Indiana Statutes

§ 27-13-36.2-4 — Payment or denial of claims; interest

Indiana § 27-13-36.2-4
JurisdictionIndiana
Title 27INSURANCE
Art. 13HEALTH MAINTENANCE ORGANIZATIONS
Ch. 36.2Provider Payment

This text of Indiana § 27-13-36.2-4 (Payment or denial of claims; interest) 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 § 27-13-36.2-4 (2026).

Text

(a)A health maintenance organization shall pay or deny each clean claim as follows:
(1)If the claim is filed electronically, not more than thirty (30) days after the date the claim is received by the health maintenance organization.
(2)If the claim is filed on paper, not more than forty-five (45) days after the date the claim is received by the health maintenance organization.
(b)If:
(1)a health maintenance organization fails to pay or deny a clean claim in the time required under subsection (a); and
(2)the health maintenance organization subsequently pays the claim; the health maintenance organization shall pay the provider that submitted the claim interest on the lesser of the usual, customary, and reasonable charge for the health care services provided to the enrollee or an amount

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Legislative History

As added by P.L.162-2001, SEC.6. Amended by P.L.137-2002, SEC.4.

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Bluebook (online)
Indiana § 27-13-36.2-4, Counsel Stack Legal Research, https://law.counselstack.com/statute/in/27-13-36.2-4.