Indiana Statutes
§ 27-13-36.2-3 — Notice of deficiencies in claims
Indiana § 27-13-36.2-3
This text of Indiana § 27-13-36.2-3 (Notice of deficiencies in claims) 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 § 27-13-36.2-3 (2026).
Text
(a)A health maintenance organization shall
pay or deny each clean claim in accordance with section 4 of this
chapter.
(b)A health maintenance organization shall notify a provider of any
deficiencies in a submitted claim not more than:
(1)thirty (30) days for a claim that is filed electronically; or
(2)forty-five (45) days for a claim that is filed on paper;
and describe any remedy necessary to establish a clean claim.
(c)Failure of a health maintenance organization to notify a provider
as required under subsection (b) establishes the submitted claim as a
clean claim.
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Legislative History
As added by P.L.162-2001, SEC.6. Amended by P.L.137-2002,
SEC.3.
Nearby Sections
15
§ 27-1-1-1
Creation; functions§ 27-1-1-2
Insurance commissioner§ 27-1-1-3
Personnel§ 27-1-1-4
Repealed§ 27-1-1-5
Repealed§ 27-1-1.5-10
"Annual Statement Blank"§ 27-1-1.5-11
"Annual Statement Instructions"§ 27-1-1.5-12
"Current Dental Terminology"; "CDT"§ 27-1-1.5-13
"Current Procedural Terminology"; "CPT"§ 27-1-1.5-15
"Financial Analysis Handbook"§ 27-1-1.5-16
"Financial Condition Examiner's Handbook"§ 27-1-1.5-18
"Healthcare Common Procedure Coding System"; "HCPCS"Cite This Page — Counsel Stack
Bluebook (online)
Indiana § 27-13-36.2-3, Counsel Stack Legal Research, https://law.counselstack.com/statute/in/27-13-36.2-3.