated prices
referred to in subdivision (1).
(b) Subsection (a) does not prohibit a provider facility from
providing to an individual a good faith estimate that indicates how
much of the total figure stated under subsection (a)(2) will be the
individual's out-of-pocket expense after the health carrier's payment of
charges.
(c) A health carrier or practitioner must provide a provider facility
with the information needed by the provider facility to comply with the
requirements under this chapter not more than two (2) business days
after receiving the request.
(d) A provider facility is not subject to the penalties under section
17 of this chapter if:
(1) a health carrier or practitioner fails to provide the provider
facility with the information as required under subsection (c);
(2) the provider facility provides the individual with a good faith
estimate based on any information that the provider facility has;
and
(3) the provider facility provides the individual with an updated
good faith estimate after the health carrier or practitioner has
provided the information required under subsection (c).

Legislative History

As added by P.L.93-2020, SEC.12.